Recently I completed the Commonwealth Fund’s 2015 International Survey of Primary Care Doctors. They wanted to know what I thought about our health system; if fundamentally it worked or needed to be better. They asked questions about my satisfaction with practicing medicine, the quality of care my patients receive, and my experiences with electronic medical records. (You can click here to read through the 2012 survey, to get an ...

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shutterstock_234499477 In the seven or so years I’ve been blogging, I’ve only written a few posts that prompted controversy in the comments section. Looking back, I notice that these posts have involved chronic illness management, motivation, adherence and/or engagement. In fact, a commentator recently felt my writing was that of an old-fashioned doctor who believes that paternalistic messaging is key to engaging ...

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Following the recession, the Obama administration sought shovel-ready projects. One unlikely shovel-wielding aggregate demand was health information technology. The Health Information Technology for Economic and Clinical Health (HITECH) Act passed in 2009 directed 5 percent of the stimulus towards digitizing medical records. Computerization of medical records doesn’t induce the images of public works as building freeways during the Great Depression does, but the freeway is a metaphor for exchange of information between ...

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shutterstock_216800617 I was recently talking to a patient about having some extra help at home when she left the hospital with home nursing services. The elderly lady -- highly intelligent and fiercely independent -- politely declined with the reply: “No, I’m fine thanks Dr Dhand -- all they’ve done before is just come in with their computers, barely talk to me, enter ...

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The progression of science in medicine has been as remarkable as it is relentless. From alchemy, chants, purges, and leeches, medicine has progressed to a deep understanding of human form and function through biology, anatomy, and physiology. Microbiology and pathology revealed details and causes of diseases while chemistry and pharmacology opened the doors for advanced diagnostic testing and a variety of therapies. Physics added more diagnostic capabilities and additional options for ...

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A company has produced prototype robots that can draw blood from human arms. The video above is a 48-second video showing one of them in action. Using an infrared camera, the robot identifies a suitable vein and accesses the vein with ultrasound guidance. A second video, not embedded in this post, explains that the robot is about 83 percent successful at drawing blood that compares favorably to the success ...

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It is with regret that meaningful use legislation has barreled down the path of insanity. As a primary care physician, I don’t see how 700+ pages of rules and proposals mean any bit of relevance to my clinical practice anymore. As the attrition continues regarding eligible providers, it is leading primary care physicians towards the junction point of going off the grid entirely or being enslaved by horrible EHRs forever. I ...

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Two modest kiosks far in the back of a cavernous HIMSS 2015 exhibit hall symbolized two separate streams of the patient engagement effort as filtered through health information technology (IT). One featured a Bluetooth-enabled toothbrush paired with a personalized video game to teach kids to properly care for their teeth. Call that approach, “enabling compliance.” Nearby, another kiosk showcased a computerized questionnaire to help patients understand their treatment goals and true ...

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The government has doled out nearly $20 billion in incentive payments since 2010 for its meaningful use program in order to nudge physicians towards adopting electronic health records (EHR). U.S. hospital systems and physician practices pay billions annually to EHR vendors in order to qualify for those meaningful use incentive dollars and prevent penalty payments in the future. EHR adoption has modernized the practice of medicine in innumerable ways. However, documentation ...

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shutterstock_191393468 A recent publication from the Mayo Clinic created a lot of buzz regarding the use of unmanned aerial vehicles (UAV), or drones, in medicine. However, in reality, most of the drones being used or tested in the U.S. are for things like aerial photography, small package delivery, and surveillance. While several corporations have been quick to expand existing applications ...

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