Patient history

Two takes on this today.

Robert Centor: “Do not blame the decline in history taking or decision making on the EMR. Such comments make one sound like a Luddite. Neither should we champion the EMR as the solution to quality care. The EMR is a tool that makes data retrieval easier, makes orders legible, and makes it easier to spot laboratory trends. We must learn to use the EMR as another tool in our toolbox.”

Dr. RW: “The whole thing, of course, is driven by economics. The less time you have to spend on the H&P the more patients you can see, the more procedures you can do and up goes productivity.”