Thank goodness for the voice of sane, rational analysis in the howling storm of hype that surrounds the EMR/EHR push. I would love to have the elegance and convenience of electronic medical records but also know that the system does not change the work of analysis and actual patient encounters that must occur in the practice of medicine. The return-on-investment promises are enticing but I, like Dr. Jaan Sidorov, am a skeptic. I have often felt as if I was in the fairy tale about the emperor with no clothes. I am relieved to hear that an individual who is insightful and knowledgeable about the practice of medicine, management and administration shares the reservations that I feel about the "oversell" of EMR systems. In short, I want to believe but can't suppress my doubts about the real utility and savings promised by EMR vendors. If it is all true, why don't the creators and vendors of EMR systems offer an absolute money-back guarantee?
Michael D. Bryan, M.D.
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