Absolutely, you just cannot focus on "sick care" and expect adoption, reduced cost or improvement in the health and welfare of the population. Solutions regarding efficacy, return on investment, interoperability, community health, compliance, immunization, primary-specialist communications, patient health-record viability and ease of use (from a human-machine interface perspective), to name just a few, have been underdeveloped, nonexistent or poorly supported.
Much work needed on info exchange
The health information exchange tools so far developed are only an administrative means to obtain data—they do not improve the clinical encounter or make it more effective, nor do they meet the needs associated with continuity of care or care management. What the health info exchange tools have done is make us frustrated secretaries prone to errors and omissions caused by incorrect keystroke entry.
Sabatini MonatestiPresidentES Enterprises Berwick, Pa.
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