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electronic medical records

Comments on electronic medical records

libertygrl
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Posted 03/29/12 - 7:54 PM:
Subject: electronic medical records
the obama administration is pushing for doctors to go electronic with their medical records.

benefits: fewer trees have to die for the sake of bureaucracy. greater convenience in terms of transferring records to other doctors and facilities.

drawback: easier to violate privacy by people either hacking into the system or using it inappropriately.

working in a doctor's office, we have been mandated to use and are converting our records to an EMR. a large majority of the patients we see are in favor it - i would estimate about 90 to 95 percent. the rest are very hinky about it. after all, the way it works is that many doctors and their staff who have never seen you before professionally but who may know you personally will have access to what may be sensitive medical history on you.

i personally find it tremendously convenient for looking up the necessary patient information i need to do my job. seriously looking forward to not having to file paper charts anymore. but i am concerned about the privacy issues.

what do you guys think? would you feel comfortable knowing your doctor's records are on a large EMR network - one that might eventually span the entire country?
henry quirk
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Posted 03/30/12 - 8:54 AM:

No, I'm not keen on the idea.

No reason the world needs to be privy to my syphilis, my gonorrhea, my hemorrhoids, etc.

My suggestion: the patient ought to keep his records with him or her (via thumb drive or something similar).

It’s the same as with all this hooey about ‘cloud-based’ storage…why the hell do I need to store my shit on-line, ‘in the cloud’, when I can store it all on a thumb drive?
libertygrl
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Posted 03/30/12 - 6:50 PM:

the reasoning being, i suppose, that thumb drives often fail due to the hardware being not so durable.
thedoc
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Posted 03/30/12 - 7:56 PM:

Nothing is really durable, Hard copy (paper) is vulnerable to a house fire, computer hard drives and memory can be damaged the same way. Nothing is permanent, even matter itself if believed to decay in time, but I think most 'things' will last longer than any one person will.
libertygrl
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Posted 03/30/12 - 8:43 PM:

well, if it were my up to my boss, we wouldn't keep any records for any reason. he doesn't see much point. we live in a litigious society, though, where people are often to eager to sue you for fraudulent causes. keeping good records does protect you from that to a great extent, when it comes to representing yourself in court. and it's extremely important when you need something like surgery and have to visit several doctors who need to share information with each other.
libertygrl
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Posted 03/30/12 - 8:43 PM:

well, if it were my up to my boss, we wouldn't keep any records for any reason. he doesn't see much point. we live in a litigious society, though, where people are often to eager to sue you for fraudulent causes. keeping good records does protect you from that to a great extent, when it comes to representing yourself in court. and it's extremely important when you need something like surgery and have to visit several doctors who need to share information with each other.
smokinpristiformis
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Posted 04/02/12 - 12:19 AM:

I think our doctors work electronically all the time. We have a large-scale databank. The way I understand it, all data that's relevant to social security - age, chronic diseases, and whatnot, is stored in the central databank. The details (scans, analysis results) are stored at the treating institution (doctor, hospital) and are shared upon (valid) request with other doctors.
henry quirk
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Posted 04/02/12 - 10:15 AM:

"that thumb drives often fail due to the hardware being not so durable"

It's a technology that's improving...but, if such things worry a body, then have two or three or four thumb drives.

Thing is: in 'the cloud', information is elsewhere, under someone else's control...on the thumb drive: it's mine (which I'm happy to share with a doctor, as a read-only file, when I make an appointment with him or her).


Edited by henry quirk on 04/02/12 - 10:54 AM. Reason: clarification
JrnymnX
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Posted 04/04/12 - 2:07 PM:

henry quirk wrote:
Thing is: in 'the cloud', information is elsewhere, under someone else's control...on the thumb drive: it's mine (which I'm happy to share with a doctor, as a read-only file, when I make an appointment with him or her).

nod
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