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Obama, US health insurance boons and EMRs


Congratulations to Mr Obama on the passing of the truly odd health legislation -- a horse designed by a committee that came out a camel if ever there was one. Is the main intention to force private health insurers to take on 30 million new customers? Did I get that right? Free enterprise lives! Remarkably not a single "free-enterprise" Republican voted for it. But then neither did 34 "socialist" Democrats. No one from either party has much of an idea of how the scheme will play out. To hear them talk, it's going to sink each and every one of them who runs in the election this fall regardless of how they voted.

I've had many discussions with Americans about health care over the last five years most of them in airplanes. One seat mate asked if because of long waiting times had he lived in Canada would he have died of the "gall bladder attack" he'd just experienced. Another man. with a young family and no coverage, said he couldn't tolerate the government meddling in his affairs. A woman at a dinner party told me she couldn't bear the thought of the government "knowing everything about me." I suggested she embrace "single payer medical coverage" and address her ire at Electronic Medical Records (EMRs). She was puzzled the learn that in Canada far fewer doctors use EMRs than the US (see below).

It's high time we got serious about EMRs : 62 % of Canadians over age 65 take five or more prescriptions medicines a day. Fully 20% take 10 or more Rx medicines daily.
That's the conclusion of a new UBC study released by the Canadian Institute for Health Information that looked at drug use among more than one million seniors covered by public drug programs in six provinces from 2002 to 2008. Time spent by MDs trying to verify patient medication use could be "virtually" eliminated with more aggressive adoption of EMRs.

Only 37% of MDs here use electronic records and though that’s up from 20 % in 2006, we lag behind most of the other players. In Holland the number is 99% of family doctors using EMR. It's over 90% in Australia, New Zealand, Norway, Sweden, the UK and Italy. Germany clocks in at 72%, France at 68%, even the US counts 46% of their physicians in the EMR user column.


6 comments:

said...

Morning musings:

This is well written and valuable in the quantitative and qualitative comments, with a nice sprinkling of anecdotal information.

RE: EMR's and the facilitation of integrating information ( vs. aggregating) as health becomes part of the "offset trading " economy

EMR's are critical components in " realtime" sharing of information...especially in dramatic life-saving moments when every second counts.
{ the "smart card" slowdown in Canada was because of "people"...not "value"}

Homogeneity is crucial in the management of the " soon-to-emerge" broad impact of our 'carbon footprint' on the development of "service" offsets.

Here is an early exposure for you of how the direct-connect conceptual link between environment and health will be made:

http://www.thestar.com/news/insight/article/761408--gorrie-an-environment-policy-that-hurts-women

RE: Health service delivery in the USA

Why would the USA want to miss that "service trading" boat...or leave it in the hands of the private sector? Think.
[They always have the " for all" sentences in their Constitution to fall back on.]

RE: Lay participation in Health Care planning ["hi" to Charles and DeMaio :) ]

The most interesting/annoying thing of all is the " warming up " antics so all are ready when the firing pistol is shot.

[What do you think they are discussing at those Bilderburg meetings anyway? It is so the same "picture" is shared and realised in terms of how to get there "together".
Call it all a conspiracy to rob you of your ?freedom if you want. Some may simply think that because they feel left out at the decision-making level ( time for more good blogs to get them up to the top rungs of the Arnstein ladder) ].

Perhaps the development of policy could begin with " reviewing a shared interest" versus " solving a common problem"?

Summary

For me........... I would like to see more than a " tower of babble" forming around this.

What should the medical practitioner do?

1. Read John Preece and how to form proper "alliances" with a team that supports "key" determinants of health decision...not just medical.

2. change your vision to embrace how Service delivery fits with Community Development

3.make sure your teams are clustered to function like a "school of fish" (synchrony) where your clients feel their strength and their
'ever-presence'.

said...

Nowadays many doctors are now taking advantage of the internet to conduct web consultations. we able to access patient data from anywhere in the world via a secure connection even allows the doctor to conduct web consultations or generate reports from home. Health maintenance reminders that can be automatically generated from an EMR system also contribute to providing improved patient care.

said...

Nowadays many doctors are now taking advantage of the internet to conduct web consultations.

, , ,

said...

Nowadays many doctors are now taking advantage of the internet to conduct web consultations. we able to access patient data from anywhere in the world via a secure connection even allows the doctor to conduct web consultations or generate reports from home. Health maintenance reminders that can be automatically generated from an EMR system also contribute to providing improved patient care.

said...

I enjoyed reading it and I think other readers might enjoy reading it as well.Thanks.

said...

The percentages would increase in course of time. Useful information indeed. Thanks.