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mhhf1ve
mhhf1ve
7/6/2016 8:44:13 PM
User Rank
Platinum
Re: Apps
I think it's telling that Google tried to create an Individual Health Record (IHR) with Google Health -- but then shut it down shortly after it launched.

https://techcrunch.com/2011/06/26/why-google-really-failed-money/

It's difficult to get healthcare providers AND patients to move to a standardized platform because the incentives are all over the map. Insurers and patients and doctors and hospitals.. all have different motivations and incentives for using a tech platform to store and communicate health data. So I think I'm not that optimistic about any PHR/IHR/EHR system that isn't backed by a coalition of insurance agencies, govt agencies and hospitals....

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mhhf1ve
mhhf1ve
7/6/2016 4:02:57 PM
User Rank
Platinum
Re: Apps
Software is not always the answer for making things seem more efficient-- esp if the end users are doctors. I know at least one doctor I've met said he was thinking about retiring because he just didn't want to deal with entering all his notes into a computer instead of whatever he's been doing for decades.

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vnewman
vnewman
7/6/2016 3:23:48 PM
User Rank
Platinum
Re: Apps
I have a friend who sells this type of software to doctors and hospitals etc.  One of the issues he encounters is mere lack of interest by the administration and doctors themselves. It creates a ton of work for them when they are already drowning in paperwork and administrative tasks already. As Peter Gibbons said in Office Space: "It's a problem of motivation." 

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DHagar
DHagar
7/6/2016 2:57:00 PM
User Rank
Platinum
Re: Apps
@Michelle, indeed!  And the records get lost along the way.  That goes to the issue of interoperability - of which does not exist.  So it is a bridge to nowhere.

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DHagar
DHagar
7/6/2016 2:55:47 PM
User Rank
Platinum
Re: Apps
@mhhf1ve - you outline the issues well!  Check out CentriHealth.com - they are one of the national companies who understand the issue and are working on IHR's as well as EHR's.  The people that truly understand are NOT satisfied.

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mhhf1ve
mhhf1ve
7/6/2016 2:44:11 PM
User Rank
Platinum
Re: Apps
Heh. You'd think with the notorious bad handwriting that doctors have.. That they'd be more open to trying a text-based app for recording notes. But then I guess handwriting vs typing/texting is still a hurdle for some folks. And voice transcription for medicine exists but it's a hassle and an expense.

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Michelle
Michelle
7/6/2016 1:42:14 PM
User Rank
Platinum
Re: Apps
That is an excellent point. The path to actual transferrable records is long and winding. 

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Ariella
Ariella
7/6/2016 12:55:55 PM
User Rank
Author
Re: Apps
@mhhf1ve at my pediatrician's office, the story was that no one's system's talks to the other. But even within connected systems, there are roadblocks like the doctor who doesn't update his log in credentials, etc.

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mhhf1ve
mhhf1ve
7/6/2016 12:39:12 PM
User Rank
Platinum
Re: Apps
Transferring medical files is oddly difficult when huge non-medical files (eg pirated 4K movies, VR games) are regularly transferred between teenagers. It doesn't seem like it should be so hard to communicate medical info. A doctor friend of mine, tho, was telling me how hard it was for him to get his colleagues to use a snapchat-like app for discussing patients conditions within the same hospital.

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Ariella
Ariella
7/6/2016 11:23:13 AM
User Rank
Author
Re: Apps
@mhhf1ve thanks for that link, I'll have to check it out. Yes, X-Rays don't always transfer over even when they're regular ones from a hospital to an affiliated doctor. We've had to manually bring both discs and physical X-Rays from one office to another ourselves because of that.

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