3 ms·

Well, that's because the underlying approach needs an improvement. As an example, imagine that every doctor-patient communication is recorded with a camera. Now

Well, that's because the underlying approach needs an improvement. As an example, imagine that every doctor-patient communication is recorded with a camera. Now all you need to do to get facts from a primary source is to watch a video with another doctor talking to a patient. I'm not saying that this is the solution, but options do exist and they are worth exploration.

YeGoblynQueenne 9y ago
Say you're a gastroenterologist and in the video, your patient was interviewed by a pathologist. The pathologist would ask pathologist questions, but you need to know gastroenterologist answers. How do you get them from the video of a pathologist asking pathologist questions?
- andreygrehov 9y ago
  In this case gastroenterologist goes to a patient and asks questions he is interested in. The point is that a patient doesn't have to tell the same story over and over again. The problem is that gastroenterologist would now have to have its own video, which would probably be time-consuming for the third doc.
  - robbiep 9y ago
    Patients report higher satisfaction with their medical care the longer that they spend engaging with clinicians. Even if this was a practical solution, by deploying cameras and ensuring that the resulting files were accessible and categorised simply and easily (no easy IT solution!) it doesn't change the fact that by reducing the amount of time a doctor (any doctor) spends with patients is going to worsen their outocmes, even if they are self-reported. Anyway, we already spend far too much time not with patients. And how is this any different from reading a 'transcript' of the last interaction a patient had with a Doctor [0] https://www.fiercehealthcare.com/it/study-docs-spend-more-time-computers-than-patients https://www.fiercehealthcare.com/it/study-docs-spend-more-ti...
    - mgkimsal 9y ago
      > And how is this any different from reading a 'transcript' of the last interaction a patient had with a Doctor watching body language, pauses, etc vs just reading can give different information. and multiple people reviewing that over a spell will yield different/new/conflicting insights. but it's different than reading a transcript.
    - andreygrehov 9y ago
      > Patients report higher satisfaction with their medical care the longer that they spend engaging with clinicians. Agreed. But that is because doctors are not easily accessible. You can't simply call doctor's cell phone or text him a message. Instead, you call the office, leave a message and wait for God knows how long. Some doctors do not even bother to call you back if they're not in the office. > And how is this any different from reading a 'transcript' of the last interaction a patient had with a Doctor You don't want to cancel the transcript-based approach. I was talking about improving existing processes, not replacing them altogether. Knowing that you're being recorded makes you more responsible for every note you take, it improves the kind of information doctors write down. I'm sure you are aware that there are a ton of things to improve in the healthcare industry. It's just a matter of wise execution, which is the most complicated part.

YeGoblynQueenne 9y ago

Say you're a gastroenterologist and in the video, your patient was interviewed by a pathologist. The pathologist would ask pathologist questions, but you need to know gastroenterologist answers. How do you get them from the video of a pathologist asking pathologist questions?

andreygrehov 9y ago
In this case gastroenterologist goes to a patient and asks questions he is interested in. The point is that a patient doesn't have to tell the same story over and over again. The problem is that gastroenterologist would now have to have its own video, which would probably be time-consuming for the third doc.
- robbiep 9y ago
  Patients report higher satisfaction with their medical care the longer that they spend engaging with clinicians. Even if this was a practical solution, by deploying cameras and ensuring that the resulting files were accessible and categorised simply and easily (no easy IT solution!) it doesn't change the fact that by reducing the amount of time a doctor (any doctor) spends with patients is going to worsen their outocmes, even if they are self-reported. Anyway, we already spend far too much time not with patients. And how is this any different from reading a 'transcript' of the last interaction a patient had with a Doctor [0] https://www.fiercehealthcare.com/it/study-docs-spend-more-time-computers-than-patients https://www.fiercehealthcare.com/it/study-docs-spend-more-ti...
  - mgkimsal 9y ago
    > And how is this any different from reading a 'transcript' of the last interaction a patient had with a Doctor watching body language, pauses, etc vs just reading can give different information. and multiple people reviewing that over a spell will yield different/new/conflicting insights. but it's different than reading a transcript.
  - andreygrehov 9y ago
    > Patients report higher satisfaction with their medical care the longer that they spend engaging with clinicians. Agreed. But that is because doctors are not easily accessible. You can't simply call doctor's cell phone or text him a message. Instead, you call the office, leave a message and wait for God knows how long. Some doctors do not even bother to call you back if they're not in the office. > And how is this any different from reading a 'transcript' of the last interaction a patient had with a Doctor You don't want to cancel the transcript-based approach. I was talking about improving existing processes, not replacing them altogether. Knowing that you're being recorded makes you more responsible for every note you take, it improves the kind of information doctors write down. I'm sure you are aware that there are a ton of things to improve in the healthcare industry. It's just a matter of wise execution, which is the most complicated part.