4 ms·

sorry, but this exhibits a complete disregard for (or lack of understanding of) the practice of medicine. Many of us love technology - some of us even read hn.

sorry, but this exhibits a complete disregard for (or lack of understanding of) the practice of medicine. Many of us love technology - some of us even read hn. But physicians have very little choice regarding use of this kind of technology, other than to leave medicine or go into private practice where we only take care of wealthy people. And re EHR in particular: is this technology an enhancer as you claim? Because it sure isn't reflected in any objective measures of clinical outcomes.

epmaybe 8y ago
I agree, but what if the ideal for EHR just hasn't been realized yet? Regulation or not, there must be ways to improve. We probably don't see those innovations because most hospitals stick to the juggernauts such as Epic for their software.
nicodjimenez 8y ago
You poor thing, it must be really hard having so much job security and such inflated salaries, due to artificial constraints on the supply of doctors by the medical mafia. You're not going to get a ton of sympathy here on HN, where your job or startup will get replaced in the bat of an eye whenever someone / something comes along that's better / cheaper.
- econochoice 8y ago
  > your job or startup will get replaced in the bat of an eye whenever someone / something comes along that's better / cheaper. Anyone that works to eat is in the same boat.
  - nickthemagicman 8y ago
    Exactly and it will remove the artificial physician monopoly and put them in the same boat with the rest of the world
- dang 8y ago
  It's not ok to attack a fellow user like this on HN, and we ban accounts that do it, so please read https://news.ycombinator.com/newsguidelines.html https://news.ycombinator.com/newsguidelines.html and follow the rules from now on. That means posting civilly and substantively, or not at all.
nickthemagicman 8y ago
I can't even fathom how EHR is not better for patients. Having a patients entire history at your fingertips collected through their lifetime. Being able to apply machine learning to their symptoms to find possible obscure issues Being able to combine data from populations to find new symptoms for illnesses Being able to identify outbreaks alot faster Better ability to analyize complex data to prevent drug interaction And so many more. No I think primary care and internal medicine physicians are threatened by technology and are resisting it, because 95% of what their job consists of is exactly what computers are really really good at, crunching data to find statistically likely outcomes. Tech is going to do to medicine what is already happening in Law. Put 90% of physicians out of business by making the few employed physicians infinitely more productive. In a 20 years we're going to view having a physician diagnose you as primitive as having a physician bleed you with leeches.
- danielh96 8y ago
  Those things aren't being done with the EHR data, at least in the real world yet. Those benefits aren't being realised yet (which is far more likely due to regulation of the data rather than EHR uptake). To doctors, an EHR is just a replacement for paper with a clunky, hard to use interface. It's hard to beat the flexibility of paper. From what I've seen from EHRs and other related software, they're absolute garbage to use. I wouldn't want to use one either.

epmaybe 8y ago

I agree, but what if the ideal for EHR just hasn't been realized yet? Regulation or not, there must be ways to improve. We probably don't see those innovations because most hospitals stick to the juggernauts such as Epic for their software.

nicodjimenez 8y ago

You poor thing, it must be really hard having so much job security and such inflated salaries, due to artificial constraints on the supply of doctors by the medical mafia. You're not going to get a ton of sympathy here on HN, where your job or startup will get replaced in the bat of an eye whenever someone / something comes along that's better / cheaper.

econochoice 8y ago
> your job or startup will get replaced in the bat of an eye whenever someone / something comes along that's better / cheaper. Anyone that works to eat is in the same boat.
- nickthemagicman 8y ago
  Exactly and it will remove the artificial physician monopoly and put them in the same boat with the rest of the world
dang 8y ago
It's not ok to attack a fellow user like this on HN, and we ban accounts that do it, so please read https://news.ycombinator.com/newsguidelines.html https://news.ycombinator.com/newsguidelines.html and follow the rules from now on. That means posting civilly and substantively, or not at all.

nickthemagicman 8y ago

I can't even fathom how EHR is not better for patients. Having a patients entire history at your fingertips collected through their lifetime. Being able to apply machine learning to their symptoms to find possible obscure issues Being able to combine data from populations to find new symptoms for illnesses Being able to identify outbreaks alot faster Better ability to analyize complex data to prevent drug interaction And so many more. No I think primary care and internal medicine physicians are threatened by technology and are resisting it, because 95% of what their job consists of is exactly what computers are really really good at, crunching data to find statistically likely outcomes. Tech is going to do to medicine what is already happening in Law. Put 90% of physicians out of business by making the few employed physicians infinitely more productive. In a 20 years we're going to view having a physician diagnose you as primitive as having a physician bleed you with leeches.

danielh96 8y ago
Those things aren't being done with the EHR data, at least in the real world yet. Those benefits aren't being realised yet (which is far more likely due to regulation of the data rather than EHR uptake). To doctors, an EHR is just a replacement for paper with a clunky, hard to use interface. It's hard to beat the flexibility of paper. From what I've seen from EHRs and other related software, they're absolute garbage to use. I wouldn't want to use one either.