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Also, for seasoned professionals you have to factor in malpractice and insurance coverage as contributing to the inertia.
by escherplex 8y ago
Also, for seasoned professionals you have to factor in malpractice and insurance coverage as contributing to the inertia.
- skwb 8y agoI've found mostly these are given mostly as cover. Those are important considerations, but: A) most CDS is considered educational, and therefore is not supposed to replace an expert's opinion B) insurance coverage is sorta BS because most health systems are moving away from pure fee for service revenue models. Besides, I feel like you should maybe do your job as a doctor to ensure the best care for your patients than hyper optimizing your own reimbursement.
- telchar 8y agoNevertheless there is concern about any data that goes into an EMR. There is always concern about what happens in the worst case scenario where something very bad happens to a patient and their whole record is examined in a courtroom after the fact. If, say, a machine learning model predicts that thing X will happen to the patient and it wasn't acted on, a hypothetical lawsuit may go worse for the provider than if the predicted risk of thing X weren't part of the record. This doesn't mean that the doctors bury their heads in the sand, but it is a part of the reason providers are resistant to adopting these tools. Relying on their own knowledge and intuition may not be better but it won't hurt them as evidence in a hypothetical malpractice suit. The decision support tool has to be sufficiently better to outweigh this. I hold no opinion on the validity of this line of thinking, but I can say that it is part of the calculus, at least for some.
- conanbatt 8y agoSome very good points. In the practice of medicine, and in particular in the litigious US, you cant ask questions you wont act on. You are liable for the responses, so might as well not ask. Stupid af.