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> This sort of "design blindness" happens whenever system designers prioritize the needs of the IT system, rather than its users. My specialist is therefore for
by rchaud 3y ago
> This sort of "design blindness" happens whenever system designers prioritize the needs of the IT system, rather than its users. My specialist is therefore forced to deal with a client interface barely pasted over some sort of database. The data is shaped to fit the design of that database, rather than the other way around.
I wrote my graduate thesis on digital medical record systems in family practice over a decade ago, user experience was a huge issue then as well. Having training sessions alone isn't enough.
The problem isn't going to be solved because doctors are not the primary customer for these systems, the procurement department is. They will care more about HIPAA compliance than whether the end-user can effectively replace their workflow with this new tool.
- owenmarshall 3y ago> The problem isn't going to be solved because doctors are not the primary customer for these systems Agreed! > the procurement department is. But I disagree here. From what I’ve seen in ambulatory EHRs, they are finely tuned for billing workflows. The key outcome is that a patient encounter is tied cleanly to an ICD. Actually tracking patient information in a useful way seems to be an afterthought.
- NoraCodes 3y agoThis seems like this might lead to some interesting second-order benefits of single-payer healthcare schemes; is the state of EHRs as bad in the UK? If so, is it because they're buying American EHRs?
- nunez 3y agoAfaik, this is further exacerbated by the extraordinary pace at which private practices are getting swallowed up by major hospital networks, like HCA (nationally) and large regionals like Baylor Scott and White in DFW. [0]. [0] https://www.statnews.com/2020/02/27/physician-practice-consolidation-its-only-just-begun/ https://www.statnews.com/2020/02/27/physician-practice-conso...
- nunez 3y agoThe craziest thing about EMR systems like this is that you would _think_ that their adoption would help bolster universal patient records that transfer from doctor to doctor (useful now in the world of services like ZocDoc where booking care is ubiquitous). But that's not the case at all!