Jun
24
Posted (Van Santos) in Technology on June-24-2009

Thomas Claburn, over at InformationWeek, pointed out that Google just endorsed Heath Data Rights, a collection of principles focused on data portability, privacy and consumer protection. As the Google Health tool has been available for some time, it is good to see Google make such an endorsement, but Claburn hits squarely on the problem of Electronic Medical Records:

Having just completed my annual physical on Monday, I took the opportunity to inquire about whether my medical records were available in electronic form. My physician’s assistant smiled and shook her head. The doctor, she said, doesn’t believe in electronic records. And it would be expensive to convert from paper, she added.

Small providers have a hard time seeing the value in switching to EMRs. There is no government mandate (law) that I am aware of that dictates providers must have EMRs available to patients, and there is no perceived cost savings in having this option, meaning the small provider has no impetus to make the switch. While it appears large hospitals are making the move, the independent service provider isn’t jumping on the wagon.

Claburn goes on to say:

Frankly, given frequency of data breaches over the past few years, paper seems like the safest place for medical information at the moment.

And that is, I feel, exactly why the consumer isn’t moving in the direction either.

Data security is a huge issue. The thought of medical records being vulnerable to attack from a hacker or having a medical issue follow you for the rest of your life, permanently attached to your file, are large concerns for a number of people. Fact of the matter, people want to control their information and EMRs do not offer that flexibility.

So, a lack of consumer demand drives the lack of support on the independent service provider. While Google appears to be advocating for anyone with EMRs, it will be a long and lonely road until Electronic Medical Records are adopted nationally with any amount of consistency.

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Comments:
OzSoapbox on June 25th, 2009 at 5:30 am #

I know of at least one practitioner who doesn’t even have a fax machine.

Whilst I’m fully aware of Google’s thirst to know anything and everything in our lives, it’s important to note paper doesn’t offer the patient much control over their data either.

I think it’s accessibility rather then control that is the issue.

Van Santos on June 25th, 2009 at 2:11 pm #

Agreed, paper doesn’t offer much control. From a privacy aspect, however, it would be a lot easier for the government / insurance providers to data mine than paper. I do know is a concern from a number of people I’ve spoken with.

When you say it’s an accessibility issue, do you mean to say that doctors do not have the ability (be it the funding or understanding) to make the move to EMRs?

OzSoapbox on June 26th, 2009 at 6:31 am #

Accessibility in that the patient is more concerned about how potentially easy access is to an electronic system as opposed to worrying about how they control the data.

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