re: Healthcare IT: Savior Or Sinkhole?
I do not believe it is possible to draw a conclusion from a RAND forecast that is 7 years old. It is a highly questionable approach, and has no scientific merit.
This is once again a demonstration of the 'Luddites in medical practice.' In no other domain, be it biomedical research, finance. law or law enforcement, would anyone be questioning the value of converting from a paper-based system to an electronic record. I just hope that other members of my generation of physicians retires as quickly as possible.
Using an analogy in radiology, it took a decade from the time that DICOM standards of inter-operability were introduced, to adoption of a single interoperable system. Much of that lag can be explained by vendors using their own 'flavor' of DICOM, that could only be used to exchange data to devices and computers on their own systems.
You see a similar phenomenon today - EPIC does not permit health data to be transmitted other EHR systems unless they are EPIC systems.
I would argue that the problem can be attributed to the conservative nature of medical practice, and to vendors that exploit this feature of medical practice for their own benefit.
As an aside- does anyone here know what the fastest growing diagnostic test in the history of medicine might be? It has taken place over the past year, but most clinicians are clueless.
Kind regards - Gerry Higgins, M.D., Ph.D.