This link is an interesting article I found that references the issues and research on electronic medical records. A piece not referenced that I wonder about is how the profit motive drives data systems. I have found that discussions about new and improved electronic data systems for health care providers seem to always start and end with how they help enhance revenue. I understand that - given our current system. What I don't understand is not mentioning that purpose in reviews of what is going on and whether or not the systems are doing what is intended. The big insurance companies and big medical vendors don't like to share much. I have been in meetings with some and the issue of protecting corporate secrets that could affect competitive advantage keeps any real communication and sharing at arm's length. Given the affect the financial bottom line has on decisions regarding electronic data systems and sharing of information, how can this whole electronic records push ever accomplish all the pie in the sky promises? No matter how great the outcome might eventually be we can't afford to do this right anyway. Seems like an expensive smoke and mirrors gimmick to distract us from the real issues.
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