March 12, 2009 By News Report
More physician leaders are embracing technological advances, such as electronic medical records, but most still consider them clunky and unresponsive to their needs. Those are the results found in a recent survey by the American College of Physician Executives (ACPE). About 1,000 ACPE members responded to the 2009 survey.The findings were published in the March/April issue of the Physician Executive Journal, ACPE's journal of medical management.
ACPE conducted the same survey back in 2004. Five years later, there were some surprising findings:
However, while the use of technology may be on the rise, physician attitudes regarding it haven't changed much since 2004. Some physicians embrace the new measures, but a much larger number viewed health care technology as frustrating and difficult to use.
One physician even said that adopting electronic medical records was "the worst aspect of my 25 years in medicine. It has ruined doctor productivity, produced lower quality care and encouraged notes that are false to the point of fraud."
Others said the cost was prohibitive and the software difficult to implement. A common complaint -- especially among physicians who shuttle between hospitals and private practice -- was that the available systems don't do a good job of talking to one another.
Many also said physicians aren't given enough input when designing the software used by medical centers. They say the software developers don't have enough clinical knowledge to create true time-saving devices.
"It's difficult to keep IT interested in the discussion," said a physician. "They don't take the time to really understand the problem and want us to adapt to whatever software they come up with."
This Digital Communities white paper highlights discussions with IT officials in four counties that have adopted shared services models. Our aim was to learn about the obstacles these governments have faced when it comes to shared services and what it takes to overcome those roadblocks. We also spoke with several members of the IT industry who have thought long and hard about these issues. The paper offers some best practices for shared government-to-government services, but also points out challenges that government and industry still must overcome before this model gains widespread adoption.