EHR and physician burnout

Electronic health records (EHR) have the potential to greatly improve the quality of care. EHRs allow multi-specialty teams to access the same underlying medical information and eliminate the issue of miscommunication due to poor physician hand writing. At the same time, EHR increase data entry burden. Is the benefit of EHR worth the cost? One…

Is Uber a substitute for ambulances?

According to a paper by Moskatel and Slutsky (2019), the answer appears to be ‘yes’. In this paper, we ask whether UberX’s entry into a city caused substitution away from traditional ambulances for low‐risk patients, reducing overall volume. Using a city‐panel over‐time and leverage that UberX enter markets sporadically over multiple years, we find that…

Death by 1000 clicks: Where EHRs went wrong

An interesting article over at Kaiser Health News on electronic health records (EHRs): But 10 years after President Barack Obama signed a law to accelerate the digitization of medical records — with the federal government, so far, sinking $36 billion into the effort — America has little to show for its investment…Today, 96 percent of…

Would telehealth increase the price of health care?

Health Affairs December 2018 issue focuses on telehealth.  The general assumption is that telehealth is an unambiguous good.  Getting access to health care providers–particularly those who live in remote areas or have transportation challenges–is certainly a good thing. But could telehealth increase the price of health care? In this thought exercise, pretend for a moment that…

Will a robot conduct your next cancer screening?

Machine learning programs have made dramatic steps in recent years.  For instance, AlphaGo beat a world champion Go player recently.  Playing games is great, but can machine learning improve health care?  Science Daily reports that machine learning algorithms may help improve cancer screening accuracy. Every state in the United States requires cancer cases to be…

The future of mental health?

Nature has an interesting article on how mobile technology is being used to treat mental illness. Estimates suggest that about 29% of people will experience a mental disorder in their lifetime1. Data from the World Health Organization (WHO) show that many of those people — up to 55% in developed countries and 85% in developing…

A super EMR?

Sources of health care data are proliferating.  The previous standard–medical charts–are being augmented with information from digital sensors, patient reported outcomes, and genetic information. Wouldn’t it be nice to have all that information in one place?  That is what Salesforce is thinking.  Fortune reports: Salesforce announced on Wednesday a new patient relationship management platform that…