FAQ > Electronic Medical Records > I go to my doctor when I have a problem that I want to get treated or fixed. What does all of this computer stuff have to do with me?
Search the FAQ for entries containing:
I go to my doctor when I have a problem that I want to get treated or fixed. What does all of this computer stuff have to do with me?
Not much that is directly apparent to you except that your doctor will be distracted by the data gathering and will not be entirely focused on you. Also, your doctor's records describing you and your treatments previously were local (stored in your doctor's office in the doctor's custody), nobody else's business, and a private matter between you and your physicians. There was a time when doctors made notes to jog their memories the next time they saw a patient or t help convey a patient's information to other doctors. By necessity, the doctor's thoughts and notes needed to be succinct. When malpractice lawsuits became a growth industry in the 1970's, the doctor's notes also became a protective document for legal purposes. Doctors found them selves needing to write more extensive notes which included statements about the things they thought about, did or did not do, and the reasons why they didn't do them. The medical record transitioned to a "CYA" document; CYA stands for "cover your ---". It became a longer, self-serving instrument of risk management. With the advent of managed care in the 1980's, the medical record also became a reimbursement justification document. If Medicare or a commercial a health insurance company did not want to pay the doctor's fee for a particular visit or service, the insurer would demand to see the doctor's notes to see if the written words conveyed an impression that the doctor performed enough work that day of sufficient complexity to justify the doctor's claimed fee. Medical records became even longer, and the essential information of a doctor - patient medical interaction was camouflaged within the excessive verbiage. In the 21st century, government bureaucrats and insurance actuaries now see the aggregate body of everyone's medical records as a research tool for population studies and policy decisions.
Health care planners really don't think about individual patients and doctors as personal or private entities. They see every physician's office and every health care facility as a data gathering station and data entry terminal for a large centralized national health care database computer that nameless publicly unaccountable back room bureaucrats can mine for research and policy purposes. Bureaucrats like the notion that your health care record will be national resource rather than a private record shared by you and your doctor. They place the lion's share of the infrastructure cost of the national computerized health care record system onto the backs of physicians, and they are using the physicians as an unpaid labor for data gathering and data entry. They tout the notion that the patient of the future will be able to travel to any hospital or doctor's office in the country and that patient's medical record will be instantly available on a computer screen for any doctor or nurse to see anywhere in the country without any personal responsibility or effort on the part of patients to maintain and carry their records.



