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The Digital Doctor

Hope, Hype, and Harm at the Dawn of Medicine's Computer Age

ebook
1 of 1 copy available
1 of 1 copy available

The New York Times Science Bestseller from Robert Wachter, Modern Healthcare's #1 Most Influential Physician-Executive in the US

While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare's ills.

But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.

Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America's leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?

Logically enough, we've pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . .

Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation's most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story.

"We need to recognize that computers in healthcare don't simply replace my doctor's scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it's not too late to get it right."

This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.

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    • Booklist

      April 15, 2015
      Acknowledging that so much of the practice of modern medicine is concerned with information (gathering, organizing, and making sense of it), physician-executive Wachter views the alliance between computers and doctors as a necessary but uneasy partnership. While Wachter sees promise in the computerization of health care, he is troubled by how the digital transformation of medicine is already disrupting the doctor-patient relationship. More and more, a physician's eye contact is directed toward his or her laptop computer rather than patients. And Wachter is bothered by the absurdity of health-care billing that encourages stuffing piles of data, much of it redundant, into electronic medical records (EMRs). ER doctors now devote more than 40 percent of their time just entering information into EMRs. Wachter writes about the complexity of health-care IT systems, patient access and contributions to their office notes, IBM's Watson (the Jeopardy-champion supercomputer), and intelligent, biosensing underwear. Maybe the best take on modern medicine's man versus machine debate is provided by Warner Slack, a physician and informatics expert: Any doctor who could be replaced by a computer should be. (Reprinted with permission of Booklist, copyright 2015, American Library Association.)

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  • English

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