As a physician, I am frustrated by the unrealistically high objectives surrounding PHR’s and how they are going to abruptly enlighten consumers to make smarter health care decisions. It’s about time that the PHR discourse is put into perspective. Medical information are a historical archive of clinical transactions— designed to guide future care. Physicians invest significant amount of time in their training learning how to create and interpret medical records and use this information for decision making.
Why is it that individuals are expected to obtain similar benefits sans a medical degree? Don’t misunderstand me I am completely pro-PHR. Allowing consumers’ control of the information allows these to take part in their care, but most of all, it’ll make it not as likely some ER doctor must fly blind. Do I have to see a medical expert for my symptoms? If so, when should I get care?
In a few days? Where should I go for treatment? Each day Tens of an incredible number of symptomatic consumers fumble with these important decisions, and with startlingly limited information. A disturbing amount of studies demonstrate that we are not performing a good job because as much 40% of patients, inside our overwhelmed emergency rooms already, don’t have to be there.
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Then there’s that other problem: people who wait—and sadly, have their heart stroke or strike at home. Just how have we providers responded to all this? We have constructed urgent care treatment centers with the caveat that they only be used for urgent problems, but not emergencies. Recently, we have started building nurse retail clinics with the caveat that they only be used for minor conditions and some urgent care problems. Generally this requires you know your diagnosis prior to going. No problem within my house, like Roni Zieger MD, my family and friends, call me for advice. But like Dr. Zieger, I must wonder, what does everyone else do?
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Remember internet sites are designed to be public – these were never designed to be a market that you can sell your products. Therefore, you need to balance the content you reveal socially, to be a mixture of engaging and informative items, with a little percentage of promotional material added in. You will also need to like and share other peoples’ content.
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