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- Page navigation anchor for The DoD EHR: Taking the PlungeThe DoD EHR: Taking the PlungeShow More
On 21 Nov 2005, the Assistant Secretary of Defense for Health Affairs, Dr William Winkenwerder, held a press conference to introduce the electronic health record (AHLTA) to be used at all DoD facilities.(1)Intended to cover 9.2 MIL beneficiaries, 70 hospitals, and 411 medical clinics across the globe, AHLTA represents the most ambitious effort to date to electronically track health data in a single system.
At o...
Competing Interests: None declared. - Page navigation anchor for Relationship Centered Care using the EHRRelationship Centered Care using the EHRShow More
Bill Ventres, et al, are to be commended for doing important qualitative research on the impact of the EHR on the physician-patient relationship. Anyone with life experience knows that something new will have unintended consequences. With EHRs, there are both good and bad unintended consequences. Indeed, EHRs are a disruptive technology to the traditional clinical encounter.
EHRs are here to stay, and should...
Competing Interests: None declared. - Page navigation anchor for Undercharted TerritoryUndercharted TerritoryShow More
Computers intrude into consultations in ways which remain poorly explored. Despite this uncertainty, these clinical tools are considered an essential technology to transform health care in developed countries: especially by improving preventive care and the management of long term conditions. In this edition of the Annals, Ventres and his colleagues have built on their earlier work by conducting a series of ethnographic...
Competing Interests: None declared. - Page navigation anchor for ComplexityComplexityShow More
Thank you for this excellent article that begins to classify the complex interactions of electronic health systems on medical encounters.
I have struggled for years to smoothly integrate the use of computers into patient encounters. Initially I felt that there was probably something wrong with me since I could not quickly adapt to all the changes. I frequently apologized to patients as they watched me strug...
Competing Interests: None declared.