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The Economic Crisis and Healthcare Reform

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A video commentary from Bill Crounse, M.D., Microsoft's Senior Director for Worldwide Health. 

Technorati Tags: Wall Street,Healthcare Reform,Bailout,Financial Crisis,physicians,e-mail,tele-medicine,patient care,care quality,access to care,healthcare IT

Comments

  • Anonymous
    September 29, 2008
    PingBack from http://www.easycoded.com/the-economic-crisis-and-healthcare-reform/

  • Anonymous
    September 29, 2008
    Congress was “outcoded” by Wall Street it appears and now can’t make a decision to save our necks 

  • Anonymous
    September 29, 2008
    Hi Dr. Crounse, A very thoughtful commentary there. I was wondering will we really be able to take away from the physical connect that a doctor and patient consultation provides? Perhaps not, we are really assured by a doctors advice when it is given to us "in person" rather than "in camera" or "on phone". Maybe that is also some distance away (or close) depending on how the telepresence technology progresses. But what can be already done, and is already being done in most place in the US, is the filling of the prescription orders, reporting of the laboratory results and availability of the radiology reports to a patients PHR Portal (like how it is made available using Health Vault). I guess these are some of the areas which should become defacto standards of service at all the hospitals. That would be a first step to move away from the ineficiencies of the system that you have rightly mentioned. Regards Manish

  • Anonymous
    September 30, 2008
    Manish, The point is definitely not aimed at eliminating face to face visits in a physician's office.  Rather, it is to use technology as an adjunct in the physician-patient relationship.  Not everything we need from a clinician requires an in-person office visit.  We need a more rational approach for allocating medical services; especially when advice, information or reassurance is the primary need of the patient.  In such cases, we should use the most appropriate modality to meet the patient's need.  Often this should be a reimbursed phone call, instant message, e-mail or virtual visit rather than a traditional face-to-face office visit that consumes time, personnel, equipment, and space and wastes a great deal of resources. Bill Crounse, MD

  • Anonymous
    September 30, 2008
    The comment has been removed

  • Anonymous
    October 01, 2008
    The comment has been removed

  • Anonymous
    October 01, 2008
    Sherry, Thanks for sharing your wisdom.  Group Health is in our own back yard here in the Puget Sound region and I frequently cite their e-health experience in my keynotes and writings.  Of course, like Kaiser, they are a staff model HMO.  Using e-health modalities to provision care to their members/patients makes perfect sense for their business model.  The challenge is how to make it work everywhere else.  Frankly, that's why I often see much more progress being made outside the US where healthcare is more "public" and governments are incented to drive greater efficiency into providing care for the population. One final thought; the poor need not be excluded from e-health services.  The airlines have trained virtually everyone how to use a kiosk, and appropriately place devices could be gateways to information and care for underserved populations.  Furthermore, as American television goes digital, the "TV" in our living rooms will increasingly become the front end for telehealth/telepresence solutions. Bill Crounse, MD

  • Anonymous
    October 07, 2008
    Dear Dr. Crounse, Thanks for the inputs. It has been invigorating implementing the CUI based approach within the healthcare applications. I guess this is really a ground breaking work being done. These concepts are in use one way or the other in each of the applications in the market. I guess this needed to be done for the healthcare industry as a standard. Regards Manish