Re:Harvard study: Computers don't save hospitals money
by va_coder on Tuesday December 01, 2009 @10:24AM
(#969865)
You have a single payer system in Taiwan.
The other day, in the US, I had a physical therapist run a routine check of my daughter. I had to sign 4 times and there was a total of 28 pages of documents. (Georgetown Hospital). And I had to interact with three people before I could see the therapist.
Re:Harvard study: Computers don't save hospitals money
by anamax on Tuesday December 01, 2009 @10:11AM
(#969846)
> In Taiwan, my medical records are linked to my national ID number and follow me wherever I seek care. Furthermore, doctors can regularly do pull up my chart from a laptop when I meet them in their office. It's also easy to make appointments online, and they go straight to the doctor in question, without any need to go through human administrators at the hospital. It's been a huge time saver for the patients, and the doctors achieve a turn-over that would be unheard of in N. America.
Apart from the "national ID" part, that's exactly how Kaiser works, and has for some time.
I don't know how widespread Kaiser is, but it's certainly common in California.
Re:Harvard study: Computers don't save hospitals money
by allenp on Tuesday December 01, 2009 @10:55AM
(#969925)
I just wanted to emphasize that the best part about Kaiser is their interface - it is super simple to schedule and receive care and it rarely felt "slugish" to go through their processes.
Re:Harvard study: Computers don't save hospitals money
by halostatue on Tuesday December 01, 2009 @01:44PM
(#970341)
I've seen similar results here in Canada with MRIs. I suspect that the problem with Health care IT automation in the U.S. is the overall brokenness of the U.S. health systems.
Oh, but it has. Outside the US, a number of countries have used computers very effectively in health care. In Taiwan, my medical records are linked to my national ID number and follow me wherever I seek care. Furthermore, doctors can regularly do pull up my chart from a laptop when I meet them in their office. It's also easy to make appointments online, and they go straight to the doctor in question, without any need to go through human administrators at the hospital. It's been a huge time saver for the patients, and the doctors achieve a turn-over that would be unheard of in N. America.
I can only speculate about the money savings, but it's overwhelmingly likely they are large. Most visits have a co-pay of about 3-10 US dollars, my one emergency room visit was about 40 and the highest tax bracket is only 20 percent. Most people are only taxed at about 7-8 percent, so it isn't simply a case of a health care system flooded with public money.
US hospitals just need good computer-based systems, or if it's a national one then a single good system.