Usemed, Arild Faxvaags weblog on healthcare computing

June 23, 2008

Epidemiology of primary care physicians use of EHR systems in the US.

Filed under: EHR,Epidemology,Health informatics research — arildf @ 10:41 pm

As of 2007, only one in six US physicians working in ambulatory care have a fully functional EHR system (NEJM). The fact that > 99% of Norwegian ambulatory /primary care physicians (and the numbers in Sweden, Denmark and Holland are almost the same) are using a EHR system might be an illustration of the principle that smaller and less complex organisations are better suited for adapting to new technologies. In Norway, we only have one HMO – the Norwegian goverment. Building and maintaining the component for reimbursement claims is relatively easy. When the EHR system is very good at assisting the physiciains with the numbers, the decision to purchase a system becomes an easy one.

March 11, 2008

The cost of patients’ uncertainty

The New York Times: United States ranks 45th in life expectancy, behind Bosnia and Jordan; near last, compared with other developed countries, in infant mortality; and in last place … among major industrialized countries in health-care quality, access and efficiency.

The mixture of anxious patients with physicians authorized to order a battery of medical tests is a very expensive one. Read more.

January 20, 2008

Geovisualization of emerging infectious diseases

Filed under: Epidemology,Visualization — arildf @ 11:11 am

This mashup is an impressive example of the use of Google maps in epidemiology.

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