Berg (below) has documented many of the theoretical and actual reasons that diagnostic-support tools are easier to create about than to demonstrate effective in actual practice.
Berg, M. (1997). Rationalizing Medical Work: Decision-Support Techniques and Medical Practices. New Baskerville, The MIT Press.
James M. Walker, MD, FACP
Chief Medical Information Officer
Geisinger Health System
The best way to predict the future is to invent it.
- Alan Kay
>>> Douglas Badenoch 01/24/11 4:59 AM >>>
I have a feeling that you have a commercial interest in this area. If
so, could you please declare it when you make your first post?
Some of the list subscribers may be happy to provide marketing
intelligence for free, but I think that this should be made clear up front.
Do you have any studies validating the clinical effectiveness of such
software? It might be a plan to post some summaries of these to the group.
On 24/01/2011 09:52, Julian Querino wrote:
> I am interested to hear from anyone who has an opinion on meaning
> based Healthcare and in particular diagnosis assistance software
> encompassing epidemiology and making a diagnosis that is not dependent
> on time or resources. I am talking about the ability to have a
> technology that can search all the patients' medical notes and to add
> the relevant information to the diagnosis window to ensure all the
> evidence is used for a more accurate diagnosis first time every time.
> Do doctors feel that confidence is being undermined with this kind of
> technology or is it a helping hand when there is no time to work back
> through the medical history or take into account that trip to the
> tropics 6-12 months ago to find the illusive parasite that is causing
> the problem?
> As government reforms cry for costs savings strategies can the
> exploratory test route really be a practical way of identifying the
> underlying problem behind symptoms?
> Please let me know your thoughts and if anyone has an interest in
> meaning based medical technologies please get in touch and I will
> happily send you information.
> *Julian Querino*
> *Global Sales Executive*
> Cambridge Business Park
> United Kingdom
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