July 2016

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« Sacrificing Humanism — The Downside of EMRs? | Main | Are You Finally Ready for an EMR? »


Craig Goldie

Whether or not this is even technically feasible (I certainly think a lot of it would be), we need forward-thinking medical associations and government officials to adjust the funding and fee schedules.

Currently in BC you, effectively, can only bill for a patient visit if they are physically in front of you. Phone calls, prescription refills, emails are NOT reimbursed (with a few small exceptions for things like mental health).

I think the wasted opportunity cost of this is massive; I could probably manage a lot of things over the phone or email, faster, with less time wasted by patients having to travel and take time off work to see me.

Brian Devin

Interesting article, but the potential time savings are largely based on self-reported supposition. Estimates of technology driven time savings are grossly inaccurate and over-stated in the majority of cases. Further, there seems to be a belief that some interactions, such as visits for refills, could be avoided entirely; this in an erroneous assumption. In many cases, when a patient is due for a refill, he/she is also due for reassessment for the condition being treated, and while access to information is helpful, interpretation and context is often needed. I think we need better real data before jumping on the bandwagon.

Dave Sellers

I agree with the other comments. Just putting data out there does not relate to savings. We need to focus on efficient, high quality care. When patients can access the right on-line data, it can save time, which may allow the physician to spend more time with patients that need it. Using such technology to close the communication gaps can also be a benefit.

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