Is American Health care entering a big chill era? This question was posed in to-days Boston Globe. Patients and physicians are concerned that computer screens wall them off from one another. Questions in health care have traditionally sought answers in evidence.
“To be master and servant within the hour That is the course of temporal power”
Traditionally patients consulted with individual doctors of their choice. The remit was clearly to diagnose illness, formulate a treatment plan, and advise accordingly. The doctor was directly answerable to the patient. All data collected during the consultation was confidential. The entire system has undergone a transformation on an unprecedented scale. The patient is now reviewed by a team, which includes doctors, nurses, allied health professionals and computer scientists. Portions of this service are outsourced, particularly on the technology front. The patient imparts information, the doctor is one of a number of people involved in collecting and collating this “big data”. This in turn forms the basis for computational technologists who evaluate “unit performance” All this data ultimately reverts to the Chief Financial Officer. He can truly be described as the power behind the throne.
The escalation in health costs in Ireland is evidence of the extraordinary ability of new technologies to generate huge cost over-runs. The impact is not confined to the financial sphere. Numbers of patients on trolley increased from 0 to 500 while the cost of care quadrupled from 4bn euro to 16bn euro
Current issues in health care will ever be addressed until all stakeholders consent to view life from both sides of the cloud!