Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Health IT’s woes are a moral problem that needs to be solved

Suneel Dhand, MD
Tech
February 8, 2016
Share
Tweet
Share

I was dining at a friend’s house recently after a long day in the hospital. He has just bought a beautiful new home with his rapidly expanding family, and like anyone who has just moved into a new house, his spare time is invariably spent working on getting everything in order and undertaking small upgrades to make the new place as perfect as possible.

He’s quite DIY-oriented (unlike myself) and was spending a lot of time doing minor construction work. When I asked him why he didn’t just hire someone else to do the work, he told me that he’d rather just do it himself and that it was far better and more enjoyable than “just going into the hospital to play around with computers all day.”

I found this a profound statement, and sad on a number of different levels. His hospital had a new computer system installed a few months ago, and like a lot of physicians — especially those in generalist specialties — he was now finding himself spending the vast majority of his day staring at a screen, typing and clicking away. He is a physician who really enjoys clinical medicine, values his time with patients, and didn’t go to medical school to do a desk job (like all doctors).

Not so long ago, I wrote a piece about the amount of clinical time that physicians are spending with patients being on life support, primarily because of health care information technology. Some studies suggest that medical interns are now spending only around 10 percent of their day in direct patient care, with the bulk of the rest sitting at a computer terminal. I can well believe that.

In fact, if my own experience is anything to go by, I wouldn’t be surprised if, during a 12-hour day, patients are lucky if their doctor spends 1 to 1.5 hours total with them. Think long and hard about that statistic, because it’s a disaster for the practice of medicine and for our patients. A typical scenario goes something like this: 5 minutes with you and then 20 to 25 minutes navigating an inefficient and cumbersome system to document what’s just happened! Interacting with a computer during the actual encounter is even worse, and not appreciated by patients when they see their doctor turning around and looking at a screen every few seconds instead of talking to them.

The answer, however, isn’t to take the technology away and go back to the ancient days of pen and paper, but rather to design better and more optimal solutions: with a simple acknowledgment that the best IT of the future will be that which is seen and not heard. Electronic medical records and physician order entry systems that are quick, super easy to use, and properly reconciled with frontline clinical workflow.

Physicians simply cannot spend 80 to 90 percent-plus of their day sitting down at a computer terminal. It’s not what being a doctor is all about. So much of medicine is about communication and yes, much of it is also still an art. The same dismay would result if you turned another profession that views itself as an art upside down and into a screen-staring job (whether it be a sportsperson, a film producer, or a teacher). Whatever we can do to tip the scale back towards patient care, must be done. Although it’s unrealistic, and also nonsensical, to think that doctors could ever spend 100 percent of their day with their patients, there must be a palpable swing towards direct care time. This would not only be good for patients, but also increase productivity and efficiency — as doctors will also be able to see more patients in a meaningful way.

Going back to my friend, who now equates being a physician with going into hospital and playing around with the computer all day, the situation is not just an impractical one, but a big moral one too. Moral because it has so many consequences in terms of reducing job satisfaction for a noble, caring and hard-working profession. Moral because it makes every physician forget why they went into medicine in the first place. And most of all, moral because it robs our patients of the care they deserve when their physician is more preoccupied with documenting the encounter than living it.

Suneel Dhand is an internal medicine physician and author of three books, includingThomas Jefferson: Lessons from a Secret Buddha. He is the founder and director, HealthITImprove, and blogs at his self-titled site, Suneel Dhand.

Image credit: Shutterstock.com

Prev

The end can be sudden in advanced cancer

February 8, 2016 Kevin 17
…
Next

Can our health system really go downhill any further?

February 9, 2016 Kevin 31
…

Tagged as: Health IT

Post navigation

< Previous Post
The end can be sudden in advanced cancer
Next Post >
Can our health system really go downhill any further?

ADVERTISEMENT

More by Suneel Dhand, MD

  • The dream patient that makes a doctor very happy

    Suneel Dhand, MD
  • When the family wants to speak to the doctor

    Suneel Dhand, MD
  • 3 reasons why patients are unhappy

    Suneel Dhand, MD

Related Posts

  • Are negative news cycles and social media injurious to our health?

    Rabia Jalal, MD
  • How social media can help or hurt your health care career

    Health eCareers
  • Sharing mental health issues on social media

    Tarena Lofton
  • The moral hazard of health insurance

    John Corsino, DPT
  • A moral imperative to heal the broken health care model in this country

    Josh Thariath
  • 3 ways to advance the credibility of online health information

    Robert Pearl, MD

More in Tech

  • How AI is reshaping preventive medicine

    Jalene Jacob, MD, MBA
  • Why clinicians must lead health care tech innovation

    Kimberly Smith, RN
  • Why medical notes have become billing scripts instead of patient stories

    Sriman Swarup, MD, MBA
  • a desk with keyboard and ipad with the kevinmd logo

    AI in health care is moving too fast for the human heart

    Tiffiny Black, DM, MPA, MBA
  • Why AI in health care needs the same scrutiny as chemotherapy

    Rafael Rolon Rivera, MD
  • The silent cost of choosing personalization over privacy in health care

    Dr. Giriraj Tosh Purohit
  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI is reshaping preventive medicine

      Jalene Jacob, MD, MBA | Tech
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Inside the high-stakes world of neurosurgery

      Isaac Yang, MD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 9 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI is reshaping preventive medicine

      Jalene Jacob, MD, MBA | Tech
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Inside the high-stakes world of neurosurgery

      Isaac Yang, MD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How doctors can think like CEOs [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Health IT’s woes are a moral problem that needs to be solved
9 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...