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

Why health IT is such a tragedy

Suneel Dhand, MD
Tech
June 1, 2017
Share
Tweet
Share

I’ve spent a lot of time writing about the suboptimal nature of electronic medical records and what we need to be doing better.

At their best, health care information technology systems can make finding patient medical data unbelievably quick and easy. However, at their worst, they take up an unacceptable amount of physicians’ time and also dumb down medicine, reducing our patients’ stories to rows of meaningless tick boxes.

If you were to ask any doctor (or nurse) what one of their biggest daily frustrations is, health care IT would be at or near top of the list. The problem isn’t with the technology itself, which very much represents the future in all aspects of our lives, but rather the fact that the current crop of IT solutions are not properly reconciled with frontline clinical workflow.

For more about why these systems were rushed out in response to federal incentives, please watch my video explanation. Basically, they take far too much time to navigate and turn doctors into “type and click bots.” Medicine is a social and personable professional that will always require a healthy dose of human touch. With statistics suggesting that physicians are now spending only a fraction of their day in direct patient care (sometimes shockingly as low as 10 percent), there’s more need than ever to remember this.

A recent physicians’ meeting I attended, served to reinforce my feelings on this subject. A former practicing physician who had read my blog reached out to me to gain my thoughts on the current state of health care and the practice of medicine. She then told me that there was a local area meeting as part of a book launch (focusing on physician job satisfaction) and asked if I’d be interested in going. So there I found myself one day in April in a room with the some of the most interesting and talented physicians I could ever hope to sit down with. All sorts of specialties and a diverse age range, from early career to approaching retirement. As we went around the room and talked about our own experiences, there it was again: the headache of the new world of health care IT. It kept coming up again and again as one of these doctors’ biggest reasons for job dissatisfaction and burnout. The endless click boxes, inbox and alert headaches, the extreme lack of time with patients as a result. It was all very familiar.

As I heard these stories one after another, I wondered yet again: How did the medical professional allow this to happen? The group that I was sitting with that evening were such a dedicated and capable group of doctors — yet how they practiced medicine, and their visions of what being a doctor would be like, had been shattered. When you take a highly skilled profession and drastically change the notion of what working in it involves, such disappointment is natural and understandable.

My question is, do the world of administrators and IT crowd really comprehend what’s happened? Do they understand that doctors don’t want to spend over 80 percent of their day stuck behind a screen? Do they understand that patients dislike it when doctors keep looking at their computer instead of at them?

Another recent article summed up this issue well, by stating that the general public would be shocked and saddened if they saw what the life of a modern-day physician now looks like. How far away this is from the perception of the hero frontline doctor that is portrayed in TV shows, and was the ideal that the current generation of doctors looked up to when they first applied to medical school. Oh, world of regulators and IT professionals, you have got so much to answer for!

So what’s the solution to all this mess? Well, for a start, let’s realize that going back to pen and paper is not the answer, just like going back to horse and cart was not the solution when the first automobiles flunked. The only answer lies with the world of administrators acknowledging that this is a huge problem, frontline physicians collaborating closely with IT developers, and for major health care technology vendors to have an incentive to improve rather than behave like a typical monopoly once they have a foothold in an organization.

I, myself, have devised my own techniques for getting away from that computer screen and trying to stay true to the ideals of good and thorough bedside medicine — but it’s no easy task, and relies more on just accepting that what we have is so cumbersome, and therefore arranging my work routine around that.

A very wise old-school physician I worked with, who recently took early retirement (much to the disappointment of his loyal patients) told me that he felt like practicing medicine had become “death by a thousand clicks.” That’s an analogy any doctor can relate to.

Until those “dream” IT solutions are developed — that are fast, seamless and integrated with frontline workflow — this Greek tragedy of what happens when doctors lose control, continues.

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

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

5 ways to make a connection with previously unreachable patients

June 1, 2017 Kevin 1
…
Next

Here's the place where burned out physicians go

June 2, 2017 Kevin 0
…

Tagged as: Health IT

Post navigation

< Previous Post
5 ways to make a connection with previously unreachable patients
Next Post >
Here's the place where burned out physicians go

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
  • 3 ways to advance the credibility of online health information

    Robert Pearl, MD
  • Digital health equity is an emerging gap in health

    Joshua W. Elder, MD, MPH and Tamara Scott
  • Turn physicians into powerful health care influencers

    Kevin Pho, MD

More in Tech

  • Why voicemail in outpatient care is failing patients and staff

    Dan Ouellet
  • Building a clinical simulation app without an MD: a developer’s guide

    Helena Kaso, MPA
  • AI-enabled clinical data abstraction: a nurse’s perspective

    Pamela Ashenfelter, RN
  • Agentic AI in medicine: the danger of automating the doctor

    Shiv K. Goel, MD
  • Will AI replace primary care physicians?

    P. Dileep Kumar, MD, MBA
  • AI in medicine: Why it won’t replace doctors but will redefine them

    Tod Stillson, MD
  • Most Popular

  • Past Week

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Alex Pretti’s death: Why politics belongs in emergency medicine

      Marilyn McCullum, RN | Conditions
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
  • Past 6 Months

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
  • Recent Posts

    • AI censorship threatens the lifeline of caregiver support [PODCAST]

      The Podcast by KevinMD | Podcast
    • Demedicalize dying: Why end-of-life care needs a spiritual reset

      Kevin Haselhorst, MD | Physician
    • Physician due process: Surviving the court of public opinion

      Muhamad Aly Rifai, MD | Physician
    • Spaced repetition in medicine: Why current apps fail clinicians

      Dr. Sunakshi Bhatia | Physician
    • When the doctor becomes the patient: a breast cancer diagnosis

      Sue Hwang, MD | Conditions
    • My journey with fibroids and hysterectomy: a patient’s perspective

      Sonya Linda Bynum | Conditions

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 6 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

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Alex Pretti’s death: Why politics belongs in emergency medicine

      Marilyn McCullum, RN | Conditions
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
  • Past 6 Months

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
  • Recent Posts

    • AI censorship threatens the lifeline of caregiver support [PODCAST]

      The Podcast by KevinMD | Podcast
    • Demedicalize dying: Why end-of-life care needs a spiritual reset

      Kevin Haselhorst, MD | Physician
    • Physician due process: Surviving the court of public opinion

      Muhamad Aly Rifai, MD | Physician
    • Spaced repetition in medicine: Why current apps fail clinicians

      Dr. Sunakshi Bhatia | Physician
    • When the doctor becomes the patient: a breast cancer diagnosis

      Sue Hwang, MD | Conditions
    • My journey with fibroids and hysterectomy: a patient’s perspective

      Sonya Linda Bynum | Conditions

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

Why health IT is such a tragedy
6 comments

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

Loading Comments...