Dr Eric Topol is concerned that the clinical practice of medicine has deteriorated because it has become big business. There is a ten-to-one ratio of administrators to doctors, and Electronic Health Records (EHR) have made a mess of things. Because clinicians must now plug medical data into EHR, they often spend appointments tending to their computer keyboards instead of their patients. Will artificial intelligence (AI) help? The evidence is inconclusive.
In a Discover magazine article, Will AI Make Medicine More Human? we can read the results of a 2019 study in the Journal of General Internal Medicine . Doctors only ask patients about their concerns around a third of the time. When they do ask, they interrupt within 11 seconds two-thirds of the time. According to Topol: The electronic health record is the single worst abject failure of modern medicine because it was set up for business purposes — for billing — only, without any regard for what would benefit doctors, patients or any other clinicians. These short, awkward visits could have significant consequences. In a 2014 report from US Department of Veteran Affairs , it was estimated that around 12 million adults are misdiagnosed in the US each year. […]
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