Tue. Dec 1st, 2020

Over age, medicine Has attracted the best and brightest ranks for his career by a scientist who brings scientific knowledge, rigorously developed skills and good judgment to help needy people. Whether it is breaking an asthma attack, delivering beautiful babies (even eight at a time), performing a heart transplant, or comforting a dying patient, serving the sick Be it – each of them is a unique person, stories that describe the future of a medical system are in crisis compared to the daily doctors.

How can it be that the physician who touches the patient and sees how medical miracles create a healthy life, seems to be from the public perception that the medical system is broken? The answer is that both are correct. The grand success in patient care has increased the economic burden on the society, which has brought the benefits of medicine under scrutiny. As we see further, physicians will harmonize biomedical research with cost-effectiveness that improves decision making and medical care. And three innovations based on information technology — clinical practice guidelines, electronic medical records, and mass population science — will bring medicine into a new biological revolution.

Population science — or epidemiology and biology — studies health and diseases in groups, not indivisible. Once the domain of public health officials monitors outbreaks, epidemiology can now assess the frequency, morbidity and mortality of almost all health conditions and assess the quality of the health system itself. The physician touching the person succeeds when an obese patient responds to a new bariatric intervention. But from the population point of view, obesity is a growing epidemic, which promotes diabetes and heart disease and is aided by social determinants through fast food. From this point of view, obesity is a failure of American medicine.

This shift between public health and personal health is changing as epidemiology and biosynthesis provide a type of macroscope that complies with the microscope and stethoscope in assessing environmental and biological factors undergoing individual diseases. And the principles of epidemiology that guide controlled clinical studies have become the gold standard for the evaluation of medical interventions.

Evidence-based guidelines are a boon for practicing physicians and promoting more equal and higher quality care. At the same time, those who touch the patient directly must use them wisely: not as guidelines, as it decides whether to suppress critical thinking or to monitor more complex and mysterious diseases. Many doctors have been humbled by charting therapy based on statistics that erroneously say to them or to them, “This man has three months to live,” or “This baby will never go away.”

On the record. Another innovation that will benefit patient care is the integrated electronic medical record, which will make the information more available, more accessible and more accurate. A powerful side benefit will accrue itself to population research as computerized information can be compiled, searched, shared, and analyzed on virtually every American. The government assures medical confidentiality to the public, but it will be the responsibility of the physician to see that it is respected, because it is not the physician, but the government, who has sworn to protect the secrets of their patients.

The national medical record will certainly improve continuity and eliminate care redundancy. Integrating electronic medical records with reimbursement data will immediately make the economic implications of a doctor’s pen transparent. This information should help physicians rein in unfair costs. It will also be mandatory for them to have arbitrary reimbursement when they improperly reject the care of their patients.

Information technology is leading to widespread changes that should make medicine better and safer. It will be the responsibility of the physician to ensure that he / she remains high tech as well as high touch. It can only increase the joy of being a doctor – and the joy of being.

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