View stunning SlideShares in full-screen with the new iOS app!Introducing SlideShare for AndroidExplore all your favorite topics in the SlideShare appGet the SlideShare app to Save for Later — even offline
View stunning SlideShares in full-screen with the new Android app!View stunning SlideShares in full-screen with the new iOS app!
Areas that lack easy geographic access to the central areas of metropolitan counties ( Improving the Operational Definition of "Rural Areas" for Federal Programs Harold F. Goldsmith, Dena S. Puskin, and Dianne J. Stiles Federal Office of Rural Health Policy 1993 US Dept of Health and Human Resources)
An area with an urban population of 50,000 or less and a population density not exceeding 1000 per square mile (The Bureau of the Census Rogers, JT, 1999).
An area where geography, population density, weather, distance or availability of professional or institutional resources combine to isolate the [patient] in an environment where access to definitive care is limited The Committee on Trauma (American College of Surgeons)
“ Are you listening to what I am saying?” or “Hey Doc you have to look at me.” Patrick agreed adding, “I still think the patient deserves to be looked in the eye when you tell them the bad news. They deserve to be looked in the eye when you are giving them your opinion. They do not deserve to look at the back of a keyboard. That’s the way I feel about it and I think that is simply human decency.”
Gerry who has almost exclusively geriatric patients noted that they “loved to look over my shoulder” reviewing their X-rays and lab results with him and searching the Web for medical information together with him in the office.
According to Tamara, the middle aged patients are often less accepting of the EMRs than the elderly patients either because the latter are more trusting or because they do not notice the absence of the charts
Maggie stated that “we had a lot of patients who were very impressed because when they made a call to the office, you could pull that chart up immediately and know and see what needed to be done.”
Maggie simply summarized, “Since day one, no one complained!”
According to Patrick, “The patient interview is more important than the data, it’s more important than the record, it’s more important because that is how you build trust and rapport with your patient, not by having wonderful technologies….When we were medical students we were still taught to be doctors first not technicians. I mean at some point there is still an art of medicine; it’s not all science and technology. I think a lot of people forget that. This is still a field where you build… lifelong relationships with your patients .”
These are pilot studies. Most national attention on EMR adoption is on urban usage patterns .
Results suggest that physician perceptions of technology directly affects….
Their willingness to adopt,
Their perception of their patients’ usage patterns and needs,
Their attitude towards e-communication’s overall effectiveness
Rural medicine is significantly behind implementation in cities but the technology is the same .
a The road to electronic rural health care is newly paved. Meeting the challenges of this transition will not be easy. The answers lie in continued research using both qualitative and quantitative means of learning about this complicated and important process.