The other day I was curiously reflecting on how much
technology has grown over the past few decades.
I still remember dial-up, and how awesome T9 predictive texting was, and
even things like laptops with touch screens first coming out. Technology has played a huge role in our
social and personal lives through developments like Facebook and Instagram. Technology has played an even bigger role in
health and health care systems. Even
now, some hospitals and clinics are still converting from paper to the magical
wonder that is technology. Because this
is a global health class though I had to wonder, how much of that technology
reaches those in the developing world?
During my medical brigade to poor regions of Ecuador with
Timmy Global Health a couple years ago, we had just recently implemented what
we called “Timmy Care,” which was a computer software system invented
specifically for tracking Timmy patients’ medical records. In the past, patients would see a Timmy
physician, nothing would be recorded, and the physician would prescribe a med
and give counseling, etc. The issue was
that when the next brigade crew would come in three months later, they wouldn’t
know what the patient had been seen for previously and what the physician prior
had already taught. Timmy Care could be
compared to the EMR, or Electronic Medical Records, that was implemented in the
United States’ health care system several years ago, but with Timmy Care being
on a much smaller scale. A patient’s
allergies, medication, and other personal history could be recorded and
different physicians could type notes for others to see.
I read an interesting article from Stanford that
described both globalization’s effect on technology and technology’s effect on
globalization. Some positives that it
describes are positive cultural awareness and acceptance and easier, faster
communication. Some negatives could be
seen as countries losing their cultural traditions. We know the positives that technology has
brought to the States. I personally
think EMRs are the greatest thing since sliced bread. However, they come with a lot of negatives,
such as health professionals having less eye contact and personal interactions
with patients. Do the positives outweigh
the benefits? If yes, would these
positives outweigh the benefits if they were or could be employed in developing
countries?
This article/website was written by computer science
students in an ethics course, so it is a unique perspective for me. Here is the link if you would like to
explore: http://cs.stanford.edu/people/eroberts/cs181/projects/2007-08/developing-economies/
Lisa,
ReplyDeleteEMRs does have it's benefits. It means that I don't have to take my medical records to a new doctor and repeat all the procedures that I have had. It can cut down on unnecessary time trying to remember your entire medical history. One of my fear is that in the future, we could be using this for research purposes without the consent of patients. I also fear that insurance companies could get this information and raise premiums or deny insurance due to pre-existing conditions. Does the benefits outweigh the risk, for now it might seem so.
As we have learned over and over in this class, globalization has both positive and negative impacts on developing countries. Although globalization in some ways has been detrimental, I think the spread of technology and medical advances have saved many lives of those in developing countries. I agree the EMRs are very useful and help physicians provide more continuous care. Like you said, it may limit the time spent with the patient, but my hope is that it limits the time going over information the doctor could already know, and using the time more effectively, trying to get to know the patient in hopes of finding the root of their health problem. I do think the benefits outweigh the risks right now. I never thought about these records being used for research as Chris said. Is there a way for individuals themselves to keep their own medial record, and then they can share it with the doctor during their visit?
ReplyDeleteLisa, I remember seeing a TV commercial for sending pictures in text messages and thought it was the coolest thing ever! I personally think the spread of medical technology is extremely important for global health. I do not know if social media technology is doing great things, but I also do not know how you would prevent that. It seems like if one technology is spreading, the other would too. Your story about Timmy Care was simply astounding. It is amazing to think how shared records are not the norm in other parts of the world. I am glad that organizations like Timmy are working to improve on this.
ReplyDelete