Electronic medical records seem to be the current trend in health care, and you’ll find many physicians, allied health
professionals, pharmacists and hospitals using some form of electronic
recording of patient data. Despite the many advantages of a more
uniform approach to documenting medical care and coordinating care when
patients see several specialists, there are some disadvantages to
electronic medical records. As patients more regularly experience
doctor’s visits with electronic health records
(EHRs) they may notice some of the disadvantages immediately. Other
problems occur “behind the scenes,” outside of a patient’s surveillance.
One
of the chief disadvantages to electronic medical records is that start
up costs are enormous. Not only must you buy equipment to record and
store patient charts (much more expensive than paper and file cabinets),
but efforts must be taken to convert all charts to electronic form.
Patients may be in the transitional state, where old records haven’t yet
been converted and doctors don’t always know this. Further, training
on electronic medical records software adds additional expense in paying
people to take training, and in paying trainers to teach practitioners.
Despite training, most people creating medical records are now
nurses, and often doctors. Unfamiliarity with technology, especially
when an EHR program is implemented can significantly detract from
patient time as the doctor or nurse struggles with unfamiliar equipment.
Many patients report visits with doctors where the doctor has to
divert focus to figuring out how to enter things electronically and thus
has less time for the patient. Medical care in already crowded offices
may be delayed when technology is not reliable. A frozen computer could
steal minutes or more from patient care for that day. It’s also still
easy to miss recording relevant details, or to type in incorrect
information.
Along with reduction in doctor/patient time, some people find that
electronic medical records and their accompanying systems have
depersonalized doctor visits or needed calls to a doctor’s office.
Protocol of a system may require, for instance, any patient questions to
be emailed to a doctor, even if a receptionist
takes them and even if the doctor passes that receptionist multiple
times a day. This can increase wait time for callbacks, or for doctor
emails, especially if emails are not checked regularly.
Additionally there is not one electronic medical records system.
There are many. Streamlining patient care can only be achieved when a
single system is used, since two or more systems may not work together.
If the hospital uses a different EHR system than your primary care
physician, health records may not be available to the hospital, or vice
versa from hospital to the physician. Electronic medical records may
reduce office paperwork, but they may not coordinate care between
several treating physicians, pharmacies, and allied health workers as
they promise to do when different systems are used by each group.
Lastly, some are concerned about the security of their medical records, which should be completely confidential. Hackers may ultimately be able to penetrate EHRs despite security precautions, and they may then release confidential information to others. This has some patients worried about how safe and confidential their electronic medical records really are.