Technology and the Doctor-Patient Relationship
Published on 27. August 2019
Book
Paperback/Softback
260 pages
978-1-4766-7520-6 (ISBN)
Description
Medicine is an ancient profession that advances as each generation of practitioners passes it down. It remains a distinguished, flawed and rewarding vocation--but it may be coming to an end as we know it.
Computer algorithms promise patients better access, safer therapies and more predictable outcomes. Technology reduces costs, helps design more effective and personalized treatments and diminishes fraud and waste. Balanced against these developments is the risk that medical professionals will forget that their primary responsibility is to their patients, not to a template of care.
Written for anyone who has considered a career in health care--and for any patient who has had an office visit where a provider spent more time with data-entry than with them--this book weighs the benefits of emerging technologies against the limitations of traditional systems to envision a future where both doctors and patients are better-informed consumers of health care tools.
Computer algorithms promise patients better access, safer therapies and more predictable outcomes. Technology reduces costs, helps design more effective and personalized treatments and diminishes fraud and waste. Balanced against these developments is the risk that medical professionals will forget that their primary responsibility is to their patients, not to a template of care.
Written for anyone who has considered a career in health care--and for any patient who has had an office visit where a provider spent more time with data-entry than with them--this book weighs the benefits of emerging technologies against the limitations of traditional systems to envision a future where both doctors and patients are better-informed consumers of health care tools.
Reviews / Votes
"The author, a physician, draws on his long and varied experiences... His selection of cases and detailed descriptions of the environments in which they unfold clearly convey his values and a humanistic approach to patient care. ...provides an excellent critique of thoughtless adoption of technology in clinical medicine, and offers suggestions on how to incorporate humanism into the technology development and implementation process...recommended"-ChoiceMore details
Series
Language
English
Place of publication
Jefferson, NC
United States
Target group
Professional and scholarly
Interest Age: From 18 years
Product notice
Paperback (trade)
Illustrations
notes, bibliography, index
Dimensions
Height: 229 mm
Width: 152 mm
Thickness: 16 mm
Weight
430 gr
ISBN-13
978-1-4766-7520-6 (9781476675206)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Persons
D.C. Lozar, M.D., worked for the National Institute for Health (N.I.H.) in neurobiology research, at Columbus Hospital in downtown Chicago as a surgical resident, and at Cook County in trauma surgery before pursuing family practice and spending the last twenty years honing his skills as a physician in primary care. Visit his website at www.dclozar.com. www.dclozar.com. He lives in Carlsbad, California. Elaine A. Moore has worked in hospital laboratories for more than 30 years, primarily in immunohematology and toxicology. She is a freelance medical writer and laboratory consultant. For more information, visit her website at www.elaine-moore.com. She lives in Sedalia, Colorado.
Content
Table of Contents
Author's Note
Preface
Introduction
One. Buck Rogers Medicine (Utopia)
The Electronic Medical Record?7?*?Rebooting Humanity?13?*?
Challenging Evolutionary Barriers?15?*?Augmentation and
Wearable?16?*?My Thoughts?17?*?Reality Check?18
Two. George Orwell Medicine (Dystopia)
We Are a Trade, Not a Business?20?*?Censorship-Net
Neutrality?25?*?Freedom?26?*?Universal Health
Identifier?27?*?My Thoughts?28?*?Reality Check?30
Three. Frontier Medicine (Old School)
Cowboy Charlie?31?*?Tragedy Loves Ignorance?35?*?Hospitals
Built on Bedlam?37?*?A Doctor's Doctor?39?*?Sawbones?41?*?Apothecaries?42?*?The Nightingale's Song?44?*?My Thoughts?45?*?Bringing Us Up to Date?47
Four. Beam Me Up, Scotty (Telemedicine)
Unexpected Consequences?49?*?Luddites?52?*?Taylorism?53?*?
Dumb and Dumber?55?*?My Thoughts?57?*?Prescribing Caution?60
Five. The Healing Touch (Origin Story)
Lifting the Hood?61?*?The Power of Proximity?63?*?The Death
of the Physical Exam?65?*?Case Studies?65?*?Appearance
Is More Than Skin Deep?69?*?You Can't Arrest Me?70
Six. Go Gently into That Good Night (Death)
Waiting for Godot/Death?72?*?Accepting Death?74?*?
Immortality?76?*?Death Is Not Our Enemy?78?*?My Thoughts?79?*?A Good Death?81 Seven. Lawyers, Doctors and Lobbyists, Oh My (Mala Praxis)
Mala Praxis?82?*?Sharks in the Water?84?*?Bad Medicine?85?*?
Money Talks, Doctors Walk?87?*?Defending the Castle?88?*?
Politics Is a Shell Game?91?*?My Thoughts?92?*?Case Closed?94
Eight. Medicine Is Dirty (Don't Bring It Home)
The Training Gauntlet?96?*?Dividing Up the Family?99?*?Testing
the Monkey?100?*?Cannon Fodder?103?*?Quitting Life?106?*?
The Sterile Glass Ceiling?107?*?Mamas, Don't Let Your Babies
Grow Up to Be Doctors?108?*?My Thoughts?109?*?
The -Not-So-Perfect Match?111?*?Technology May Clean
Medicine?112
Nine. It's The Money, Stupid (Terminal Economics)
How Much Is Your Life Worth??113?*?The Maintenance
of Certification (MOC) Scam?116?*?Fraudulent Billing?118?*?
Big Pharma, Little Ethics?119?*?Unions?120?*?My Thoughts?123?*?Prove It?125
Ten. We're Only Human (That's the Point)
Trigger Warning?127?*?Intersubjective Angst?128?*?Dataism
Versus Vitalism?130?*?Calculating Compliance?133?*?
Epicureanism?134?*?My Thoughts?135?*?The Invisible World?137
Eleven. The Librarians (Custodians of Health)
The Good Librarian?139?*?Metaphors Are Magic?141?*?You've
Got to Have Heart?141?*?Vintage Cars?144?*?Minions and
Mood?145?*?The -Never-Ending Story?147?*?It's Only Skin
Deep?148?*?The Endocrine Economy?149?*?My Thoughts?152?*?Trust Your Librarian?156
Twelve. The Altered Mind of a Physician (Evolution?)
Losing Our Minds?157?*?Neuroplasticity?159?*?There's a Hole
in My Bucket, Dear ELIZA?162?*?Deskilled Doctors?164?*?Why
Can't I Open the Black Box??167?*?My Thoughts?169?*?Paging:
Doctor Watson?171
Thirteen. We Are Not Alone (It's Called a Planet)
Socialized Medicine-It Works for Them?173?*?Tiered Health
System?174?*?Global United Health Care?175?*?My Thoughts?178?*?What Next??180
Fourteen. The Brave New World (Is Here)
Invasion of the Doctor Snatchers?181?*?Artificial Emotional
Intelligence?183?*?That Epigenetic Smile?185?*?Waiter,
There's a Cyborg in My Soup?187?*?My Thoughts?189?*?
Datopia?191
Fifteen. Doctor Tomorrow (What's Next?)
The M in D Is a Terrible Thing to Waste?193?*?A -Hands-Free
Physical Exam?195?*?AI-Run Nursing Homes?196?*?AI, Dearest?198?*?My Final Thoughts?200?*?Dr. Laicifitra?202
Addendum
Chapter Notes
Bibliography
Index
Author's Note
Preface
Introduction
One. Buck Rogers Medicine (Utopia)
The Electronic Medical Record?7?*?Rebooting Humanity?13?*?
Challenging Evolutionary Barriers?15?*?Augmentation and
Wearable?16?*?My Thoughts?17?*?Reality Check?18
Two. George Orwell Medicine (Dystopia)
We Are a Trade, Not a Business?20?*?Censorship-Net
Neutrality?25?*?Freedom?26?*?Universal Health
Identifier?27?*?My Thoughts?28?*?Reality Check?30
Three. Frontier Medicine (Old School)
Cowboy Charlie?31?*?Tragedy Loves Ignorance?35?*?Hospitals
Built on Bedlam?37?*?A Doctor's Doctor?39?*?Sawbones?41?*?Apothecaries?42?*?The Nightingale's Song?44?*?My Thoughts?45?*?Bringing Us Up to Date?47
Four. Beam Me Up, Scotty (Telemedicine)
Unexpected Consequences?49?*?Luddites?52?*?Taylorism?53?*?
Dumb and Dumber?55?*?My Thoughts?57?*?Prescribing Caution?60
Five. The Healing Touch (Origin Story)
Lifting the Hood?61?*?The Power of Proximity?63?*?The Death
of the Physical Exam?65?*?Case Studies?65?*?Appearance
Is More Than Skin Deep?69?*?You Can't Arrest Me?70
Six. Go Gently into That Good Night (Death)
Waiting for Godot/Death?72?*?Accepting Death?74?*?
Immortality?76?*?Death Is Not Our Enemy?78?*?My Thoughts?79?*?A Good Death?81 Seven. Lawyers, Doctors and Lobbyists, Oh My (Mala Praxis)
Mala Praxis?82?*?Sharks in the Water?84?*?Bad Medicine?85?*?
Money Talks, Doctors Walk?87?*?Defending the Castle?88?*?
Politics Is a Shell Game?91?*?My Thoughts?92?*?Case Closed?94
Eight. Medicine Is Dirty (Don't Bring It Home)
The Training Gauntlet?96?*?Dividing Up the Family?99?*?Testing
the Monkey?100?*?Cannon Fodder?103?*?Quitting Life?106?*?
The Sterile Glass Ceiling?107?*?Mamas, Don't Let Your Babies
Grow Up to Be Doctors?108?*?My Thoughts?109?*?
The -Not-So-Perfect Match?111?*?Technology May Clean
Medicine?112
Nine. It's The Money, Stupid (Terminal Economics)
How Much Is Your Life Worth??113?*?The Maintenance
of Certification (MOC) Scam?116?*?Fraudulent Billing?118?*?
Big Pharma, Little Ethics?119?*?Unions?120?*?My Thoughts?123?*?Prove It?125
Ten. We're Only Human (That's the Point)
Trigger Warning?127?*?Intersubjective Angst?128?*?Dataism
Versus Vitalism?130?*?Calculating Compliance?133?*?
Epicureanism?134?*?My Thoughts?135?*?The Invisible World?137
Eleven. The Librarians (Custodians of Health)
The Good Librarian?139?*?Metaphors Are Magic?141?*?You've
Got to Have Heart?141?*?Vintage Cars?144?*?Minions and
Mood?145?*?The -Never-Ending Story?147?*?It's Only Skin
Deep?148?*?The Endocrine Economy?149?*?My Thoughts?152?*?Trust Your Librarian?156
Twelve. The Altered Mind of a Physician (Evolution?)
Losing Our Minds?157?*?Neuroplasticity?159?*?There's a Hole
in My Bucket, Dear ELIZA?162?*?Deskilled Doctors?164?*?Why
Can't I Open the Black Box??167?*?My Thoughts?169?*?Paging:
Doctor Watson?171
Thirteen. We Are Not Alone (It's Called a Planet)
Socialized Medicine-It Works for Them?173?*?Tiered Health
System?174?*?Global United Health Care?175?*?My Thoughts?178?*?What Next??180
Fourteen. The Brave New World (Is Here)
Invasion of the Doctor Snatchers?181?*?Artificial Emotional
Intelligence?183?*?That Epigenetic Smile?185?*?Waiter,
There's a Cyborg in My Soup?187?*?My Thoughts?189?*?
Datopia?191
Fifteen. Doctor Tomorrow (What's Next?)
The M in D Is a Terrible Thing to Waste?193?*?A -Hands-Free
Physical Exam?195?*?AI-Run Nursing Homes?196?*?AI, Dearest?198?*?My Final Thoughts?200?*?Dr. Laicifitra?202
Addendum
Chapter Notes
Bibliography
Index