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E-raamat: Technology and the Doctor-Patient Relationship

  • Formaat: 260 pages
  • Sari: McFarland Health Topics
  • Ilmumisaeg: 13-Feb-2020
  • Kirjastus: McFarland & Co Inc
  • Keel: eng
  • ISBN-13: 9781476637440
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  • Formaat: 260 pages
  • Sari: McFarland Health Topics
  • Ilmumisaeg: 13-Feb-2020
  • Kirjastus: McFarland & Co Inc
  • Keel: eng
  • ISBN-13: 9781476637440
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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.

Arvustused

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...recommendedChoice

Author's Note xii
Preface 1(2)
Introduction 3(4)
One Buck Rogers Medicine (Utopia)
7(13)
The Electronic Medical Record
7(6)
Rebooting Humanity
13(2)
Challenging Evolutionary Barriers
15(1)
Augmentation and Wearable
16(1)
My Thoughts
17(1)
Reality Check
18(2)
Two George Orwell Medicine (Dystopia)
20(11)
We Are a Trade, Not a Business
20(5)
Censorship---Net Neutrality
25(1)
Freedom
26(1)
Universal Health Identifier
27(1)
My Thoughts
28(2)
Reality Check
30(1)
Three Frontier Medicine (Old School)
31(18)
Cowboy Charlie
31(4)
Tragedy Loves Ignorance
35(2)
Hospitals Built on Bedlam
37(2)
A Doctor's Doctor
39(2)
Sawbones
41(1)
Apothecaries
42(2)
The Nightingale's Song
44(1)
My Thoughts
45(2)
Bringing Us Up to Date
47(2)
Four Beam Me Up, Scotty (Telemedicine)
49(12)
Unexpected Consequences
49(3)
Luddites
52(1)
Taylorism
53(2)
Dumb and Dumber
55(2)
My Thoughts
57(3)
Prescribing Caution
60(1)
Five The Healing Touch (Origin Story)
61(11)
Lifting the Hood
61(2)
The Power of Proximity
63(2)
The Death of the Physical Exam
65(1)
Case Studies
65(4)
Appearance Is More Than Skin Deep
69(1)
You Can't Arrest Me
70(2)
Six Go Gently into That Good Night (Death)
72(10)
Waiting for Godot/Death
72(2)
Accepting Death
74(2)
Immortality
76(2)
Death Is Not Our Enemy
78(1)
My Thoughts
79(2)
A Good Death
81(1)
Seven Lawyers, Doctors and Lobbyists, Oh My (Mala Praxis)
82(14)
Mala Praxis
82(2)
Sharks in the Water
84(1)
Bad Medicine
85(2)
Money Talks, Doctors Walk
87(1)
Defending the Castle
88(3)
Politics Is a Shell Game
91(1)
My Thoughts
92(2)
Case Closed
94(2)
Eight Medicine Is Dirty (Don't Bring It Home)
96(17)
The Training Gauntlet
96(3)
Dividing Up the Family
99(1)
Testing the Monkey
100(3)
Cannon Fodder
103(3)
Quitting Life
106(1)
The Sterile Glass Ceiling
107(1)
Mamas, Don't Let Your Babies Grow Up to Be Doctors
108(1)
My Thoughts
109(2)
The Not-So-Perfect Match
111(1)
Technology May Clean Up Medicine
112(1)
Nine It's The Money, Stupid (Terminal Economics)
113(14)
How Much Is Your Life Worth?
113(3)
The Maintenance of Certification (MOC) Scam
116(2)
Fraudulent Billing
118(1)
Big Pharma, Little Ethics
119(1)
Unions
120(3)
My Thoughts
123(2)
Prove It
125(2)
Ten We're Only Human (That's the Point)
127(12)
Trigger Warning
127(1)
Inter subjective Angst
128(2)
Dataism Versus Vitalism
130(3)
Calculating Compliance
133(1)
Epicureanism
134(1)
My Thoughts
135(2)
The Invisible World
137(2)
Eleven The Librarians (Custodians of Health)
139(18)
The Good Librarian
139(2)
Metaphors Are Magic
141(1)
You've Got to Have Heart
141(3)
Vintage Cars
144(1)
Minions and Mood
145(2)
The Never-Ending Story
147(1)
It's Only Skin Deep
148(1)
The Endocrine Economy
149(3)
My Thoughts
152(4)
Trust Your Librarian
156(1)
Twelve The Altered Mind of a Physician (Evolution?)
157(16)
Losing Our Minds
157(2)
Neuroplasticity
159(3)
There's a Hole in My Bucket, Dear ELIZA
162(2)
Deskilled Doctors
164(3)
Why Can't I Open the Black Box?
167(2)
My Thoughts
169(2)
Paging: Doctor Watson
171(2)
Thirteen We Are Not Alone (It's Called a Planet)
173(8)
Socialized Medicine---It Works for Them
173(1)
Tiered Health System
174(1)
Global United Health Care
175(3)
My Thoughts
178(2)
What Next?
180(1)
Fourteen The Brave New World (Is Here)
181(12)
Invasion of the Doctor Snatchers
181(2)
Artificial Emotional Intelligence
183(2)
That Epigenetic Smile
185(2)
Waiter, There's a Cyborg in My Soup
187(2)
My Thoughts
189(2)
Datopia
191(2)
Fifteen Doctor Tomorrow (What's Next?)
193(16)
The M in D Is a Terrible Thing to Waste
193(2)
A Hands-Free Physical Exam
195(1)
AI-Run Nursing Homes
196(2)
AI, Dearest
198(2)
My Final Thoughts
200(2)
Dr. Laicifitra
202(3)
Addendum
205(4)
Chapter Notes 209(14)
Bibliography 223(18)
Index 241
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.