Sharing Clinical Data Electronically, April 25, 2012, Adler-Milstein and Jha 307 (16): 1695 — JAMA

Sharing Clinical Data Electronically, April 25, 2012, Adler-Milstein and Jha 307 (16): 1695 — JAMA

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JAMA. 2012;307(16):1695-1696. doi: 10.1001/jama.2012.525

Sharing Clinical Data Electronically

A Critical Challenge for Fixing the Health Care System

1. Julia Adler-Milstein, PhD;
2. Ashish K. Jha, MD, MPH

[+] Author Affiliations

1. Author Affiliations: University of Michigan, Ann Arbor (Dr Adler-Milstein); and Harvard School of Public Health, Harvard Medical School, and VA Boston Healthcare System, Boston, Massachusetts (Dr Jha).

Since this article does not have an abstract, we have provided the first 150 words of the full text.

KEYWORDS:
• COMPUTER SECURITY,
• CONFIDENTIALITY,
• ECONOMIC COMPETITION,
• ELECTRONIC HEALTH RECORDS,
• GEOGRAPHIC INFORMATION SYSTEMS,
• HEALTH CARE SYSTEM REFORM,
• HEALTH POLICY,
• HOSPITAL INFORMATION SYSTEMS,
• INFORMATION SERVICES,
• INFORMATION SYSTEMS,
• MEDICAL RECORDS SYSTEMS, COMPUTERIZED.

The United States is undertaking an ambitious effort to wire the health care system. The goal is to build a nationwide information infrastructure to serve as the foundation for large and sustained improvements in performance. Widespread adoption of health information technology will support new care delivery models, such as patient-centered medical homes, alongside broader initiatives, such as performance reporting and public health surveillance. To enable the health information technology revolution, Congress allocated nearly $30 billion focused on 2 main goals: transitioning physicians and hospitals from paper-based to electronic systems and enabling these systems to interoperate, allowing clinical data to flow between health care organizations.

The vision of complete patient information available across care delivery settings is compelling and central to a high-functioning health care system. However, the vision is deceptively simple: there are enormous challenges to enabling clinical data to flow across organizations. These challenges are substantially greater than those …

[Full Text of this Article]

 

‘Two days in court changed my opinion of Breivik’, says top psychiatrist / News / The Foreigner — Norwegian News in English.

‘Two days in court changed my opinion of Breivik’, says top psychiatrist / News / The Foreigner — Norwegian News in English.

‘Two days in court changed my opinion of Breivik’, says top psychiatrist

Published on Friday, 27th April, 2012 at 10:37 under the news category, by Michael Sandelson .

One of Norway’s top psychiatric professors has withdrawn his earlier conclusion Anders Behring Breivik is psychotic.

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Informing weekly publication Dag og Tid actually seeing Breivik for two days in Oslo District Court was “useful”, Einar Kringlen continued, “it gives a completely different picture to reading the minutes in the paper and the impression I got of the man from the first [psychiatric] report.”
The professor, who has never changed his opinion about criminal sanity to such a degree, according to NRK, was in no doubt Synne Sørheim and Torgeir Husby were correct that Breivik was psychotic.
Now, he observes the accused can answer questions logically, flexibly, and in a relaxed fashion. The expert supports Terje Tørrisen’s and Agnar Aspaas’ conclusions.
“He [Breivik] is not submissive, either, but protests with some annoyance if he thinks the judge’s questions are unreasonable, Einar Kringlen told the broadcaster.
“My professional experience suggests he is unlikely to have been able to act in such an adequate fashion if he is psychotic, in particular schizophrenic,” he declared, saying it is extremely unlikely Breivik has managed to mislead him in his battle to appear as sane.
The professor concluded, “perhaps one can say he has a paranoid personality, is suspicious, but that’s where it ends.”
Today’s 10th day of the trial will see continued focus on the Oslo bombing, it’s victims and the aggrieved.