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This article is about the idea of putting all existing medical records into electronic form. This would cut the costs needed for storage of such information, this would also increase how fast a medical official can access the records of a sick patient. However, as listed in Strand 1, there are many positive and negative social/ethical issues. One such issue is security. By making the records digitized and put into the hospital database, people without the proper authorization would not be able to gain access to the data. This can also coincide with authenticity. The information that relates to the patient should be accessible by the patient. The patient would need to be able to get through the encryption of the data. Another social/ethical issue would be the equality of access, this would allow only certain people the ability to look at the data. Even with these positive social/ethical issues there are some negative issue. One negative issue would be integrity. There are people who can hack the encryption of this data and tamper with it. This would cause the data to be different in other places and a breach in security. This would be a great help to organizing data. Using a paper file system, the doctor would have to go through a lot of papers and cabinets to find the patient's medical history. By using a paper file cabinet documents are more likely to go missing or get mixed up with another patient's records. However, by using a database this data is much more organized. There is a smaller chance of losing the patient's data, by using back-ups the data could be easily restored. There is also a much smaller change or mixing up multiple patient's data. If the wrong data was use for the wrong person, the person may not have the correct medical treatment they need. With databases the information is much more organized. The patient's data can be found very fast, compared to a paper file system (this could take more than an hour depending on the amount of patients).

Continued...The hardware involved with creating databases in the health industry would be a DBMS Engine. This is also known as a Database Managing System. This takes the logical request from DBMS subsystems and converts them to physical equivalents. This also requires interactive processing. This replaces batch processing. This allows users to interact with data through terminals and view values online in real time. By having real time the doctors can give the patients what they need at the moment the patient needs it. The stakeholders in this specific case would be the hospitals adapting the database managing system and the patients whose information is stored in this database. If the database is tampered and there are not back-ups the patient would not have his/her medical history. This could cause the patient to be on a delay for an operation that is extremely important to their life. This could also place a lawsuit on the hospital.

This article deals with the use of electronic health records in order to record medical information of patients. Congress wishes to pass a bill to enforce the use of electronic health records, however issues regarding the privacy of patients and information stored on these databases have arose. Electronic health records are used to record personal patient information such as name, age, address along with health sicknesses and symptoms. This also allows doctors to send e-prescriptions to the patient. However the computerization of health records triggers obvious privacy issues which prevent many hospitals to completely switch to using these electronic databases. Stakeholders of this technology include the patients whose medical information is being stored and sent on the databases, the hospitals and doctors that use the databases to track and send prescriptions to their patients, along with policy makers such as Congress and President Obama who promote the use of electronic health databases. The major stakeholder is the patient, whose private information is at risk by using these databases. Doctors can also use the electronic databases to send prescriptions to their patients for medicines or further appointments. Patient databases include sensitive personal information that may be at risk of being hacked or seen by an unauthorized user. In the article, solutions to these privacy issues have been proposed such as increased spending and investments in order to create solutions to privacy issues. Measures can be taken to safeguard medical information such as using encryption technology to secure private information that is sent online or kept on the hospital's computer database. This encryption would prevent unauthorized users from accessing and using patient information. However, in cases where this encryption technology fails to protect patient information, policies have been created that the patient must be notified if their personal information has been h

continued: have been created that the patient must be notified if their personal information has been hacked or seen by an outsider. Other policies have been enforced that give patients the ability to control and prevent hospitals from sending private information for research without their permission. These policies help prevent private patient information from being seen by unwanted individuals.

In looking at this article and the other articles that I have post The main It IT system is a database to store the medical records of the patients of doctors. In theory this would be great for everyone. There will be less paper waste, and it would be easier to pull up patient information at the doctor's office. Its true potential can be achieved if each doctor's database can be connected to created to create a network so any doctor can access the patients information nationally or internationally. The primary issue however, is that the doctors have no standard. Some doctors are not willing to make a transfer because there are to many implications to actually becoming all digital. So that is the issue, since there are no standard the doctors are not willing to adapt. Now this issue can affect a number of stakeholder's. The doctors can see the benefits and draw backs of this standard issue. The doctor's who adopt EHR, actually save a lot of money in the long run, and are on better terms with insurance companies, in the cases where doctors don't use EHR and if a standard is developed they will suffer for it. They will not be able to process patient information quickly, and be on bad terms with insurance companies, and the U.S government(since the government wants to only have EHR or EMR). If a standard is not developed its the patient that will suffer the most. In this world that that we live in International travel is a common place, many people can get injured abroad a EMR can give life saving information to the doctors from the foreign country. This article displays the particular benefits of EMR, the article above me is the reasons doctors do not want to adopt to EMR, and the article before mine displays the governments interest to change all the paper records to EMR.

(NOT FINISHED) After the devastation of Haiti's earthquake, impoverishment plagued the millions of patients, in dire need for medical assistance and resources. The "low tech" equipment failed to meet the needs of the population, so tele medicine is being adapted.

Medical facilities in Haiti are in essence trying to integrate satellite connection and internet service (along with increased bandwidth) in order to greatly expand the distribution and administering of medical services. Donated by the other organizations in Miami, the Haitian hospitals are now given the opportunity to form intercommunication via a wireless regional network system (internet service provided by neighboring countries, such as the Dominican Republic). One of the primary stakeholders, the patient and injured Haitian individuals required to maintain necessary medical help from the American doctors and medical professionals (other primary stakeholder). Such IT systems, enable the patients suffering from the devastating results of the earthquake to retrieve an increased amount of help and attention from doctors and other medical health professionals in other parts of the world, specifically recruiting medical help centralized in the United States. The adapted procedures of tele health already in American hospitals, including the use of internet messaging, x rays, scans, and medical reports all enable doctors to obtain confrontation and collaboration with Haitian patients on accurate and more reliable grounds. The scenario included in the article is Health, and the main theme is"medical information administration and marketing sales" for this pertains to telemedicine as a branched off aspect. In regards to the social and ethical considerations, the issue of the digital divide and equality of access is greatly highlighted in the article; telemedicine linked medical services found in another nation, to the needy Haitian population thus diminishing global boundaries placed up by the differences in development and advancement in certain regions of the globe. The digital divide that took control over Haitian lives( due to the catastrophic events of the earthquake) eliminated sources of internet connection, hardware and available software equipment to run teleme

In Diigo, you can always go back in and edit your own postings. It's only in the moodle that there is a time bomb that causes you to comment on your own reflections if you go back later to expand upon your initial thoughts.

This article focuses specifically upon the negative implications that surface with the installation and adaptation of electronic medical records (EMR) for medical professionals targeting specifically the level of doctor/patient relationships. The author, a medical specialist within a facility, talks about his experience with the proven efficiency of the EMR system's effective retrieval of patient medical history and advanced medical database, but further accentuates emphasis on the system's flawed influence upon medical professional and patient relations. One of the primary stakeholders, the medical doctors and physicians complain that the system itself places limitations upon doctors' interactions with patients during the time of consultation (a critical part of constructing medical diagnoses); the author places emphasis upon the way he had to consistently go back and forth from the patient to the computer, in order to type in the retrieved information gained from the conversation. The act of going back and forth between patient and technological system (EMR) discouraged and urged the patient into silence, thus limiting conversation with the doctor, due to the lack of complete face to face, non interrupted evaluation and reflection of medical symptoms, history, prior experiences from the perspective of the patient. Thus, the second primary stakeholder, the patient himself, feels that he or she is not properly or fully being examined; more importantly this places the patient into the position of feeling less significant, as if his/her perspective doesn't truly matter when in reality it is the patient's responsibility to be clear and coherent with the medical professional, to help navigate the doctor into generating the correct diagnosis that will help save patient lives. The IT system involved is the EMR (electronic medical record) system that operated with the help of dozens of computer terminals that were positioned in individual workstations (hardware com

(continuation) component) and worked on the same networking service. The software programming that came with the system helped improve the retrieval and sharing of patient medical history, organization of data, efficiency and flexibility of keying in and updating medical information etc. In connection to the scenario of Health, the limiting influence forced upon doctor/patient relationships sourced from the integration of EMR systems targets a flaw in the advantage of having instant connection to patient medical information. Not only are doctors forced to focus on correctly typing in the necessary information, thus avoiding or diminishing patient relations, but the great magnitude of medical information stored and available in EMR systems, "can push some doctors into what one EMR expert refers to as "cognitive overload" while trying to balance patient input with medical history data on the spot. Furthermore, the system's software tool, such as the fee-for-service payment system, which helps tabulate symptoms while simultaneously facilitating the billing process, continues to discourage doctors from executing patient consultation. One major issue that surfaces is reliability; the EMR system itself consists of hardware and software components that transition the doctor's attention from the patient directly onto the transferring of information into the system while in the mode of confrontation. The correspondence of data with the real world comes into significance, as the data may become unreliable due to the fact that it may be entered incorrectly (the doctor may have been focusing more upon data transmission, rather than what the patient actually stated), and additionally the use of EMR systems increase the risk of data becoming outdated, for it is solely up to the doctor's skills and attention that medical history, symptoms, side effects of the patient be kept at a steady consistency once entered into the system. Thus, although physicians and he