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Adopt guidelines for e-consults

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Do you think electronic patient-doctor consultations are a viable means of communication? What do you think is the biggest concern with this use of technology? Share your comments about electronic consultations, as featured in the April 29 Healthcare IT e-newsletter.

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4 replies

by drgas

Yes it is going to happen. Whether we as doctors like it or not patients are going to demand it.
Finland is leading in this field and should be watched.
The big issue is going to be one of who am I talking to and the security and confidentiality of clinical information.

by jdamico

As a biller/IT staffer in a medical practice, I don't know that the security of the internet as it stands should be trusted for this type of use. How would identity be verified? How would the physician bill for such a service? Are insurance companies looking into coverage for this? Is the AMA looking at codes for these services? I could go on and on. I know for myself, I would not be comfortable e-mailing my personal info to a doctor; I want to see him or her face to face!

by shaned

I am an IT Admin in the Orthopaedic field. I wouldn't expect e-consults to take off in any way (Not in Australia in any case). I don't know 1 practitioner who would even think about considering e-consults. One of the biggest issues will be how do you make sure the patient understands the text of the Practitioner in the way the Practitioner intends?... missread or missunderstood e-consult content could be disasterous.. Insurance would be HUGE problem. Our Pracs. are not even allowed to give themost basic of medical advice via E-mail!

by rehabscott

My work involves developing a cadre of applications for the mental health and substance abuse treatment communities. Like it or not, many professional practitioners are beginning to embrace the possibilities the Internet make available. I have been involved in several discussion groups concerning the legalities and ethics involved in online consulting - call it e-consult, e-therapy or e-hab (a plug for our flagship product.
Many of the practitioners I have talked with exercise more care withthe information that traverses the Internet than they do with the medical charts in their offices. Identity management, security, HIPAA and ethics are critical to the success of this new provisioning for heealth care. AMA and other professional organizations are taking it very slow and are being very cautious but they are moving forward and establishing rules and guidelines for online practitioners.

I have collected a long list of resources that deal with online health issues and have madethem available on our website www.choose2change.com.

Also, as a database application developer, I must meet the varying requirements set forth by the federal and state governing authorities concerning the identity, security and protection of client information. The task is a daunting one but one that must be arduously undertaken.

I know I ramble on a bit, but there really is so much to discuss when it comes to the medical and mental health communitis embracing the future of online consulting. Thanks for listening.

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