The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age

Robert Wachter

  • 出版商: McGraw-Hill Education
  • 出版日期: 2017-03-31
  • 定價: $770
  • 售價: 9.5$732
  • 語言: 英文
  • 頁數: 352
  • 裝訂: Paperback
  • ISBN: 1260019608
  • ISBN-13: 9781260019605
  • 相關分類: ARM
  • 立即出貨 (庫存=1)

商品描述

The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US

While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills.

But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.

Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?

Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . .

Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story.

"We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right."

This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.

商品描述(中文翻譯)

《紐約時報》科學暢銷書《數位醫生》是羅伯特·瓦赫特(Robert Wachter)所著,他是《現代醫療》評選的美國最具影響力的醫師執行長。

現代醫學帶來了奇蹟,但同時也提供了時常不安全、不可靠、不滿意且極度昂貴的護理。過去幾十年來,科技被吹捧為解決醫療問題的良方。

然而,醫學界一直頑固地抵制電腦化,直到現在。在過去五年中,多虧了數十億美元的聯邦獎勵,醫療終於實現了數位化。

然而,一旦臨床醫生開始使用電腦來提供護理,他們意識到有些事情出了大問題。為什麼醫生不再與病人有眼神接觸?為什麼美國一家領先的醫院會在擁有最先進的電腦化處方系統的情況下,給一名十幾歲的青少年一種常見抗生素的39倍劑量?為什麼一則招聘醫生的廣告會把沒有電子病歷系統作為主要賣點?

合乎邏輯的是,我們把問題歸咎於笨重的軟體、有缺陷的實施、荒謬的規定和不好的運氣。這些確實都是問題,但還有更複雜、更有趣的東西……

《數位醫生》是一本由美國最有思考力的醫師之一以引人入勝的故事和深入分析所撰寫的書籍,探討了醫療在數位時代的黎明。它處理了一些難題,從科技如何改變床邊護理到政府干預是否有用或具破壞性。而且,它以清晰、深刻、幽默和同情的方式進行。最終,這是一個充滿希望的故事。

作者羅伯特·瓦赫特醫生寫道:“我們需要認識到,在醫療領域中,電腦不僅僅是用Helvetica 12字體替代了我醫生的潦草筆跡,而是改變了工作、從事這項工作的人以及他們彼此和病人之間的關係……當然,我們應該早點想到這一點。但現在改正還不算晚。”

這本引人入勝的書提供了正確的解決方案,對於關心我們的醫療系統的每個人——無論是病人還是醫護人員——都是必讀之選。