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January 08, 2010

The Next Health Care Revolution, From Dr. Google

From Science:

Gawande The New Yorker author, surgeon, Harvard University faculty member, and health policy adviser Atul Gawande told the President's Council of Advisors on Science and Technology (PCAST) today that checklists could help improve the quality of health care and lower costs. PCAST members seemed enamored with the idea of standardizing treatment and procedures, and also discussed how to raise the academic status of those working in the field. But another PCAST member—Google CEO Eric Schmidt—saw what Gawande was peddling as a potentially lucrative new market for the search engine giant. Here's Schmidt's dream of what a visit to the doctor will look like in 2015. It came during a question-and-answer session following Gawande's 15-minute presentation, drawn from his new book, The Checklist Manifesto: How to Get Things Right. You can judge for yourself whether it's sensible or scary.

"My question has to do with the model of health care that we'll be facing in 5 or 10 years," Schmidt began. "It's pretty clear that we'll have personalized health records, and we'll have the equivalent of a UPC sticker with your medical history. So when you show up at the doctor with some set of symptoms, in my ideal world what would happen is that the doctor would type in the symptoms he or she also observes, and it would be matched against the data in this repository. Then this knowledge engine would use best practices, and all the knowledge in the world to give physicians some sort of standardized guidance. This is a generalized form of the checklists that you're talking about."

More here.

Posted by Azra Raza at 06:06 AM | Permalink

Comments

Checklists certainly worked for me. When a friend came down with aches and pains, swollen knee, and extreme fatigue, her doctor had no idea what was wrong. I plugged the symptoms into various internet databases and, in less than hour, came to the conclusion that it was most likely Lyme disease. She went to an infectious disease specialist, had the western blot test, and it was Lyme. Professionals are fine, but you ultimately have to rely on your own wits in everything.

Posted by: J.H. | Jan 8, 2010 11:55:51 AM

3QD's favorite whipping boy Malcolm also discussed the checklist approach as improving the diagnosis of heart attack symptoms in emergency rooms in Blink several years ago.

Posted by: Carlos | Jan 8, 2010 12:25:00 PM

The real key to better medical practice is evidence-based practice. That's were a computer and questionaire would be helpful. Observations and test results go in, then a standard, comprehensive analysis generates possible conditions, probabilities, and recommendations needed for confirmation. That's much better than the standard, scripted procedures of today's doctors. I seem to see two processes: symptoms=pill for suppression or 'is it bad ? / is it getting worse ? / no?, then live with it / still griping? here's a pill'.

Posted by: J.A. | Jan 8, 2010 2:32:40 PM

J.A.

I agree. I think most of the professions could benefit from artificial intelligence applications that would take the know facts, assemble the data and then compare it with a database of possible conditions and suggestions for testing. Why is this not done now? I think it is sheer inertia on the part of the professionals. If I could figure out from the internet that my friend had Lyme disease, I'm sure that specialized medical A.I. applications could be very useful tools for doctors, and they would reduce the chance of missing an obvious diagnosis.

Posted by: J.H. | Jan 8, 2010 2:52:56 PM

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