Serious Technology Assessment for Health Care Information Technology

Reid Cushman

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

United States health care is engaged in an ambitious project to make its clinical and administrative records "100% electronic." Substantial benefits are expected in both clinical care delivery and medical research (especially for public health surveillance and outcomes/effectiveness studies). Substantial costs also potentially accrue, beyond the large outlays for an expanded computer and telecommunications infrastructure. Privacy and confidentiality are obviously at risk if such systems cannot be made secure. Limited empirical evidence currently available suggests health information systems security may not be very good, at least in the "average" institutional setting. Privacy-focused critics of electronic record-keeping are sometimes accused of taking Luddite stands, insufficiently attentive to IT's benefits. It may also be fair to worry about a certain Panglossian tendency in "industry" commentary, insufficiently attentive to potential problems. Better federal and state laws structuring health data use will help; the industry must also attend more candidly to the technical uncertainties.

Original languageEnglish (US)
Pages (from-to)259-265
Number of pages7
JournalJournal of the American Medical Informatics Association
Volume4
Issue number4
DOIs
StatePublished - Jan 1 1997

ASJC Scopus subject areas

  • Health Informatics

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