The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age
暫譯: 數位醫生:醫學電腦時代的希望、誇耀與危害
Robert Wachter
- 出版商: McGraw-Hill Education
- 出版日期: 2017-03-31
- 售價: $1,130
- 貴賓價: 9.5 折 $1,074
- 語言: 英文
- 頁數: 352
- 裝訂: Paperback
- ISBN: 1260019608
- ISBN-13: 9781260019605
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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,來自美國《現代醫療》評選的第一位最具影響力的醫生執行官羅伯特·瓦赫特(Robert Wachter)
雖然現代醫學創造了奇蹟,但它所提供的護理卻常常不安全、不可靠、不令人滿意,且價格高得令人難以承受。在過去幾十年中,科技被宣揚為解決醫療所有問題的良方。
然而,醫學對電腦化的抵抗卻頑固不化——直到現在。在過去五年中,主要得益於數十億美元的聯邦激勵措施,醫療保健終於實現了數位化。
然而,當臨床醫生開始使用電腦實際提供護理時,他們意識到某些事情深深地錯了。為什麼醫生不再與病人進行眼神交流?為什麼美國一家頂尖醫院會給一名青少年開出39倍於常規抗生素的過量劑量,儘管擁有最先進的電腦化處方系統?為什麼一則招聘醫生的廣告會將缺乏電子病歷作為主要賣點?
合乎邏輯的是,我們將問題歸咎於笨重的軟體、缺陷的實施、荒謬的法規和不好的運氣。這些都是問題所在,但還有更複雜的原因。而且更有趣的是……
《數位醫生》由全國最具思考深度的醫生之一撰寫,結合了引人入勝的故事和深刻的分析,探討了醫療保健在其電腦化時代的曙光。它探討了艱難的問題,從科技如何改變床邊護理到政府干預是否有益或具破壞性。並且以清晰、洞察、幽默和同情心的方式進行探討。最終,這是一個充滿希望的故事。
“我們需要認識到,醫療保健中的電腦不僅僅是用Helvetica 12替代我醫生的潦草字跡,”作者羅伯特·瓦赫特博士寫道。“相反,它們改變了工作、執行工作的人以及他們彼此之間和與病人的關係……當然,我們應該更早想到這一點。但現在還不算太晚,可以做對的事情。”
這本引人入勝的書提供了正確的處方,使其成為每一位關心我們醫療系統的患者和提供者必讀的書籍。