re: Why Doctors Hate EHR Software
The root cause of this problem is the business model of healthcare, and
its protection from competition on cost and quality (unlike other
industries). Until this is fixed, EHRs will be viewed as a cost center,
and not as a strategic weapon to improve cost and quality.
For example, even in settings where EHRs work well and have high
usability, doctors still click through Rx interaction warnings and
ignore them because they take too much time to deal with. Why would they
do this? Because they are not paid for quality of outcome, nor are they
incentivized to minimize the net present value of the 'cost stream' of a
given patient to the system.
So until these underlying incentives are changed at a systemic level,
the never ending tug-of-war will continue between docs and IT in a
largely zero-sum game. No other industry with real competition on cost
and quality would take 20 years and find that only 5% of it's employees
consistently use software (productively) at the point-of-service.