- Abstract and Introduction
- Patient-centered Accountable Care
- Evidence-based Care Pathways & Clinical Effectiveness Research
- Molecular Networks
- Targeted Therapy for Cancer & the Cost–benefit Equation
- Scientific Approach to Personalized Medicine
- The Electronic Health Record & Analytics
- Conclusion
- Future Perspective
Don't let the number of topics fool you; it's not an overly lengthy article. Outside of molecular networks and cancer therapies, Shapiro covers many of the same themes we articulate here on EMRlogic Live, most of which come down to understanding the essentially predictable tides of change in healthcare, forsaking expensive and ineffective fee-for-service models and moving to a new era of patient-centered care that leverages the power available through health information technology.
In his Future Perspective, Shapiro wraps up with:
"Sharing of data is another hurdle. This includes both patients' willingness to share their personal genetic information, as well as physician and scientist willingness to work together. .."Let me add to that the willingness of health systems to share data. Shapiro advocates that "Medical centers should strive for a central data warehouse" ... providing "a 'single source of truth'. In a perfect world, data repositories could be powerful tools. To the degree however that the warehouse is controlled (knowledge is power) or information kept for economic gain, we shoot ourselves in the foot.
Since it's getting personal, let's not do that.
Alistair Jackson, M.Ed.
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