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Document Typology: Web Article
Methodology addressed by the publication:International Classification of Functioning, Disability and Health
Title of document: Let the patient's lot be a happier ..
Name of author(s): A.Simaitis
Name of publisher: Magazina "Vakaru LIetuvos medicina""
Language of the publication: English
Language of the review: English
The story of electronic patient records in hospitals has not been so happy. The public accounts committee announced in August that the Connecting for Health plan for EPRs in hospitals across the NHS had failed. In October, I was amazed to hear that a hospital near me was not planning to implement an EPR for another 10 years.
Since then, I have been reading a debate on a website between clinicians and IT people about what an EPR really is. That such a debate is taking place now, 10 years after the launch of the national plan for IT, shows me that nobody, clinicians, administrators or software suppliers, really engaged themselves back then in hard intellectual discussion about the nature of an overall EPR. In the meantime, all that happened was that fragmented, probably incompatible, chunks of record appeared in discrete bits of software from several suppliers.
I hope I am wrong, but it seems as if all that will happen on 2012 will be hospitals cobbling together these chunks with middleware, which probably won't work at the next hospital down the road. So, if I fall ill, and move from one hospital to another, neither will be able to read my record. For the foreseeable future, therefore, the doctors who treat me will be as much in the dark about what other treatments I have received as they were back in 2002. Plus ça change. Plus c'est la meme chose. Ten years is a short time in the NHS.
Reviewer's comments on the document:
As our organization represent the interests of people with multiple sclerosis (MS) (one of the brain diseases) and directly influence MS centers work in Lithuania, we took the opportunity to profit by qualified trainers experience to collect groups of trainees in different health sections and environments. First of all in the discussions we tried to find the topics of the courses which are identified as the most frequently demanded in the field of training for trainers in the health section of MS. Second we distributed the questionnaire among the students of higher medical schools, universities, health care institutions (public and private) with the request to choose the most interesting themes and topics .People who were initially shocked, frustrated, and angry about their imposed financial hardships are now deeply depressed and sad. In my office, I see people who are depressed because their new year began without hope. They have little or no hope that things will get better; that they will find a job; or that their relationships can ever improve with the economy placing them under such pressure. They are hopeless in the face of external circumstances, which are seemingly beyond their control.
What happens to us when we lose hope? Without hope, we lose our enthusiasm for life, our determination, our creative and spiritual energy. And when human beings lose hope, the soul dies.
So what can we do to prevent such a ‘death' and to keep our sense of hopefulness alive? Is it within our power to overcome the depressing effects of difficult external circumstances? I believe it is. I am not suggesting that we simply put a happy face on the challenges we're up against, or that we ignore the outside world and live in an unrealistically optimistic cocoon. What I do believe is that we can find hope if we center ourselves and look for new answers to the core question: What is most important in my life?
Where to find it: - "

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