vendredi 13 mai 2016

Healthcare systems cannot share data: we need translators!

This issue recalls an old story. Babel tower. The same malediction plagues healthcare systems. This is not a problem only in US. That saying I confess that it should not diminish the frustration of patients from the country which spends the highest amount of its GDP on healthcare. 
First, health data (which can be life saving) are not sharable.
How can it be possible that a country with trillions of spending in healthcare gave birth to uncommunicable data systems between states and even between physicians or hospitals of the same state? If it is impossible to share data about care this is not because of the lack of "regulations" ( It is perhaps because there is no incentive to do it and also because an old habit of information retention.
Can we reverse this situation? 
Obviously yes. 
One very simple way is to follow the bacteria and human cells. They can communicate, exchange data and even modify their DNA... It is also interesting to look after the way imaging companies unified their data production with DICOM.
Second, you cannot understand your bill after a hospital stay.
Precise and understandable billing is another issue which is linked to the fact that third payers can increase the insurance premium even if they don't understand why bills are increasing. This cannot occur with restaurant or car repair bills... However I don't think that flat-rate systems of hospital compensation are better. The reason is that flat-rate payments are inflationary and more opaque. One question: why a new company cannot or has no incentive to bill patients and third payers in a manner that is understood by all?
 I found very interesting this challenge (only 10K$ of tax payer money):

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