New paradigms for health care delivery

Changes occurring in Health sustenance speech communication and cargon for argon the result of social, economical, technological, scientific forces that receive evolved in the 21st century. Among the most earthshaking changes ar shift in malady patterns, advanced engineering science, increased consumer expectations and high cost of wellness treat. These factors have redefined aesculapian makes to adjoin into the changing wellness delivery system of rules. legion(predicate) wellness burster professionals have hail to the conclusion and belief that they will be compelled to explore new paradigms for health wield delivery in the future like electronic health check record keeping, telemedicament, computer- radicald nosology and health monitoring to keep charge per unit with the changing scenario.This is due to the accountability of the aesculapian profession today and changing infirmity patterns. Doctors are under increasing drag to keep up to date and to base the ir decisions more firmly on evidences as opposed to anecdotal information of the past. endurings are much more informed than they were 10 years ago. No doctor preempt tell a patient what to do without being questioned today. Further, with the advent of concepts like informed consent and advance directives, such scientific changes gain relevance.ELEMENTS OF THE NEW PARADIGMThe character of electronic documentation is becoming progressively prevalent in terms of convenience. The depicted object Academy of Sciences report states that the US health care industry spent betwixt $10 and $15 billion on information technology in 1996. more of this expenditure is attributed to creating electronic records systems and converting conventionally stored information to electronic formats. on that point are many software programs specially developed for electronic record keeping.This includes Doctors partner, an advanced electronic health check examination exam shows (EMR) System with Integrated trying on Scheduling Billing, Prescription Writer, Transcription Module, inst singularent Management and get toflow Management built to meet HIPAA standards. Practice Partner Patient Records is an award winning electronic checkup records (EMR) system, allowing practices to store and retrieve patient charts electronically. There are innumerable such brand medical record softwares available today. The standards in practice for EMR include ASTM International doggedness of Care Record , ANSI X12 (EDI) CEN , EN13606, HISA, DICOM , HL7 ,ISO and openEHR . (Ringold et.al.,2000).The American medical examination Association and 13 other medical groups representing 500,000 physicians have signed their intention to go electronic with the AMA formed Physicians Electronic Health Record Coalition to recommend affordable, standards-based technology to their constituents. president Bush has also promoted a across the nation computerized medical records system in a juvenile visi t to a childrens infirmary at Vanderbilt University.Scientific innovations have prime a niche in perplex medical procedures as well. A new study successfully has evaluated a stop over code patient identification system, which involves a hand-held computer for sample accrual and for compatibility testing judiciary of furrow. (Turner et.al, 2003).A recent research article (Sandler et.al, 2000) reports of a truehearted phase and micro titer dwelling ho consumption hemagglutination method for pretransfusion compatibility tests. This I-TRAC is an automated exploit of blood matching with improved serologic sensitivity and standardized compatibility testing backing electronic record keeping and linking to a bar code identification system. San Raffale infirmary in Milan, Italy, has recently collaborated with Intel and CISCO systems to use wireless-enabled infrastructures and Radio frequency identification (RFID) technologies.The system uses RFID-radio frequency identification t echnology to hook the sources of human and systems error in blood transfusion supply chain. This pilot program has been implemented at the 1,100 bed San Raffale hospital where more than 15000 blood transfusions are do every year. The CAT (Computer Aided Tomography) is hitherto another revolution in medicine which combines the X-ray technology with computer signal processing to generate images of tissues of the body obscured by other organs.Magnetic Resonance resource (MRI) is a common technique use to scan pathological or physiological stead of living tissues. Much is cognize about the computer aided sustained ECG monitoring with a scat back facility for assessing the cardiac status of the patient. Today we are in a wonderful situation where we will be able to develop a medicate based on computer digest skipping a few phases of clinical testing.PERSPECTIVES ON THE PARADIGM SHIFT Thus, scientific innovations are part of the evolutionary process of the medical science. The basic instrument of a physician, the Stethoscope, the Sphygmomanometer utilize for monitoring the patient blood pressure, the Catheter, Radiotherapy, Chemotherapy, the EEG, ECG, EMG, Echocardiogram, ultrasonic scan, to name a few were nothing but such scientific innovations coordinated into the work of medicine in the 19th and twentieth century.Thus, Computer based telemedicine, medical record system, and diagnostic procedures are scientific innovations of the twenty-first century. Hence, it is nothing but a natural and moral obligation of the health care sector to integrate them into the field of medicine. Changes in financial incentives and health care delivery structures are producing new threats to health care quality (A.Brennan, 1991). The retributive measures are cumbersome and expensive. Hence, there is a assume for more accountable health delivery system, which will enable application of ultramodern scientific approaches to quality health care system. In this contex t, quality of the medical care depends on promotion of quality medical care by managed care organizations. extension serviceBrennan, T, et.al, Incidence of adverse events and negligence in hospitalized patients the results of the Harvard medical examination Practice Study, bare-ass England Journal of Medicine 324 370-76, 1991. Lrum Hallvard, MD, Tom H. Karlsen, MD, and Arild Faxvaag, MD, PhD . Effects of Scanning and Eliminating Paper-based Medical Records on Hospital Physicians Clinical Work Practice. Journal of the American Medical Informatics Association 10 588-595.2003. Ringold DJ , JP Santell, and PJ Schneider , ASHP national survey of pharmacy practice in acute care settings dispensing and administration1999. American Journal of Health-System Pharmacy 57 (19) 1759-75. 2000. Sauer et.al, Errors in transfusion medicine science laboratory Med. 32(4) 205-207, 2001. Turner et.al, Bar code technology its role in increasing the guard duty of blood transfusion, Transfusion, 43(9) 12002003.