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Effective Information Transfer for Health Care: Quality versus Quantity
Pages 553-559

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From page 553...
... These issues are jointly related to a trade-offin quality versus quantity of medical information. If quality is lacking, then the introduction of modern communication technology Will increase health care costs rather than constrain them.
From page 554...
... High-quality x-rays require much storage and transmission capacity, whereas most digital images have larger pixels or voxels and require more modest storage volumes. The practitioner typically relies on intermediate specialists to interpret the data obtained from sensors and images, although for validation access to the source material is also wanted.
From page 555...
... Physicians working In a larger enterprise, such as a health maintenance organization (HMO) , wall have more requirements placed on them by administrators who are anxious to have adequate records.
From page 556...
... Although unmotivated engineers can spend many years doing routine corporate work until they find themselves without marketable skills, the health care professional is faced with medical recertification, hospital admit privileges, and the need to maintain credibility. In urban areas the patient's choices are many and are often based on contacts leading to referrals.
From page 557...
... There are natural I~m~ts to the capabilities of humans to take in information. The rate provided on a television screen is one indication ofthese admits; few people can watch multiple screens beneficially, although the actual information content in a video sequence is not high.
From page 558...
... is then the focus of access requests, their legitimacy, and their correct response. The security mediator must be trusted by the health care staff not to release private information and must also be trusted by the customers (be they public health officials, Insurance providers, or billing staff)
From page 559...
... The support of software in that role may well be simpler, since its replication is nearly Dee. The desired balance for health information infrastructure support can be replicated in all fields of information technology.


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