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2 A Vision for 21st Century Health Care and Wellness
Pages 19-24

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From page 19...
... In the words of the IOM, health care should be: • Safe -- avoiding injuries to patients from the care that is intended to help them. • Effective -- providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit, avoiding underuse and overuse, respectively.
From page 20...
... Each bullet phrase below summarizes one of these important health care IT capabilities, followed by an illustrative vignette of what might be possible. The vignettes (displayed in italic type)
From page 21...
... The clinical significance of the smart medications table and the mass spectrometer is that together they help to reduce uncertainty by synthesizing different views into the patient's medication history. • Cognitive support for health care professionals and patients to help integrate patient-specific data where possible and account for any uncertainties that remain. A primary care clinician needs to monitor a patient's heart condition.
From page 22...
... • Rapid integration of new instrumentation, biological knowledge, treatment modalities, and so on, into a "learning" health care system that
From page 23...
... Rather, the young people run an application on their mobile phones that uploads an SMS message containing their current location every 30 seconds to a private account where an application processes and summarizes loca tion-activity data generated from accelerometers on their phones. The doctor has recently introduced a new feature whereby her patients use special Bluetooth-equipped inhalers that report via the mobile phone each time the inhaler is used.
From page 24...
... • Empowerment of patients and their families in effective management of health care decisions and execution, including personal health records (as contrasted to medical records held by care providers) , education about the individual's conditions and options, and support of timely and focused communication with professional health care providers.

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