What amazed me most during five weeks in the ICU with my dad was the survival of paper and pen for medical instructions and histories. In that time, Dad was twice taken for surgical procedures intended for other patients (fortunately interrupted both times by our intervention). My dry cleaner uses a more elaborate system to track shirts than this hospital used to track treatment.
Not every hospital relies on paper-based orders and charts, but most still do. Why has adoption of clinical information technology been so slow? Companies invest in IT to reduce their costs, reduce mistakes (itself a form of cost-saving), and improve customer service. Better information technology would have improved my father’s experience in the ICU—and possibly his chances of survival.
But my father was not the customer; Medicare was. And although Medicare has experimented with new reimbursement approaches to drive better results, no centralized reimbursement system can be supple enough to address the many variables affecting the patient experience. Certainly, Medicare wasn’t paying for the quality of service during my dad’s hospital stay. And it wasn’t really paying for the quality of his care, either; indeed, because my dad got sepsis in the hospital, and had to spend weeks there before his death, the hospital was able to charge a lot more for his care than if it had successfully treated his pneumonia and sent him home in days.
不要电脑翻译
Not每家医院依靠纸带盘座的命令和图，但是仍然。 临床信息技术的采用为什么是很慢的？ 公司在它投资减少他们的费用，减少差错(本身形式节约成本)，并且改进顾客服务。 更好的信息技术可能将改进我的在ICU—and的father’s经验他的生存机会。
But我的父亲不是顾客; 医疗保障是。 并且，虽然医疗保障试验了新的退款接近实现更好的结果，没有集中化退款系统可以是足够柔软的演讲影响耐心经验的许多可变物。 一定，支付服务质量的医疗保障wasn’t在我的dad’s医院逗留期间。 并且它真正地支付他的关心的质量的wasn’t; 的确，因为我的爸爸在医院得到了脓毒病，和必须在他的死亡之前度过几星期那里，医院能对他的关心更大量收费比，如果它顺利地对待了他的肺炎并且送了他家庭在几天。
不是所有的医院都依赖于纸制订单和表，但是大部分是这样的。为什么临床信息技术的采用进行的这么慢。公司投资IT是为了缩减开支，减少失误（这本身就是种成本缩减）和提升顾客服务的。较好的信息技术本可以改善我父亲在ICU的经历-也许也会提高他的存活机会。
但我的父亲不是顾客，医疗保险才是。并且尽管医疗保险已近试验了新的赔偿方法用来驱使（得到）较好的结果，集中化的赔偿系统仍不能足够灵活的解决许多影响病人经历的可变因素。当然，医疗保险不会支付在我父亲住院期间的服务质量。并且也不会真的支付他的护理质量。确实，因为我爸爸得了败血病并且在他去世之前在那（医院）待了几周，所以医院可以在此期间对他的护理， 比之如果医院成功治好他的肺炎并送他回家（的护理费用），索取更多。
最后一段内容感觉挺别扭的，不知道是不是没了解作者的意思。本回答被提问者采纳
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