Thursday 20 October 2011

Some existing boundaries in Healthcare management

Some boundaries still to be addressed in Healthcare - an outsider's perspective:


- The gap between "clinical products" and "physical/logistic items". 
When a physician wants clinical information for prescribing, he has the clinical attributes of a product (or product type). But for the pharmacist, this item has also logistic features, like location, price, packaging... And they are referring to the same thing.

- The difference between a catalog item (e.g. Renault 5 TL) and an instance of that (my first car, license plate FZ-09-62)
This very simple difference (or the lack of awareness) is breaking implementations of barcodes, RFIDs,


-The separation between Clinical domains and Healthcare Management. 
After seeing struggles between clinicians and business managers, the gaps between these 2 domains are obvious. The conflicting interests are usually taken (wrongly) as reasons for discussing who's better. To me, the most obvious is that multi-criteria decision making is common, and healthcare management (minimizing costs, maximizing benefit to patient and society) is a clear example where bridges are needed.


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