- Manipulating Demand
Compared to non-MHM patients, the MHM experienced an increase in hospitalization rates (20 per thousand patients) and emergency room visits (11 per thousand). In other words, for every hundred patients, the on-line portal seemed to lead to 2 extra hospitalizations and 1 extra ER visit. Both differences were statistically significant.
There were also increases in the number of office visits (.7 per patient per year), telephone calls (.3 per patient per year) and after-hour clinic visits (18.7 per thousand patients per year).
Colorado patients who can access their medical records online and exchange electronic messages with their doctor tend to visit and call their doctor and use certain other medical services more often than those who don't. That's according to research by Kaiser Permanente published in the Journal of the American Medical Association, based on records of half a million Colorado patients, an unusually large sampling. The results appear to run counter to expectations -- as well as previous research results…
Patient online access to doctors and medical records was associated with increased use of almost all in-person and telephone medical services, according to a study published in the Journal of the American Medical Association.
As long as patients are not the ones paying, they will feel no reason to demand access to the data that they give their providers in the first place.
As long as the government is paying, the government will demand providers and patients be accountable for the care that it is buying from providers.