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Longitudinal Medical Case Study Summary

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There were several challenges posed by medical practitioners under PHS’s Longitudinal Medical Record (LMR)/ Computerized Patient Order Entry (CPOE).
1) Only two third of the doctors were formally associated with PHS where as one third of the doctors were used to run their local offices and even those doctors which were formally associated with PHS were used to see their patients outside hospitals.
2) Local Doctors lacked IT infrastructure to support LMR and CPOE systems.
3) Doctors were technophobic and were afraid to use computer systems for they believed in writing prescription and considered handwritten prescriptions to be easier.
4) Cost factor – Cost of implementing LMR/CPOE in a physician’s office was huge. It was nearly $40,000 per doctor.

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