Department of Anesthesiology, Division of Critical Care, Vanderbilt University Medical Center, 1211 21st Avenue South, MAB 422F, Nashville, TN, 37232, USA.
Department of Pediatrics, Division of Hospital Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
J Med Syst. 2017 Nov 25;42(1):9. doi: 10.1007/s10916-017-0870-9.
Electronic communication is a topic that applies broadly to the professional activities of every physician and the pager has been the gold standard of communication for decades. We believe that this is a dated technology that is holding clinicians back from better, more efficient alternatives, particularly smartphones. In this manuscript, we examine the paradoxical reliance on pagers in academic medicine, at a time when the use of smartphones and text messaging is the subject of intense scrutiny with respect to its standing under the Health Insurance Portability and Accountability Act (HIPAA). We provide previously unreported data regarding the electronic communication practices of academic medical centers in the United States, which we obtained through a survey of Designated Institutional Officials. These data highlight both the controversy around text messaging and HIPAA and a puzzling widespread reliance on pagers as an alternative.
电子通信是一个广泛适用于每位医生的专业活动的话题，寻呼机几十年来一直是通信的黄金标准。我们认为，这是一种过时的技术，它阻碍了临床医生采用更好、更高效的替代方案，尤其是智能手机。在本文中，我们研究了在学术医学中对寻呼机的矛盾依赖，而此时，使用智能手机和短信在《健康保险流通与责任法案》（HIPAA）方面的地位受到了强烈审查。我们提供了以前未报告的关于美国学术医疗中心电子通信实践的数据，这些数据是通过对指定机构官员的调查获得的。这些数据突出了围绕短信和 HIPAA 的争议，以及令人费解的广泛依赖寻呼机作为替代方案的现象。
