Knowledge Coupling discusses the premises upon which the coupling of knowledge to every action is based in the practice of medicine, as well as why these premises must change. In concrete terms, the volume explores the methods of structuring and using medical knowledge and medical records that enables implementation of new premises; it sets forth a specific approach to use of the computer. The work examines the new roles and skills that will be demanded of both patients and health care providers within the system based on these new premises. The author takes into account the broad implications of his philosophy for the social, economic, educational, and political structuring of the health care system.

Knowledge Coupling: New Premises and New Tools for Medical Care and Education (Health Informatics)

Computers & Technology

Weed, Lawrence L.

Programming

Springer

Medical Records, Medical Education and Patient Care

Medical records, medical education, and patient care;: The problem-oriented record as a basic tool

Medical Books

Administration & Medicine Economics

Press of Case Western Reserve

Deep disorder pervades medical practice. Disguised in euphemisms like “clinical judgment” and “evidence-based medicine,” disorder exists because medical practice lacks a true system of care. The missing system has two core elements: standards of care for managing clinical information, and electronic information tools designed to implement those standards. Electronic information tools are now widely discussed, but the necessary standards of care are still widely ignored. Because these two elements are external to the physician’s mind, they address a root cause of disorder: dependence on the internal capacities of autonomous physicians—their personal knowledge, intellect, habits and judgment. In this dependence on the limited, idiosyncratic capacities of individuals, medical practice lags centuries behind the domains of science and commerce. Breaking that dependence is the subject of this book. Going back 400 years to the philosophy of Francis Bacon, and examining parallel ideas from 20th Century thinkers, this book illuminates the origin of medicine’s disorder. The analysis is more than theoretical. It grew out of decades of development and clinical experience in finding a new approach to medical practice. Designed to create order and transparency, this new approach involves not only standards and tools but also institutional changes essential to building a true system of care. In the current non-system, physicians bear impossible burdens of performance, other practitioners are barred from sharing those burdens, patients do not participate effectively in their own care, the U.S. spends $2.5 trillion annually without clinical accounting standards, third parties manipulate the situation for their own advantage, and none of the stakeholders are accountable for their own behaviors. This book offers a clear blueprint for building a better system of care, a system that patients, practitioners and third parties could trust. A better system could make health care a source of hope for our economic future, rather than its greatest threat.

Medicine in Denial

Weed, Lincoln

CreateSpace Independent Publishing Platform

Ending Medicine’s Chronic Dysfunction: Tools and Standards for Medical Decision Making (Synthesis Lectures on Assistive, Rehabilitative, and Health-Preserving Technologies)

Health, Fitness & Dieting

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Books by Weed, Lawrence L.