"In the beginning of a change, the patriot is a scarce man, and brave, and
hated and scorned. When his cause succeeds, the timid join him, for then it
costs nothing to be a patriot." Mark Twain

Physician resistance to CHANGE is often underestimated. Harvard Business
Review, in the 80's published a classic on how change occurs. 

"Before change can take place key organization members who are to adopt new
attitudes and behavior must be dissatisfied with the status quo. This
"dissatisfaction" with the status quo must be sufficiently deep that they
have begun to feel a loss of confidence in themselves and their
organization.  "Dissatisfaction" that leads to such loss of confidence is
essential because it is the source of energy or motivation for the change
and major organizational change requires an enormous amount of energy." 

A few years ago (1978), I visited a physicians office who had the "very best
medical billing system." This practice was operating with magnetic cards and
the physician thought I was crazy using a disk based system - never mind his
program cost more than the disk based system.

Suffice it to say I know of no group more opposed to shifts in the status
quo. In 1987, because of alleged "flawed statistics", the AMA and AHA
managed to kill the Medicare Hospital Statistical report - later validated
by IOM. When presented with change, our first response is often spend a lot
of energy trying to prove the "old way" is better and the system "ain't
broke." 

Present company excepted - of course.

thurman



> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Thursday, June 16, 2005 10:30 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Human factors (was: 20th century)
> 
> I don't disagree, but people won't use a tehnology because the only
> alternative is paper. We still need to ask how we can make the software
> usable (and useful) for health care professionals, and then produce
> software that meets their needs. If a product is painful to use, people
> will avoid using it, no matter how logical the arguments you or I can
> muster as to why they "should" use it might seem.
> 
> --- Ruben Safir <[EMAIL PROTECTED]> wrote:
> >
> > Generally the systems that have been built are not good.  But,
> > nothing
> > is worse than paper and the medication error rates and the billions
> > of
> > dollars in costs due to injury make that crystal clear.
> >
> > Ruben
> >
> 
> 
> "The most profound technologies are those that disappear."
> --Mark Weiser
> 
> ====
> Greg Woodhouse
> [EMAIL PROTECTED]
> [EMAIL PROTECTED]
> 
> 
> 
> 
> 
> 
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