How Does a Physician Handle All the Data Produced by Sensors, Apps and Electronic Medical Records?

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The computer we have is not a digital computer, it's an analogue computer. Human beings are ideally suited for looking at complex challenges and identifying a solution. Human beings are probably least well suited for monitoring streams of data and looking for the outliers. That's what machines are good at.

So I would challenge the notion of the physician as the primary agent looking at the data. The primary agent looking at the data needs to be the machine. The machine that's operating against a rule set and can spot the exceptions. One of the challenges we have in medicine is we devote extraordinary resources to having people come in to the office just to see whether they're in control or not.

The notion that we ought to see patients every three months or every six months is silly. There are some patients who we need to see every three days and there are other patients who, if they are in good control and we're monitoring them, we could see them every three years, maybe not every three years but something reasonable and tailor the involvement with the health care system to the needs of that patient.

And to go back to the question you were asking, the Prima Rage has to be the machine that's filtering the data and teeing up the exceptions to somebody who can do something with it. Now once you've done that, it may be the mother who looks at the data and makes the first intervention.

 It might be the diabetes educator.  There have been a number of experiments using community pharmacists as the first line of treatment.  Really an endocrinologist who's highly trained to deal with challenging problems in diabetes should be able to spend his or her time doing exactly that, evaluating a challenging problem and coming up with a solution for the challenging problem, not doing the day to day, please take another two units of insulin.

That's beneath the training of an endocrinologist, it's cost inefficient for our system and it's not good care.