Visual images, graphics, electrocardiograms, and x-ray films will soon be stored as part of the permanent record. By streamlining cumbersome paperwork, computerization is predicted to revolutionize ambulatory practices and allow physicians to spend more time with their patients. Despite the promise of computer use in clinic al records, its implementation has not been without difficulty. Training has also been an obstacle. Even though many medical students and young physicians have extensive experience using computer technology, there is little continuation of this experience in training years.
Many older physicians are reluctant to enter medical records directly into computers.
Cost, however, is one of the biggest obstacles to the complete integration of computers in office-based practices. Unless third-party payers are willing to subsidize some of the fixed costs associated with computer technology, many physicians will continue to use handwritten medical records, at potential risk to patients. The facts on the legibility of doctors' handwriting. Med J Aust . Smith WR, et al.