Why don’t Indian doctors use medical software programs for practise …

Why don’t Indian doctors use medical software programs for practise management ? Technology infiltrated medicine a long time ago . Doctors are quite savvy and are happy to use advanced technology to improve patient care. Today, all the imaging specialties use computer hardware and imaging processing software routinely . So why don’t doctors use EMRs and practise management software routinely to take care of their patients ? Isn’t it sad that while hotels use specialised software programs routinely to provide hospitality to their customers, most hospitals are still stuck in the pen and paper stage – forget about individual clinics and doctors. In fact, most doctors use their PC just for word processing and sending email – which means that this powerful electronic brain sitting on their desktop is very poorly utilised. This is what Aditya Patkar, Marketing Director of Plus91, has to say about why medical software never caught on in India so far. The earlier generation of medical practise management software programs suffered from the following defects. 1. Unfriendly and complicated user interfaces: Programming languages were hard to master , and doctors had to hire programmers to write the programs for them. Because doctors are not workflow experts, the software was often designed badly and was unnecessarily complicated. The programs dictated rigid work flows and telling doctors what to do has never worked well ! 2. Large learning curves: Doctors are busy people and don’t really have time to learn how to use a program – especially if it is complicated or not designed to match the doctor’s work flow 3. Complex system requirements: The software worked well only on high end PCs . These were expensive and doctors were not willing to make this investment. 4. Very narrow capability: The software was so specialised and did such specific tasks , that it required two separate programs to manage the clinic ! For example, one program did appointment scheduling only and the doctor needed to buy another program for billing or for writing prescriptions ! 5. The programs were expensive. Because the market was limited ( not many doctors owned a PC), it was not possible to sell many copies of the program. However, the development costs needed to be recovered, which is why the programs were very expensive and not cost effective. 6. Uneducated staff. The administrative modules of the software had to be used by the clinic staff. Often, they were not clever enough to use the software properly – and without training, most of them preferred to abandon it and go back to using paper and ink. They would then bad-mouth the program to the doctor, claiming it was user-unfriendly. 7. Lack of portability; The programs ran only on desktop PCs and LANs, which meant that when doctors needed to travel from clinic to clinic, they could not carry their programs with them on their laptops. 8. Poor customer support. Doctors were never willing to invest in high end products, as a result of which the companies were often forced to skimp and cut corners. They were unable to hand-hold the doctor or his staff, and could never provide adequate training or after sales support, beause of wafer-thin profit margins. As a result, many software companies were forced to shut down , leaving the poor doctor high and dry – and with an unhappy opinion of the software industry as a whole! 9. Poor profitability because of poor sales .It was always hard for the software companies to scale up and become profitable because providing sales and support was expensive and involved travelling and troubleshooting in the doctor’s clinic. Today , thanks to the internet, it’s now possible to provide demos, videos and help online. This saves the dctor’s time and also allows the company to provide effective customer support inexpensively , efficiently and effectively ! 10. Bad word of mouth. Because so many doctors burnt their fingers buying programs which never worked well, many of them simply gave up on the practise management packages. ,

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