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Copyright (c) 2002 Saint Louis University School of Law
Saint Louis University Law Journal

SYMPOSIUM: ON BEING A PHYSICIAN IN THE ELECTRONIC AGE: PEERING INTO THE MISTS AT POINT-&-CLICK MEDICINE

Winter, 2002

46 St. Louis L.J. 111

Author

ARNOLD J. ROSOFF*

Excerpt



I. Introduction
 
Here, in the wee morning hours of the third millennium, we face the dawn of a new world of health care delivery. It is a world electric in its dynamism and capacity for change. It is also a world that is heavily electronic, that is, grounded upon the widespread use of computers, electronic information and communication technology. Saint Louis University's 13th Annual Health Law Symposium, held in April of 2001, addressed a range of issues that this new environment will raise, including the ethics of e-medicine, the legal framework for borderless medicine and the balancing of public and private interests in health information.

Drawing upon my presentation at that Symposium, this Article focuses on two related developments - the use of Clinical Decision Support Systems and the growing practice of "e-prescribing" - that will affect in a fundamental way how physicians perform their traditional functions of diagnosing and treating patients. The electronic era will bring profound changes in the art and science of being a physician as well as changes in the relationships physicians have with their patients and other parties in the health care system. In fact, massive changes have already taken place, and continue to take place in health care, quite apart from the e-aspects addressed here. Managed care and related pressures forcing cost consciousness, integrated delivery systems, the corporatization of health care providers and the evolution of new team and organizational approaches to health care delivery have already moved ...
 
 
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