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PROLOGUE
The Promises And Pitfalls Of Health Information Technology
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Successful innovators leave no doubt that health information technology (IT) can have a dramatic impact on care, despite the challenges of implementation and adoption. The papers in the sections that follow describe efforts all along the continuum from large health care organizations to small independent physician practices.
Catherine Chen and colleagues document how adoption in Hawaii of Kaiser Permanentes new comprehensive electronic health record (EHR) system—complete with secure e-mail messaging and "e-visits" between physicians and patients—has reduced enrollees old-fashioned office visits for primary care by more than 25 percent in four years. Next, Anna-Lisa Silvestre and colleagues report survey results . . . [Full Text of this Article]

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