this post was submitted on 14 Nov 2024
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I'll admit, I'm pretty frustrated right now lol. me and my doctor have been trying to submit a referral to a specialist but for the last several weeks, when i call them, they still haven't gotten it yet. they told me it's because they only have one fax machine so it refuses any incoming faxes if it's in the middle of printing a different one.

my problem is, why haven't we come up with a more modern and secure way of sending medical files?!?! am i crazy for thinking this is a super unprofessional and unnecessary barrier to care?

luckily I'm mobile enough to drive a physical copy to their location, but not everybody who needs to see this type of doctor can do that, nor should they have to.

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[–] cheers_queers@lemm.ee 13 points 1 week ago (4 children)

this makes no sense to me when patient portals exist. why isn't there a provider portal that can handle sending medical info back and forth? I can see all my medical details online already.

[–] halcyoncmdr@lemmy.world 7 points 1 week ago (1 children)

See, you're thinking 21st century, but this is both a healthcare management technology and a government regulation issue, so you're 2 centuries too new. We need to go back to 1843 with the electric printing telegraph, which used pendulums and electric signals to scan images and send them over telegraph wires. That's where healthcare technology regulations stopped.

[–] 4am@lemm.ee 5 points 1 week ago* (last edited 1 week ago) (2 children)

That is patently false. Encrypted email and patient portals are absolutely allowed under regulation.

What you have here is a practice that has probably been in operation since the 80s or before, and they refuse to change their ways.

[–] BearOfaTime@lemm.ee 4 points 1 week ago

Well before.

And "refuse to change their ways" - are you going to underwrite the project to implement a transition and hold all the liability for the risks?

Its not like changing systems is just a click of a button, this is an extensive project, that you better get right or you're dealing with records going the wrong way, potentially having serious life and safety implications.

Plus, you have to maintain this legacy fax system because not everyone else has migrated to something new. So for the remainder of your career, it still doesn't go away, and you'll have to continue to pay for its maintenance.

Companies have systems they've built up over years, that works. They'll move forward as it makes fiscal sense.

[–] halcyoncmdr@lemmy.world 2 points 1 week ago

I never claimed that email or patient portals weren't allowed.

[–] Num10ck@lemmy.world 1 points 1 week ago

because the referring physicians refuse to log into multiple systems and the providers refuse to log into multiple systems and theres no universal trusted system.

[–] TORFdot0@lemmy.world 1 points 1 week ago (1 children)

Providers have a market incentive to provide the most convenient experience to their patients. The market incentive does not exist for sending information to other providers so they will take the path of least resistance to be compliant with regulation

[–] cheers_queers@lemm.ee 2 points 1 week ago (1 children)

read my post again. this is a provider that is probably losing business because people can't get their referral in to see them unless they walk it through the door themselves. how is that convenient?

[–] King_Bob_IV@startrek.website 2 points 1 week ago

I have never seen a specialist without a giant wait-list. These providers tend to have too many patients so they have a negative incentive for trying to make it easier to reach them.

[–] Killn1@lemmy.world 1 points 1 week ago* (last edited 1 week ago)

m banks into a fax server. So all the same fundamental comm tech (so fully backwards-compatible), but a better solution for the company with that infrastructure. Such a company has little motivation to completely change to something new, since they’d have to retain this for anyone that hasn’t switched. Chicken-and-egg problem, that’s slowly moving forward.

Thats the thing. Most if not all insurance companies HAVE provider portals. They cannot get rid of fax until every mom and pop clinic, dentist office, and hospital use these portals.

Example of a Provider Portal: https://www.floridablue.com/providers https://healthy.kaiserpermanente.org/northern-california/community-providers/claims