An even more important question is how we define successful adoption - does this mean 50% of physicians are using EMRs? Does adoption of this scale indicate success if the EMRs are from 30+ vendors and the utilities don't communicate to each other readily?
Does successful adoption mean a 'killer app' is introduced that drives end-consumer (e-patient) adoption from 3% to 30% (or more?)
Good questions - no easy answer(s), but it's important we postulate solutions.
Continued advancement of patient independence and freedom to participate in the medical system depends upon quick, easy access to our medical data (via PHAs)- as well as the capability to add notes, share images, and send relevant info to current/future providers.
Unfortunately I haven't seen any fireworks marking a day of medical data freedom for e-patients yet, but we're well on the way.
A few good blog posts addressing the PHR development front:
- Bruce Friedman at Lab Soft News (quotes John Moore @ Chilmark Research, who believes Google and Microsoft's entry has "reignited" the market)
- WellingDigital (Australia)
- Luke Koupparis at OnMedica (UK)