FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 332:52-54 January 5, 1995 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Despite the perils of predicting the future of our health care system, many people have weighed in on how they expect the delivery of care to evolve. Such predictions are usually based on the conspicuous trend toward industrial-size delivery networks involving large populations enrolled in managed-care plans, vertically integrated medical center conglomerates, and a few giant insurance companies.^1,2,3 In my view, several subtle trends will have a profound influence on the delivery of health care: the rapid growth of computer-based electronic communication, the fact that a new generation is increasingly comfortable with the electronic transfer of information, and the shift . . . [Full Text of this Article]

References

Related Letters:

The Next Transformation in the Delivery of Health Care
Orvell B., Rockefeller R. G., Price R. B., Reynolds J. T., Kassirer J. P.
Extract | Full Text  
N Engl J Med 1995; 332:1099-1100, Apr 20, 1995. Correspondence

This article has been cited by other articles:

• Stalberg, P., Yeh, M., Ketteridge, G., Delbridge, H., Delbridge, L. (2008). E-mail Access and Improved Communication Between Patient and Surgeon. Arch Surg 143: 164-168 [Abstract] [Full Text]  
• Henry, M S (2006). Uncertainty, responsibility, and the evolution of the physician/patient relationship.. J. Med. Ethics 32: 321-323 [Abstract] [Full Text]  
• Podichetty, V K, Booher, J, Whitfield, M, Biscup, R S (2006). Assessment of internet use and effects among healthcare professionals: a cross sectional survey.. Postgrad. Med. J. 82: 274-279 [Abstract] [Full Text]  
• Baker, L., Rideout, J., Gertler, P., Raube, K. (2005). Effect of an Internet-Based System for Doctor-Patient Communication on Health Care Spending. J. Am. Med. Inform. Assoc. 12: 530-536 [Abstract] [Full Text]  
• Woolf, S. H., Chan, E. C.Y., Harris, R., Sheridan, S. L., Braddock, C. H. III, Kaplan, R. M., Krist, A., O'Connor, A. M., Tunis, S. (2005). Promoting Informed Choice: Transforming Health Care To Dispense Knowledge for Decision Making. ANN INTERN MED 143: 293-300 [Abstract] [Full Text]  
• Anand, S. G., Feldman, M. J., Geller, D. S., Bisbee, A., Bauchner, H. (2005). A Content Analysis of E-mail Communication Between Primary Care Providers and Parents. Pediatrics 115: 1283-1288 [Abstract] [Full Text]  
• Baker, L., Wagner, T. H., Singer, S., Bundorf, M. K. (2003). Use of the Internet and E-mail for Health Care Information: Results From a National Survey. JAMA 289: 2400-2406 [Abstract] [Full Text]  
• van Woerkum, C. M. (2003). The Internet and primary care physicians: coping with different expectations. Am. J. Clin. Nutr. 77: 1016S-1018 [Abstract] [Full Text]  
• Adams, W. G., Mann, A. M., Bauchner, H. (2003). Use of an Electronic Medical Record Improves the Quality of Urban Pediatric Primary Care. Pediatrics 111: 626-632 [Abstract] [Full Text]  
• Tsunehara, S. T., Gaster, B. (2002). A Critical Assessment of Diabetes Information on the Internet. The Diabetes Educator 28: 186-195  
• VandeKieft, G. K., Ogle, K. S., Wang, T. (2001). Internet resources for end-of-life care. AM J HOSP PALLIAT CARE 18: 313-320 [Abstract]  
• DeAngelis, C., Feigin, R., DeWitt, T., First, L. R., Jewett, E. A., Kelch, R., Mulvey, H. J., Alden, E. R., Simon, J. L., Chesney, R. W., The FOPE II Workforce Workgroup, (2000). Final Report of the FOPE II Pediatric Workforce Workgroup. Pediatrics 106: 1245e-1245 [Abstract] [Full Text]  
• Mabrey, J. D. (2000). The Emerging Impact of the Information Age on Orthopaedic Surgery* : Electronic Resources for the Orthopaedic Surgeon. JBJS 82: 1494-1494 [Full Text]  
• Pandolfini, C., Impicciatore, P., Bonati, M. (2000). Parents on the Web: Risks for Quality Management of Cough in Children. Pediatrics 105: e1-e1 [Abstract] [Full Text]  
• (2000). The Future of Pediatric Education II: Organizing Pediatric Education to Meet the Needs of Infants, Children, Adolescents, and Young Adults in the 21st Century. Pediatrics 105: 163-212 [Full Text]  
• Miyake, K., Ota, I., Miyake, S., Tanioka, K., Kubota, M., Mochizuki, R. (1999). Application of a Newly Developed, Highly Sensitive Camera and a 3-Dimensional High-Definition Television System in Experimental Ophthalmic Surgeries. Arch Ophthalmol 117: 1623-1629 [Abstract] [Full Text]  
• Armstrong, K., Schwartz, J. S., Asch, D. A. (1999). Direct Sale of Sildenafil (Viagra) to Consumers over the Internet. NEJM 341: 1389-1392 [Full Text]  
• Kazis, L. E., Ren, X. S., Lee, A., Skinner, K., Rogers, W., Clark, J., Miller, D. R. (1999). Health Status in VA Patients: Results from the Veterans Health Study. American Journal of Medical Quality 14: 28-38 [Abstract]  
• McLeod, S. D. (1998). The Quality of Medical Information on the Internet: A New Public Health Concern. Arch Ophthalmol 116: 1663-1665 [Full Text]  
• Coelho, P. C. (1998). The Internet: Increasing Information, Decreasing Certainty. JAMA 280: 1454-1454 [Full Text]  
• Eitel, D. R., Yankowitz, J., Ely, J. W. (1998). Use of Internet Technology by Obstetricians and Family Physicians. JAMA 280: 1306-1307 [Full Text]  
• Licciardone, J. C., Herron, K. M., Clark, A. J., Squires, D. (1998). Clinic-Based Health Information Web Site for International Travelers. JAMA 280: 1310-1310 [Full Text]  
• Borowitz, S. M., Wyatt, J. C. (1998). The Origin, Content, and Workload of E-mail Consultations. JAMA 280: 1321-1324 [Abstract] [Full Text]  
• Spielberg, A. R. (1998). On Call and Online: Sociohistorical, Legal, and Ethical Implications of E-mail for the Patient-Physician Relationship. JAMA 280: 1353-1359 [Abstract] [Full Text]  
• Robinson, T. N., Patrick, K., Eng, T. R., Gustafson, D., for the Science Panel on Interactive Communication, (1998). An Evidence-Based Approach to Interactive Health Communication: A Challenge to Medicine in the Information Age. JAMA 280: 1264-1269 [Abstract] [Full Text]  
• Towle, A. (1998). Continuing medical education: Changes in health care and continuing medical education for the 21st century. BMJ 316: 301-304 [Full Text]  
• Winker, M. A., Silberg, W. M. (1998). Computers, the Internet, and the Practice of Medicine: A Call for Papers. JAMA 279: 66-66 [Full Text]  
• Kassirer, J. P. (1997). Practicing Medicine without a License -- The New Intrusions by Congress. NEJM 336: 1747-1747 [Full Text]  
• Lorenzi, N. M., Riley, R. T., Blyth, A. J. C., Southon, G., Dixon, B. J. (1997). Antecedents of the People and Organizational Aspects of Medical Informatics: Review of the Literature. J. Am. Med. Inform. Assoc. 4: 79-93 [Abstract] [Full Text]  
• Rivo, M. L., Kindig, D. A. (1996). A Report Card on the Physician Work Force in the United States. NEJM 334: 892-896 [Full Text]  
• Woodward, B. (1995). The Computer-Based Patient Record and Confidentiality. NEJM 333: 1419-1422 [Full Text]  
• Lief, P. D., Watson, C. B., Wiviott, L. D., Gardner, J. D., Barbarash, R. A., Goldwein, J. W., Benjamin, I., Godard, P., Godard, M., Finegold, L., Pignone, M., Kassirer, J. P., Angell, M. (1995). The Internet and the Journal. NEJM 333: 1077-1080 [Full Text]  
• Harris, R., Harris, H. J (1995). Primary care for patients at genetic risk. BMJ 311: 579-580 [Full Text]  
• Kassirer, J. P., Angell, M. (1995). The Internet and the Journal. NEJM 332: 1709-1710 [Full Text]  
• Orvell, B., Rockefeller, R. G., Price, R. B., Reynolds, J. T., Kassirer, J. P. (1995). The Next Transformation in the Delivery of Health Care. NEJM 332: 1099-1100 [Full Text]