Open-Source Health Care Software

It’s a great read and critical viewpoint. To view the full article, please visit Open-Source Healthcare Software.

Key Quotes:

  • -“Unlike devices and services, most medical software is not regulated, placing the burden of safe and effective use on the physician.”
  • -“Despite the obvious benefits, open-source software is still rare in medical practice because, as with music and other information-based products, it is easy to copy.”
  • -“As medical software begins to offer decision support, risk management, performance rating, and analytic features, physicians should not accept black boxes and secret formulas that constrain sharing and intimately affect patient care and remuneration.”
  • -“Software creators will not switch to producing open-source products voluntarily because they stand to lose money by doing so. Only physicians can drive this change, and this paper describes the reasons why doing so is important to our profession and our patients.”
  • -“The Direct Project hosted by the Department of Health and Human Services is open-source software for secure e-mail to replace the fax as the primary means of communication between practices and even with patients. Direct Project has many unique features as a result of its noncommercial open-source design, including universal addressing that is not tied to a particular vendor or institution. Universal addressing, like modern e-mail, does not restrict communications to members of a particular exchange.”
  • -“Open-source software offers the same benefits in medicine as it does in other fields. These include ethical advantages, access, innovation, cost, interoperability, integration, and safety.”
  • -“As physician income becomes increasingly tied to patient outcomes and dependent on coordination of care, lack of interoperability, integration, and standardization has begun to impact clinical practice. It is hardly surprising that interoperability and integration costs related to proprietary health care software are extremely high and that the true value of health care services is difficult to measure and compare.”
  • -“The broad ability of users to adopt and improve software creates diverse, global communities on the Internet with significant incentive to help each other.”
  • -“Proprietary software puts the physician at the mercy of the vendor, who is often more interested in acquiring new customers than serving locked-in customers”