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President Bush strongly favors more use of health information technology. Academic medical centers like NewYork-Presbyterian have considerable experience with electronic records. But the toughest challenge may be a human one: Bills to speed the adoption of information technology by hospitals and doctors have passed both chambers of Congress.

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Liss, of NewYork-Presbyterian, said that when unauthorized people tried to gain access to electronic medical records, hospital computers were programmed to ask them to explain why they were seeking the information. Advocates of such legislation, including Representative Joe L.

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Still, worries linger across the health care system. Cathy Schoen, a senior researcher at the Commonwealth Fund, a nonprofit foundation, said primary-care doctors in the United States were far less likely than doctors in other industrialized countries to use electronic records. Only one in four doctors used electronic health records in , according to a recent study by researchers at Massachusetts General Hospital and George Washington University, and fewer than 1 in 10 doctors used the technology for important tasks like prescribing drugs, ordering tests and making treatment decisions.

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In Britain, 89 percent of doctors use them, according to a recent report in the online edition of the journal Health Affairs; in the Netherlands, 98 percent do. What about the Social Security numbers on my employee insurance, as well as the identity threat now appearing in health care? Bills to speed the adoption of information technology by hospitals and doctors have passed both chambers of Congress.

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Academic medical centers like NewYork-Presbyterian have considerable experience with electronic records. Only one in four doctors used electronic health records in , according to a recent study by researchers at Massachusetts General Hospital and George Washington University, and fewer than 1 in 10 doctors used the technology for important tasks like prescribing drugs, ordering tests and making treatment decisions.

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Bosworth said in a statement. And just last September, the New York City public hospital system said that dozens of workers at one of its Brooklyn medical centers, including doctors and nurses, technicians and clerks, had improperly looked at the computerized medical records of Nixzmary Brown, a 7-year-old who prosecutors say was beaten to death by her stepfather last winter.

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Democrats, however, have made it clear that they are determined to address the issue of medical-records privacy once they take command of both houses of Congress next month. Only one in four doctors used electronic health records in , according to a recent study by researchers at Massachusetts General Hospital and George Washington University, and fewer than 1 in 10 doctors used the technology for important tasks like prescribing drugs, ordering tests and making treatment decisions. Critics say that it would not be unusual in some companies for the same supervisor to be in charge both of insurance claims and of hiring and firing decisions; this could allow companies to comb their ranks for people with expensive illnesses and find some reason to fire them as a way to keep health costs under control.

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Academic medical centers like NewYork-Presbyterian have considerable experience with electronic records. Liss said, the computer warns electronic intruders:

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