When will smaller medical groups discover computers?

Competitive pressures are leading many smaller group practices to take a long, hard look at investing more heavily in computer hardware and software, especially electronic patient records systems. These smaller group practices find it difficult to locate reliable information, identify someone to lead the automation effort and generate the cash to pay for the technology they need.     

The paperless business office

Many providers are launching a variety of initiatives with the intent of eliminating paper in the business offices, thus streamlining operations and cutting costs. While there are some encouraging signs of progress, plenty of roadblocks still exist that will make such a transition difficult. Key technologies involved include EDI, the Internet, document imaging, COLD technology and automated dialers.     

Health Data Management top 10 special report

The top 10 health care information technology companies control only about 30% of the software market. Because these leading companies do not yet dominate the market, observers predict vendors will continue to consolidate. In this in-depth special report, Health Data Management profiles the 10 leading companies, ranked on their 1996 revenues. Each corporate profile offers insights from top company executives about their strategies, as well as comments from stock analysts.     

Managed care. The right degree of separation

An integrated delivery system in California grants its managed care plan some autonomy. The result is targeted information systems solutions.     

Giant squamous cell carcinoma of the hand: Epithelioma cuniculatum — A case report

We report a case of a giant squamous cell carcinoma of the hand. It demonstrates the natural history of a neglected well differentiated squamous cell tumour in this site. It resembles the epithelioma cuniculatum variant of squamous cell carcinoma, previously described as being peculiar to the foot. Correspondence to: Mr. C. McCormack.