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Invited Commentary
Mar 11, 2013

From “Pull” to “Push”: A Transformation in MedicineComment on “Participatory Surveillance of Hypoglycemia and Harms in an Online Social Network”

Author Affiliations

Author Affiliation: Division of Endocrinology and Metabolism, University of California, San Francisco.

JAMA Intern Med. 2013;173(5):352-353. doi:10.1001/jamainternmed.2013.3442

Consider the words we use to describe what a physician does when she or he sits across from a patient to perform a history. Take. Obtain. Elicit. These words all conjure images of physicians extracting information from patients. We pull information not just from our patients but also from our information systems, calling up vital signs and laboratory results when we want them, on our time and our terms. However, this is rapidly changing, as information will be coming to us from the patients themselves to create “push” medicine. Are we ready? Not yet, but with some pivoting and some preparation, we can be.

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