A large number of my clients are medical offices/facilities that I've been working with for years. Right now, the biggest push is electronic medical records. And let me tell you, it's a nightmare. All of the doctors that I work with are computer illiterate and have no desire to work with computers. But when you go with an EMR system, you're using computers front to back, for every single task. And they balk. It diminishes patient care because the doctors are more worried about making typos and clicking the right boxes, rather than paying attention to the patients. The EMR that the doctors wanted deployed at one particular office required a specific Toshiba tablet for the doctors to use. These things were $2,500 tablets,. And they stopped using them after a month. They hated them because, well firstly they're terrible tablets, and secondly the doctors have no idea how to use a computer. Computer illiteracy in the medical field is a very big problem. Medical workers especially are going to have to become more knowledgeable about computers. They're going to have to be more flexible, and they're going to have to be able to adapt. If you can send an email in Outlook, you can send an email in Thunderbird. Look for "Inbox" to see your messages, look for "Compose" or "Write" or something like that to write a message. It's not difficult. Same with word processors. If you know the basics of one, just look for those things in the other. They're there. With medical increasingly becoming an electronic only field, medical employees (including doctors) are going to have to learn how to adapt.
But not only is computer literacy a problem, but EMR companies are the epitome of vendor lock-in and control. They specialize in holding back features and charging you $10,000 for implementing something incredibly simple and common sense. Data portability is also nearly non-existent. Even with HL7, interacting with other EMRs (and Odin forbid you have to interact with another office or provider), it's still a mess.
The medical field is a mess. The promise of EMR is not being realized. Greed has already destroyed everything good that EMR was supposed usher in, and has instead made a complete and total disaster of the industry. There is no data portability. There is no go-to-one-doctor-and-have-records-easily-transferred-to-another. That's the last thing EMR developers want. Not to mention that everything is harder, slower, and prone to failure. If the power goes out, or the server is down, or if your internet connection is down (a problem with cloud-based EMRs) then you're nearly dead in the water. An office can't function anymore without these things.