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Medical diagnostics suffering from the same thing as I.T. Consulting?
By Andrew Pollack on 04/11/2004 at 08:08 AM EDTAn article in the Houston Chronical on April 10th talks about how with medicine becoming so reliant on diagnostic tests and risk factors that doctors and specialists have become very interchangeable and much of the time diagnosis is made not based on a relationship with the patient but on risk factors and test results. As a result, the quality of care may be dropping. The author cites a huge percentage of cardiac cases with no history or risk factors. In his own anecdotal case, he was mis-diagnosed by his own health care providers and saved through a chance conversation with a friend who happened to be a cardiologist and though their relationship understood how the symptoms related to the person.
Am I the only one who sees a similarity in the world we (as small shop consultants) do in comparison to the large I.T. consultancies? I know that when several Penumbra members discuss an issue at one of our clients, each brings to the table as many questions about the type of environment as about the details of the problem. A great deal of problem diagnostics has to do with understanding the context in which the problem is found.
The large shops, the outsourced contractors half a world and 12 time zones away treat I.T. problems in a generic sense but they'll never offer the level of understanding a long standing local relationship can bring.
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