How do you get over the fact that you aren't allowed mobile phones in hospitals? That's why doctors have pagers instead of phones - pagers are passive devices. Heck, it's so strict I've seen visitors forcibly evicted for attempting to use them - understandable when they (allegedly) cause life support equipment to malfunction.
The one device that has caught on in the last year is the dictaphone - they all have them now. At one time they'd be writing notes as fast as they could... now they record it all in voice and have their secretaries transcribe it. Saves the notes being full of doctor's handwriting I guess.
General practice is even worse. Our local GP was told last year to shut down their online prescription ordering service (basically a CGI script as far as I could tell) and move to the 'brand new' government paid for one.. which failed horribly and rather expensively (surprise!).. and now only accept handwritten in-person applications.. they've gone backwards. They have lots of PCs (again, never seen a PDA) but it's basically an overpriced appointments system.
I'm not sure at all how the iphone could fit into that framework... appointments tends to be done at a desk.. getting results maybe? Problem with that is results are still 90% paper (and film) so someone would have to scan it all in. Notes are all paper and will continue to be for some years at the current rate (it takes a while to type in 50 million patient records, especially when you factor in government incompetence)...
Must be a UK thing.
Our hospitals typically are almost entirely electronic (no orders, notes, tests, results without computers). Our entire department has smartphones (palm OS mostly). We have tokens for home access. For hospital rounds having your labs updated on your PDA real time is nice (We used to write all these down in the morning and recheck later in the day). You have the most up to date info as you walk in a room. We have laptops at each bed in our ICUs for vitals and orders. They are not 386s and are pretty nice for PCs, but none are Macs.
I haven't seen a paper lab sheet in ~10 years. Our films have been digital for 5-6. Even the rural hospitals that refer to us in AL usually send CDs w/ images (not film).
I'm really surprised, I always figured a more socialized environment like the UK would make better use of information technology. Our government systems were great years ago (having seen military and VA systems).
On another note:
Epocrates supposedly was going to make an iPhone package. I e-mailed them June of last year
I'll wait on this to convert to iPhone. I'll bet it is available at launch as they support web access, win mobile and palm already.
This has to be a huge industry. Apple will sell a lot of iPhones to hospitals as the display and interface will allow a better experience, provided the software gets there.