What Makes Doctors Use Computers?: Discussion Paper

  • D. W. Young
Part of the Computers and Medicine book series (C+M)

Abstract

“What is the cause of this state of under achievement [implementation of clinical computing systems] when the need is so great and the technology so powerful?” asked Barnett & Greenes in 1969. This question has continued to be asked. Of 32 systems in clinical medicine surveyed in 1977, half had been abandoned or temporarily stopped and only 19% were used routinely (Friedman & Gustafson 1977). Enormous numbers of diagnostic systems have been developed (Wardle & Wardle 1978), yet the dissemination of any single system is limited.

Keywords

Beach Stake 

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References

  1. [1]
    Anderson J G, Gray-Toft P, Lloyd F P & Jay S J (1981) In: Proceedings 5th Annual Symposium on Computers in Health Care. Ed. S J Heffernon. IEEE Computer Society Publications, Long Beach, California; pp 791–796Google Scholar
  2. [2]
    Barnett G O & Greenes R A (1969) Annals of the New York Academy of Sciences 161, 756–768PubMedCrossRefGoogle Scholar
  3. [3]
    Blackburn J P (1981) Journal of the Royal Society of Medicine 74, 644–645PubMedGoogle Scholar
  4. [4]
    Bush I E (1979) Perspectives in Biology and Medicine 22, 600–620PubMedGoogle Scholar
  5. [5]
    Bush I E (1981) In: Proceedings 5th Annual Symposium on Computers in Health Care. Ed. S J Heffernon, IEEE Computer Society Publications, Long Beach, California; pp 5–13Google Scholar
  6. [6]
    Collen M F, Von Brunt E E & Davis L S (1976) Medical Informatics 1, 47–53CrossRefGoogle Scholar
  7. [7]
    Dowling A F (1980) Health Care Management Review 5, 23–32PubMedGoogle Scholar
  8. [8]
    Fischer P J, Stratmann W C, Lundsgaarde H P & Steele D J (1980) In: Proceedings 4th Annual Symposium on Computers in Health Care, Ed. J T O’Neil, IEEE Computer Society Publications, Long Beach, California; pp 1722–1730Google Scholar
  9. [9]
    Friedmann R B & Gustafson D A (1977) Computers and Biomedical Research 10, 199–203CrossRefGoogle Scholar
  10. [10]
    Giebink G A & Hirst L L (1975) Computer Projects in Health Care. Health Administration Press, Ann Arbor, MichiganGoogle Scholar
  11. [11]
    Hanmer J C (1980) In: Proceedings 4th Annual Symposium on Computers in Health Care. Ed. J T O’Neil. IEEE Computer Society Publications, Long Beach, California; pp 1731–1736Google Scholar
  12. [12]
    Jackson T F (1980) In: Proceedings 4th Annual Symposium on Computers in Health Care. Ed. J T O’Neil. IEEE Computer Society Publications, Long Beach, California; pp 1715–1721Google Scholar
  13. [13]
    Jay S J & Anderson J G (1982) Journal of the Royal Society of Medicine 75, 303–305PubMedGoogle Scholar
  14. [14]
    Keer C P (1983) Journal of the American Medical Association 249, 2027–2028CrossRefGoogle Scholar
  15. [15]
    Lincoln T L (1983) Journal of the American Medical Association 249, 610–612PubMedCrossRefGoogle Scholar
  16. [16]
    Lindberg D A B (1979) The Development and Diffusion of a Medical Technology: Medical Information Systems in Medical Technology and the Health Care Systems. National Academy of Sciences, Washington, DCGoogle Scholar
  17. [17]
    Melhorn J M, Legler W K & Clarke G M (1979) Computers and Biomedical Research 12, 327–334PubMedCrossRefGoogle Scholar
  18. [18]
    Mishelevich D J, Hudson D G, Von Slyke D et al.(1980) In: Proceedings 4th Annual Symposium on Computers in Health Care. Ed. J T O’Neil. IEEE Computer Society Publications, Long Beach, California; pp 19–33Google Scholar
  19. [19]
    Sheppard L C & Kouchoukos N T (1976) Anesthesiology 45, 250 - 259PubMedCrossRefGoogle Scholar
  20. [20]
    Siegel J H, Cerra F B, Moody E A et al. (1980) Journal of Trauma 20 558–579PubMedCrossRefGoogle Scholar
  21. [21]
    Singer J, Sacks H S, Lucente F & Chalmers T C (1983) Journal of the American Medical Association 249, 1610 - 1614PubMedCrossRefGoogle Scholar
  22. [22]
    Startsman T S & Robinson R E (1972) Computers and Biomedical Research 5, 218–227PubMedCrossRefGoogle Scholar
  23. [23]
    Teach R L & Shortliffe E H (1981) Computers and Biomedical Research 14, 542–558PubMedCrossRefGoogle Scholar
  24. [24]
    Wardle A & Wardle L (1978) Methods of Information in Medicine 17, 15–28PubMedGoogle Scholar
  25. [25]
    Watson R J (1974) In: Medical Staff Response to a Medical Information System with Direct Physician-Computer Interface, Medinfo 74. Ed. J Anderson & J M Forsythe, North-Holland Publications, Oxford; pp 299–302Google Scholar

Copyright information

© Royal Society of Medicine 1984

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  • D. W. Young

There are no affiliations available

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