Impact of a computer-based patient record system on data collection, knowledge organization, and reasoning.
J Am Med Inform Assoc
; 7(6): 569-85, 2000.
Article
em En
| MEDLINE
| ID: mdl-11062231
ABSTRACT
OBJECTIVE:
To assess the effects of a computer-based patient record system on human cognition. Computer-based patient record systems can be considered "cognitive artifacts," which shape the way in which health care workers obtain, organize, and reason with knowledge.DESIGN:
Study 1 compared physicians' organization of clinical information in paper-based and computer-based patient records in a diabetes clinic. Study 2 extended the first study to include analysis of doctor-patient-computer interactions, which were recorded on video in their entirety. In Study 3, physicians' interactions with computer-based records were followed through interviews and automatic logging of cases entered in the computer-based patient record.RESULTS:
Results indicate that exposure to the computer-based patient record was associated with changes in physicians' information gathering and reasoning strategies. Differences were found in the content and organization of information, with paper records having a narrative structure, while the computer-based records were organized into discrete items of information. The differences in knowledge organization had an effect on data gathering strategies, where the nature of doctor-patient dialogue was influenced by the structure of the computer-based patient record system.CONCLUSION:
Technology has a profound influence in shaping cognitive behavior, and the potential effects of cognition on technology design needs to be explored.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Médicos
/
Sistemas Computadorizados de Registros Médicos
/
Cognição
/
Gestão da Informação
Tipo de estudo:
Qualitative_research
Limite:
Humans
Idioma:
En
Revista:
J Am Med Inform Assoc
Assunto da revista:
INFORMATICA MEDICA
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Canadá