The contextual nature of medical information
The contextual nature of medical information
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DOI：
10.1016/s1386-5056(99)00041-6
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发表时间：
1999-12-01
影响因子：
4.9
通讯作者：
Goorman, E
中科院分区：
文献类型：
--
作者：
Berg, M;Goorman, E
成功的医疗保健信息系统设计始于对系统运行的实践的透彻理解。本文从社会学的角度讨论了“医疗信息”的本质，重点讨论了初级卫生保健数据用于研究和管理等次要目的的可能性。在大多数关于电子生产记录的文献中，这种二次利用仅被视为取决于信息技术连接是否到位的问题。然后，这只是一个选择传输哪些信息以及传输到何处的问题。在这篇文章中，我们认为这种医学信息的观点是错误的。信息应该被概念化，因为它总是与其生产的背景纠缠在一起。将信息从其生产背景中分离出来是可能的，但这需要工作。我们提出了以下“医学信息定律”：信息必须能够传播得越多（即它必须在更多样化的背景下使用），就需要更多的工作来将信息从其生产的背景中分离出来。接下来的问题是：谁必须做这项工作，谁从中受益？(C)1999爱思唯尔科学爱尔兰有限公司保留所有权利。
Successful design of information systems in health care starts with a thorough understanding of the practices in which the systems are to function. In this paper, we discuss the nature of 'medical information' from a sociological perspective, We focus on the (im)possibilities of the utilization of primary health care data for secondary purposes such as research and administration. In much of the literature on EPRs, this secondary utilization is only seen to depend on the question whether the IT connections are in place. It is then simply a matter of selecting which information to transport and to where. In this article, we argue that this view of medical information is mistaken. Information should be conceptualized as always entangled with the context of its production. The disentangling of information from its production context is possible, but that entails work. We propose the following 'law of medical information': the further information has to be able to circulate (i.e. the more diverse contexts it has to be usable in), the more work is required to disentangle the information from the context of its production. The question that then becomes pertinent is; who has to do this work, and who reaps the benefits? (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.