Medical Work and the ComputerBased Patient Record: A Sociological Perspective

Medical Work and the ComputerBased Patient Record: A Sociological Perspective
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医疗工作和基于计算机的患者记录:社会学视角

DOI:
10.1055/s-0038-1634535
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发表时间:
1998
影响因子:
1.7
通讯作者:
M. Berg
M. Berg
中科院分区:
医学4区
文献类型:
--
作者:
M. Berg

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摘要 基于计算机的患者记录(CPR)是一种可能在未来几年对医学实践产生巨大影响的工具。然而,具有完全集成心肺复苏的临床环境却很难找到。本文从社会学角度审视了解释和引入 CPR 的尝试。有人认为,目前使这些工具发挥作用的部分困难在于许多(尝试的)心肺复苏中所包含的医疗工作模式。从更社会学的角度看待医疗工作应该能够为构建更适合卫生保健工作者需求的系统提供出发点。本文基于参与式观察,从社会学的角度概述了医疗工作的本质,以及医疗记录在这项工作中的作用。最后,描述了这种描述对当前关于 CPR 的讨论和(建议的)实施的一些影响。
Abstract The computer-based patient record (CPR) is a tool likely to have great impact on the practice of medicine in the years to come. Yet, clinical settings with a fully integrated CPR are hard to find. This paper takes a sociological look at the attempts to construe and introduce CPRs. It is argued that part of the current trouble in getting these tools to work lies in the model of medical work that is inscribed in many (attempted) CPRs. A more sociological perspective on medical work should be able to offer points of departure for the construction of systems wh ich might fit the needs of health care workers better. Based on participatory observation, the paper outlines what it is medical work comes down to from a sociological perspective, and how the medical record figures in this work. Finally, some consequences this depiction has for current discussions on and (proposed) implementations of CPRs are described.
使用民族志构建工作系统:重新思考基本设计假设。
DOI: --
发表时间: 1992
期刊: Proceedings. Symposium on Computer Applications in Medical Care
影响因子: --
作者:
Forsythe,DE
通讯作者: Forsythe,DE