Distributed cognition: An alternative model of cognition for medical informatics
Distributed cognition: An alternative model of cognition for medical informatics
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DOI：
10.1016/j.ijmedinf.2007.04.008
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发表时间：
2008-04-01
影响因子：
4.9
通讯作者：
McMullen, Carmit K.
中科院分区：
文献类型：
--
作者：
Hazlehurst, Brian;Gorman, Paul N.;McMullen, Carmit K.
背景资料：医学信息学一直受到以个人为中心的人类认知模型的指导，该模型继承自经典的心理理论，其中知识，解决问题和负责智能行为的信息处理都来自个体代理的内部工作。目标和结果：在本文中，我们认为，医学信息学承诺的经典模型的认知混淆了处理的头脑，个体代理与由个体在其中操作的较大分布式活动系统执行的处理。我们回顾了认知科学的趋势，这些趋势试图缩小认知的通用模型与现实世界人类表现的应用考虑之间的差距。其中一个成果是分布式认知理论，在该理论中，理解绩效的分析单位是活动系统，该系统包括一组人类行为者、他们的工具和环境，并由特定的目标导向的行动和互动历史组织起来。我们描述并论证了分布式认知与医学信息学的相关性，既用于研究医疗保健中的人类表现，也用于设计旨在提高这种表现的技术。(C)2007爱思唯尔爱尔兰有限公司保留所有权利。
Background: Medical informatics has been guided by an individual-centered model of human cognition, inherited from classical theory of mind, in which knowledge, problem-solving, and information-processing responsible for intelligent behavior all derive from the inner workings of an individual agent.Objectives and results: In this paper we argue that medical informatics commitment to the classical model of cognition conflates the processing performed by the minds of individual agents with the processing performed by the larger distributed activity systems within which individuals operate. We review trends in cognitive science that seek to close the gap between general-purpose models of cognition and applied considerations of real-world human performance. One outcome is the theory of distributed cognition, in which the unit of analysis for understanding performance is the activity system which comprises a group of human actors, their tools and environment, and is organized by a particular history of goal-directed action and interaction.Conclusion: We describe and argue for the relevance of distributed cognition to medical informatics, both for the study of human performance in healthcare and for the design of technologies meant to enhance this performance. (C) 2007 Elsevier Ireland Ltd. All rights reserved.