Use and Impact of Computers in Clinical Medicine

1. Front Matter

   Pages i-xiii

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2. Introduction

   1. Front Matter

      Pages 1-1

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   2. The Diffusion of Computer Applications in Medical Settings

      • James G. Anderson, Stephen J. Jay

      Pages 3-7

   3. What Makes Doctors Use Computers?: Discussion Paper

      • D. W. Young

      Pages 8-14

   4. Medical Technology: Assessment, Adoption, and Utilization

      • Ann Lennarson Greer

      Pages 15-35

3. Adoption: The Physician’s View of Computers in Medicine

   1. Front Matter

      Pages 37-38

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   2. The Influence of Medical Values and Practices on Medical Computer Applications

      • Bonnie Kaplan

      Pages 39-50

   3. What Do Professional Persons Think about Computers?

      • Elizabeth Zoltan-Ford, Alphonse Chapanis

      Pages 51-67

   4. An Analysis of Physician Attitudes Regarding Computer-Based Clinical Consultation Systems

      • Randy L. Teach, Edward H. Shortliffe

      Pages 68-85

   5. Physician Attitudes Toward Applications of Computer Database Systems

      • Joseph Singer, Henry S. Sacks, Frank Lucente, Thomas C. Chalmers

      Pages 86-96

   6. Why Doctors Don’t Use Computers: Some Empirical Findings

      • James G. Anderson, Stephen J. Jay, Harlan M. Schweer, Marilyn M. Anderson

      Pages 97-109

4. Diffusion of Medical Computer Applications

   1. Front Matter

      Pages 111-111

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   2. Diffusion of Innovations: An Overview

      • Everett M. Rogers

      Pages 113-131

   3. Embracing or Rejecting Innovations: Clinical Diffusion of Health Care Technology

      • H. David Banta

      Pages 132-160

   4. Computers and Clinical Judgment: The Role of Physician Networks

      • James G. Anderson, Stephen J. Jay

      Pages 161-184

   5. Physician Communication Networks and the Adoption and Utilization of Computer Applications in Medicine

      • James G. Anderson, Stephen J. Jay, Harlan M. Schweer, Marilyn M. Anderson, David Kassing

      Pages 185-199

5. Utilization of Clinical Computer Systems

   1. Front Matter

      Pages 201-203

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   2. Clinical Computing in a Teaching Hospital

      • Howard L. Bleich, Robert F. Beckley, Gary L. Horowitz, Jerome D. Jackson, Edna S. Moody, Caryn Franklin et al.

      Pages 205-223

   3. Implementing Computerization in Hospitals: A Case Study of the Behavioral and Attitudinal Impacts of a Medical Information System

      • Michael A. Counte, Kristen H. Kjerulff, Jeffrey C. Salloway, Bruce C. Campbell

      Pages 224-237

   4. Evaluation of a Computerized Drug Review System: Impact, Attitudes, and Interactions

      • Carole Siegel, Mary Jane Alexander, Yosef D. Dlugacz, Susan Fischer

      Pages 238-256

Computer technology has impacted the practice of medicine in dramatic ways. Imaging techniques provide noninvasive tools which alter the diag­ nostic process. Sophisticated monitoring equipment presents new levels of detail for both patient management and research. In most of these high technology applications, the computer is embedded in the device; its presence is transparent to the user. There is also a growing number of applications in which the health care provider directly interacts with a computer. In many cases, these applica­ tions are limited to administrative functions, e.g., office practice manage­ ment, location of hospital patients, appointments, and scheduling. Nev­ ertheless, there also are instances of patient care functions such as results reporting, decision support, surveillance, and reminders. This series, Computers and Medicine, focuses upon the direct use of information systems as it relates to the medical community. After twenty­ five years of experimentation and experience, there are many tested ap­ plications which can be implemented economically using the current gen­ eration of computers. Moreover, the falling cost of computers suggests that there will be even more extensive use in the near future. Yet there is a gap between current practice and the state-of-the-art.

• Hospital
• Master Patient Index
• assessment
• calculus
• care
• computer
• database
• hospitals
• information system
• innovation
• management
• medicine
• networks
• patients
• technology

• Purdue University and Methodist Hospital of Indiana, Indianapolis, USA

  James G. Anderson

• Methodist Hospital of Indiana, Indiana University School of Medicine, Indianapolis, USA

  Stephen J. Jay

Policies and ethics