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Increasing physician utilization of clinical information systems

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Conclusion

As technology advances, changes in the way in which medical data are stored and manipulated are inevitable. Patients may one day carry with them a complete medical record capable of being read and modified through inexpensive devices. Or physicians may have access to large health-information networks integrating hospital-based and ambulatory care. Rapid and efficient spoken communication between physician and computer may become practical. In any event, the provider interface will continue to be of crucial importance as a result of its potential to affect physician usage of information systems, and thus patient care. The availability of communication and storage devices radically different from today's will shape future systems. However, this paper has attempted to demonstrate that much can be done within the framework of existing technology to improve the quality and acceptability of physician-system interaction and to provide high-grade information services to the physician in order to enhance the process—and, ideally, the outcome—of the practice of medicine.

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References

  1. Manzano, A.J., and Veazie, S.M., The role of information processing in the changing U.S. health care industry.Proc. MEDINFO '77, 1977, pp. 907–911.

  2. Friedman, R.B., and Gustafson, D.H. Computers in clinical medicine, a critical review.Comput, Biomed. Res. 10(3):199–204.

  3. Rodnick, J.E., and Wiederhold, G. A review of automated ambulatory medical record systems in the United States: Charting services that are of benefit to the physician.Proc. MEDINFO '77, 1977, pp. 957–961.

  4. Brandejs, J.F., C.A.P.O. (Computer Aided Physicians Office) program.J Clin. Comput. 6(4):176–191, 1977.

    Google Scholar 

  5. Zielstorff, R.D., Roglieri, J.L., Marble, K.D., Poitras, J.W., Van Deusen, F., Follayttar, S.M., and Barnett, G.O., Experience with a computer-based medical record for nurse practitioners in ambulatory care.Comput. Biomed. Res. 10(1):61–74, 1977.

    Google Scholar 

  6. Rosenfield, V.L., A computerized hospital information system with emphasis on the critical aspects leading to user acceptance.Proc. MEDINFO '77, 1977, pp. 365–370.

  7. Peace, D.M., and Easterby, R.S., The evaluation of user interaction with computer-based management information systems.Hum. Factors 15(2):163–177, 1973.

    Google Scholar 

  8. Pople, H., Myers, J., and Miller, J., The dialog model of diagnostic logic and its use in internal medicare.Proc. 4th International Joint Conference on Artificial Intelligence, 1975.

  9. Pople, H., The formation of composite hypotheses in diagnostice problem solving: An exercise in synthetic reasoning.Proc. 5th International Joint Conference on Artificial Intelligence, 1977.

  10. Shortliffe, E.H.,Computer-based medical consultations: MYCIN, Elsvier Computer Science Library, 1976.

  11. Goldstein, C.M., Trends in technology for bibliographic health sciences information.Proc. MEDINFO '77, 1977, pp. 335–339.

  12. Beckley, R.F., and Bleich, H.L., Paper chase: A computer-based reprint storage and retrieval system.Comput. Biomed. 10(4):423–430, 1977.

    Google Scholar 

  13. Norwood, D.D., A patient care quality assurance system overlaid on a hospital-wide medical information system.Proc. MEDINFO '77, 1977, pp. 23–28.

  14. Zucherman, A.E., and Stern, H.M., A general purpose report generator for the computer stored ambulatory record: A tool for use by physicians to monitor their practice.Proc. First Annual Symposium on Computer applications in Medical Care, 1977, pp. 165–167.

  15. Leavitt, M.D., and Leinbach, R.C., A generalized system for collaborative on-line data collections.Comput. Biomed. Res. 10(4): 513–522, 1977.

    Google Scholar 

  16. Okada, M., Conversational file processing system FLXFL (FLeXible FiLe) for nonprogrammers.Comput. Biomed. 12(4):335–349, 1979.

    Google Scholar 

  17. Inada, H., Naito, M., Inoue, M., Kato, T., Fuki, S., Hiroshi, A., and Furukawa, T., A design of a database system for medical record management.J. Clin. Comput. 8(1):29–63, 1979.

    Google Scholar 

  18. Weyl S., Fries, J., Wiederhold, G., and Germano, F., A modular self-describing clinical database system.Comput. Biomed. Res 8(3):279–293, 1975.

    Google Scholar 

  19. Virts, S.S., Introducing the hospital-wide information system to hospital and medical staffs.Proc. MEDINFO '77, 1977, pp. 993–997.

  20. Barnet, G.O.,COSTAR: Computer Stored Ambulatory Record. Laboratory of Computer Science, Massachusetts General Hospital, 1975.

  21. Weed, L., Automation of the problem oriented medical record: PROMIS.DHEW/NCHSR Research Digest Series, 1977.

  22. PROMIS Laboratory Staff, Representation of medical knowledge and PROMIS.Proc. Second Annual Symposium on Computer Applications in Medical Care, 1978, pp. 368–400.

  23. Sneider, R.M., Using a medical information system to improve the quality of patient care.Proc. Second Annual Symposium of Computer Applications in Medical Care, 1978, pp. 594–600.

  24. Zimmerman, J., Towards generalized automated ambulatory care record systems (MESCH).Proc. MEDINFO '77, 1977, pp. 473–478.

  25. McComick, B.J., Chang, S.K., Boroec, R.T., Read, J.S., and Wilensy, J.T., Technological trends in clinical information systems.Proc. MEDINFO '77, 1977, pp. 43–48.

  26. Cox, E.B., and Stanley, W.E., Schema-driven time-oriented record system on a minicomputer.Comput. Biomed. Res. 12(5):503–516, 1979.

    Google Scholar 

  27. Fries, J.F., Time-oriented patient records and a computer databank.J. Am. Med. Assoc. 222:1536, 1976.

    Google Scholar 

  28. Dubien, R.J., Covvey, H.D., Sevcik, K.C., and Wigle, E.D., A database system implementation providing data independence for medical applications.Proc. MEDINFO '77, 1977, pp. 87–94.

  29. Wiengarten, S., Klonk, J., Sauter, K., and Riechertz, P.L., Individual data retrieval by the non-programmer and system supported data manipulation in a complex hierarchically organized data base system.Proc. MEDINFO '77, 1977, pp. 83–86.

  30. Ragan, D.P., and Jones, S.A., High-level language implementation of bit-map inverted files.Comput. Biomed. Res. 11(6):595–612, 1978.

    Google Scholar 

  31. Liou, J., Application of the relational model to record indexing and retrieval.Comput. Biomed. Res. 10(1):25–34, 1977.

    Google Scholar 

  32. Yasnoff, W.A., and Carlson, C.R., Relational data bases for ambulatory care.Proc. MEDINFO '77, 1977, pp. 481–485.

  33. Mabry, J.C., Thompson, H.K., Hopwood, M.D., and Barker, W.R., A prototype data management and analysis system (CLINFO): System description and user experience.Proc. MEDINFO '77, 1977, pp. 71–76.

  34. Rowley, B.A., et al., Physical examination reporting system.Proc. Second Annual Symposium on Computer Applications in Medical Care, 1978, pp. 436–440.

  35. Martin, J.M., Pointel, J.P., Martin, J., and Debry, G., Automatic printing in clear language of complex medical observations.Proc. MEDINFO '77, 1977, pp. 293–296.

  36. Levit, F., and Garside, D.B., Computer-assisted prescription writing.Comput. Biomed. Res. 10(5): 501–510, 1977.

    Google Scholar 

  37. McLeod, D.J., and Meldman, M.J., SELECT: An interactive minicomputer subsystem for the generation of specialized narrative text.Comput. Biomed. Res. 10(2):91–100, 1977.

    Google Scholar 

  38. Epstein, M.N., Natural language access to a melanoma data base.Proc. Second Annual Symposium on Computer Applications in Medical Care, 1978, pp. 320–325.

  39. Berney, J., Baud, R., and Scherrer, J., Towards the use of a natural medical language supported by the linguistic part of a tree branching logic in the environment of a hospital information system.J. Clin. Comput. 6(6):244–270, 1978.

    Google Scholar 

  40. Chamberlin, D.D., and Boyce, R.F., SEQUEL: A structured English query language.Proc. 1974 ACM SIGFIDET Workshop on Data Description, Access, and Control, ACM, 1974, pp. 249–264.

  41. Hucko, G.M., and Hagaman, W.D., An interactive patient record system and its transfer from a mainframe to microcomputers.Proc. Second Annual Symposium on Computer Applications in Medical Care, 1978, pp. 509–516.

  42. Berney, J.P., Baud, R., and Scherrer, J.R., Implementation of a frame selection system.Proc. MEDINFO '77, 1977, pp. 65–70.

  43. Frutiger, P., Rossier, P., and Scherrer, J.R., Automatic ICD/SNOMED codification of symptoms, signs, and diagnostics using tree branching logic.Proc. MEDINFO '77, 1977, pp. 267–270.

  44. 360/67 Time Sharing System (TSS) User's Guide, IBM Corp.

  45. Womble, M.E., Wilson, S.D., Keiser, H.N., and Tworek, M.L., An intelligent terminal for access to a medical data base.Comput. Biomed. Res 12(5):471–481, 1979.

    Google Scholar 

  46. Magnavox Display System,Orion-60 Product Description Literature, 1980.

  47. Owen, E.W., and Moseley, E.C., A user-compatible terminal for medical applications.Comput. Biol. Med. 7(2):165–178, 1977

    Google Scholar 

  48. Henaman, E.J., and Holloway, J., The patient carried personal health record: A tool to increase patient participation in the treatment process.J. Clin. Comput. 6(4):210–219, 1977

    Google Scholar 

  49. Alpert, J.J., et al., MARCO (Medical Record Communication).Proc. Second Annual Symposium on Computer Applications in Medical Care, 1978, pp. 451–468.

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  1. From the Office of Research and Development, Indian Health Service, Tucson, Arizona

    A. C. Curtis M.D.

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Curtis, A.C. Increasing physician utilization of clinical information systems. J Med Syst 6, 229–241 (1982). https://doi.org/10.1007/BF00992798

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