Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-16T06:46:27.888Z Has data issue: false hasContentIssue false
  • English
  • Français

The Medical Computing “lag”: Perceptions of Barriers to the Application of Computers to Medicine

Published online by Cambridge University Press:  10 March 2009

Bonnie Kaplan
Bonnie Kaplan
Affiliation:
University of Cincinnati
Get access Rights & Permissions [Opens in a new window]

Extract

Since the early days of medical computing, medical computer researchers have envisioned how computers could benefit medical research and practice and have deplored the inability of medicine to take full advantage of the computer's power. They, and others, have analyzed the causes for the medical computing “lag.” These analyses identify a wide range of difficulties that the introduction of computers into medicine faced, and continues to face.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 3 , Issue 1 , January 1987 , pp. 123 - 136
Copyright
Copyright © Cambridge University Press 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Abrams, H. L. & McNeill, B. J.Medical implications of computed tomography ("CAT Scanning"): first of two parts. New England Journal of Medicine, 1978, 298, 255–61.CrossRefGoogle ScholarPubMed
2.Ball, M. J.Why do physicians resist computers? National Report on Computers and Health, 1 (02 13, 1981): 6–8.Google Scholar
3.Ball, M. J. & Boyle, T. J. Hospital information systems: past, present and future. Hospital Financial Management, (02 1980): 12–24.Google Scholar
4.Banta, H. D. & Sanes, J. R. How the CAT got out of the bag. In Egdahl, R. H. & Gertman, P. M. (eds.), Technology and the quality of health care, Germantown, MD: Aspen Systems Corp., 1978, 175–90.Google Scholar
5.Bennett, W. L. The computer and the clinician. In Anderson, J. & Forsythe, J. M. (eds.), MEDINFO 74: proceedings of the 1st World Conference on Medical Informatics, New York: Elsevier, 1974, 133–36.Google Scholar
6.Berkeley Scientific Laboratories, A study of automated clinical laboratory systems, National Center for Health Services Research and Development Report No. HSM 110-69-409. Washington, DC: U.S. Government Printing Office, 1976.Google Scholar
7.Brown, B., Harbort, B., & Kaplan, B.Management issues in automating medical systems. Journal of Clinical Engineering, 1983, 8, 23–30.CrossRefGoogle ScholarPubMed
8.Brown, B. et al. Guidelines for managing the implementation of automated medical systems. In Heffernan, H. G. (ed.), Proceedings of the 5th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1981, 791–96.Google Scholar
9.Bush, I. E. MIS—the human connection. In O'neill, J. T. (ed.), Proceedings of the 4th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1980, 444–53.Google Scholar
10.Cambridge Research Institute. Trends affecting the U.S. health care system. Department of Health, Education, and Welfare Report No. (HRA) 76–14503. Washington, DC: U.S. Government Printing Office, 1976.Google Scholar
11.Cloe, L. E.Health planning for computed tomography: perspectives and problems. American Journal of Roentgenology, 1976, 127, 187–90.CrossRefGoogle ScholarPubMed
12. Conference on Diagnostic Data Processing, IRE Transactions on Medical Electronics, ME-7 (10 1960): see, for example, pp. 232, 239.CrossRefGoogle Scholar
13.Committee on Technology and Health Care, Assembly of Engineering, National Research Council and Institute of Medicine. Medical technology and the health care system: a study of the diffusion of equipment-embodied technology. Washington, DC: National Academy of Sciences, 1979.Google Scholar
14.Collen, M. F. Reasons for failures and factors making for success in public health in Europe. In Health planning and organization of medical care, vol I. Copenhagen: World Health Organization, 1972.Google Scholar
15.Collen, M. F. Planning and implementing large medical information systems. In Abernathy, W. J., Sheldon, A., & Prahalad, C. (eds.), The management of health care, Cambridge, MA: Ballinger, 1974, 127–39.Google Scholar
16.Conklin, G. S. et al. Of computers in medical care and quality assurance: why do systems fail? and what can be done. In Blum, B. I. (ed.), Proceedings of the 6th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1982, 423–24.Google Scholar
17.Davis, H. R. & Salasin, S. E. Computers and organizational change: factors that influence useful adoption of computer applications. In Blum, B. I. (ed.), Proceedings of the 6th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1982, 371–75.Google Scholar
18.Davis, L. S. Data processing facilities. In Collen, M. F. (ed.), Hospital computer systems, New York: John Wiley and Sons, 1974, 32–51.Google Scholar
19.Donaldson, F. W. On-line computing in the medical profession. In Rose, J. (ed.), Computers in medicine: proceedings of the 2nd International Symposium, London: John Wright and Sons, 1972, 13–23.Google Scholar
20.Duncan, K. A. et al. A model curriculum for doctoral-level programs in health computing: report of the ACM Committee on Curriculum for Health Computing. New York: Association for Computing Machinery, 1981.Google Scholar
21.Friedman, R. B. & Gustafson, D. H.Computers in clinical medicine: a critical review. Computers in Biomedical Research, 1977, 10, 199–204.CrossRefGoogle ScholarPubMed
22.Gabrieli, E. R.Computerization of clinical records. Guidelines for medical record librarians, vol. I. New York: Grune and Stratton, 1970.Google Scholar
23.Garfield, S. R. The computer and new health care systems. In Collen, M. F. (ed.), Hospital Computer Systems, New York: John Wiley and Sons, 1974, 24–31.Google Scholar
24.Hedlund, J. L. et al. Computers in mental health: a review and annotated bibliography. National Institute of Mental Health Series FN No. 7, Department of Health and Human Services Pub. No. (ADM)81–1090. Washington, DC: U.S. Government Printing Office, 1981.Google Scholar
25.Heffernan, H. G. The unlearned lessons of the seventies—an introduction. In O'neill, J. T. (ed.), Proceedings of the 4th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1980, 441–43.Google Scholar
26.Hicks, G. P. et al. On-line data acquisition in the clinical laboratory. In Stacy, R. W. & Waxman, B. D. (eds.), Computers in biomedical research, vol. 3, New York: Academic Press, 1969, 15–53.Google Scholar
27.IEEE Computer Magazine 1978, 11, 68–77.Google Scholar
28.Jensen, A. P. & Gehl, J. System analysis, standards development, and user requirements. In O'neill, J. T. (ed.), Proceedings of the 4th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1980, 461–65.Google Scholar
29.Jacobs, S. E.Hospital wide computer systems: the market and the vendors. MUG Quarterly, 12 (Fall 1982): 1–12.Google Scholar
30.Johnson, S. Computers easing hospitals' pains. New York Times, 27 03, 1983.Google Scholar
31.Kaplan, B. The influence of medical values and practices on medical computer applications. In Proceedings, MEDCOMP ‘82: 1st IEEE Computer Society International Conference on Medical Computer Science/Computational Medicine. Silver Spring, MD: IEEE Computer Society Press, 1982, 83–88. Reprinted in J. G. Anderson & S. G. Jay (eds.), Use and impact of computers in clinical medicine. New York: Springer Verlag (forthcoming).Google Scholar
32.Kaplan, B. The computer as Rorschach: implications for management and user acceptance. In Dayhoff, R. E. (ed.), Proceedings of the 7th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1983, 664–67.Google Scholar
33.Kaplan, B.Computers in medicine, 1950–1980: the relationship between history and policy. Unpublished Ph.D dissertation, University of Chicago, 1983.Google Scholar
34.Kelly, W. A.Possible application of EDP in daily practice. IRE Transactions on Medical Electronics, ME-7 (10 1960): 314.CrossRefGoogle ScholarPubMed
35.Ledley, R. S.Use of computers in biology and medicine. New York: McGraw-Hill, 1965.Google Scholar
36.Ledley, R. S. & Lusted, L. B.Reasoning foundations of medical diagnosis. Science, 130 (07 3, 1959): 9–21.CrossRefGoogle Scholar
37.Ledley, R. S. & Lusted, L. B.The use of electronic computers to aid in medical diagnosis. Proceedings of the IRE, 1959, 47, 1970–77.CrossRefGoogle Scholar
38.Ledley, R. S. & Lusted, L. B.The use of electronic computers in medical data processing: aids in diagnosis, current information retrieval. IRE Transactions on Medical Electronics, ME-7 (01 1960): 31–47.CrossRefGoogle ScholarPubMed
39.Lewis, J. W.Commentary: clinical laboratory information systems. Proceedings of the IEEE, 1979, 67, 1229–300.CrossRefGoogle Scholar
40.Lincoln, T. L. & Korpman, R. A.Computers, health care, and medical information science. Science, 1980, 210, 257–63.CrossRefGoogle ScholarPubMed
41.Lindberg, D. A. B. The development and diffusion of a medical technology: medical information systems. In Medical technology and the health care system: a study of the diffusion of equipment-embodied technology, Committee on Technology and Health Care, Assembly of Engineering, National Research Council and Institute of Medicine. Washington, DC: National Academy of Sciences, 1979, 201–39.Google Scholar
42.Lindberg, D. A. B.The growth of medical information systems in the United States. Lexington, MA: DC Heath, Lexington Books, 1979.Google Scholar
43.Mishelevich, D. J. et al. Success factors in the comprehensive hospital. Computers in Hospitals, 2, (01-02 1981), 26–36.Google Scholar
44.National Center for Health Services Research. Computer applications in health care: NCHSR research report series. Report No. NCHSR 79–101, Department of Health, Education, and Welfare Pub. No. (PHS) 79–3251. Washington, DC: U.S. Government Printing Office, 1979.Google Scholar
45.Resolution Adopted by Conference. IRE Transactions on Medical Electronics, ME-7 (10 1960): 316.CrossRefGoogle Scholar
46.Schenthal, J. E., Sweeney, J. W. & Nettleton, W. Jr., Clinical applications of large-scale electronic data processing apparatus. I. New concepts in clinical use of the elec tronic digital computer. Journal of the American Medical Association, 1960, 173, 6–11.CrossRefGoogle Scholar
47.Sheldon, A. The efficient humanist. In Abernathy, W. J., Sheldon, A., & Prahalad, C. (eds.), The management of health care, Cambridge, MA: Ballinger, 1974, 281–90.Google Scholar
48.Sherman, H. Research, development and innovation in health care organizations. In Abernathy, W. J., Sheldon, A., & Prahalad, C. (eds.), The management of health care, Cambridge, MA: Ballinger, 1974, 105–24.Google Scholar
49.Spencer, W. A. & Vallbona, C.Digitation of clinical and research data in serial evaluation of disease processes. IRE Transactions on Medical Electronics, ME-7 (10 1960): 296–308.CrossRefGoogle Scholar
50.Stacy, R. W. & Waxman, B. D. (eds.). Computers in biomedical research, vol. 3. New York: Academic Press, 1969.Google Scholar
51.Thompson, G. H. & Handelman, I.Health data and information management. Boston, MA: Butterworth, 1978.Google Scholar
52.U.S. Congress, Office of Technology Assessment. Development of medical technology: opportunities for assessment. Washington, DC: U.S. Government Printing Office, 1977.Google Scholar
53.Van Brunt, E. Computer applications in medical care. Some problems of the 1970's: a clinical perspective. In O'neill, J. T. (ed.), Proceedings of the 4th Annual Symposium on Computer Applications in Medical Care, Silver Spring, MD: IEEE Computer Society Press, 1980, 454–59.Google Scholar
54.Warner, K. E. The cost of capital-embodied medical technology. In Medical technology and the health care system: a study of the diffusion of equipment-embodied technology, Committee on Technology and Health Care, Assembly of Engineering, National Research Council and Institute of Medicine. Washington, DC: National Academy of Sciences, 1979, 270–302.Google Scholar
55.Yamamoto, W. S. A dissenting opinion. In Medical technology and the health care system: a study of the diffusion of equipment-embodied technology, Committee on Technology and Health Care, Assembly of Engineering, National Research Council and Institute of Medicine. Washington, DC: National Academy of Sciences, 1979, 99–100.Google Scholar