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THE CONTEXTUAL NATURE OF INFORMATION 77 DISCUSSION QUESTIONS 1 Find and discuss pieces of information generated in the primary care process, and discuss the (im)possibilities to use this information for different, secondary purposes. 2 Similarly, discuss what extra detail, context, etc. has to be added to this information in order to be able to fulfil a role in a secondary context. 3 What do you think of the often heard ambitions to create ‘paperless’ hospitals or wards? 4 So-called ‘natural language processing systems’ attempt to ‘code’ information entered in free-text mode automatically, often without the user’s intervention. Does this imply that the tension between the advantages of ‘free text entry’ and the requirement of standardization of terminology is resolved? REFERENCES Cicourel, A. (1990) The integration of distributed knowledge in collaborative medical diagnosis. In J.Galegher, R.E.Kraut and C.Egido (eds), Intellectual Teamwork. Social and Intellectual Foundations of Cooperative Work, Hillsdale, NJ: Lawrence Erlbaum Associates, pp. 221–42. Council on Scientific Affairs of the American Medical Association (1993) Users and uses of patient records, Archives of Family Medicine 2:678–81. Garfinkel, H. (1967) Studies in Ethnomethodology. Englewood-Cliffs, N.Y.: PrenticeHall. Hunter, K.M. (1991) Doctors’ Stories. The Narrative Structure of Medical Knowledge. Princeton: Princeton University Press. Levitt, J.I. (1994) Why physicians continue to reject the computerized medical record, Minnesota Medicine 77:17–21. McDonald, C.J. (1992) Physician’s needs for computer-based patient records. In M.J. Ball and M.F.Collen (eds), Aspects of the Computer-based Patient Record, New York: Springer, pp. 3–11. van der Lei, J. (1991) Use and abuse of computer-stored medical records [editorial], Methods of Information in Medicine 30:79–80. FURTHER READING On the nature of information and task-oriented communication Agre, P.E. (1995) Institutional circuitry: thinking about the forms and uses of information, Information Technology and Libraries 14:225–30. Garfinkel, H. (1967) Studies in Ethnomethodology. Englewood-Cliffs, N.Y.: PrenticeHall. Garrod, S. (1998) How groups co-ordinate their concepts and terminology: implications for medical informatics, Methods of Information in Medicine 37:471–6.
78 STARTING POINTS Gregory, J., J.E.Mattison and C.Linde. (1995) Naming notes: transitions from free text to structured entry, Methods of Information in Medicine 34:57–67. Harper, R.H.R., K.P.A.O’Hara, A.J.Sellen and D.J.R.Duthie (1997) Toward the paperless hospital?, British Journal of Anaesthesia 78:762–7. Nunberg, G. (1996) Farewell to the information age. In G.Nunberg (ed.), The Future of the Book, Berkeley: University of California Press, pp. 103–38.
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Health Information Management In al
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Health Information Management Integ
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Contents List of illustrations vii
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Illustrations FIGURES 3.1 Medicatio
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Contributors Marc Berg is a physici
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Series preface In almost all Wester
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Acknowledgements I would like to th
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Chapter 1 Introduction In all Weste
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INTRODUCTION 3 touch upon the deplo
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INTRODUCTION 5 can draw upon to mai
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INTRODUCTION 7 Physician Order Entr
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Part I Starting points Understandin
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WAITING FOR GODOT 11 KEY TERMS ■
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WAITING FOR GODOT 13 Netherlands an
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WAITING FOR GODOT 15 facts to show
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WAITING FOR GODOT 17 (Lewinski-Corw
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WAITING FOR GODOT 19 In most cases,
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WAITING FOR GODOT 21 (Anonymous 191
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WAITING FOR GODOT 23 Because of the
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WAITING FOR GODOT 25 they simply sa
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Page 52 and 53: WAITING FOR GODOT 37 assumption tha
Page 54 and 55: WAITING FOR GODOT 39 Anonymous (191
Page 56 and 57: WAITING FOR GODOT 41 Berg, M. (1997
Page 58 and 59: Chapter 3 Health care work and pati
Page 60 and 61: HEALTH CARE WORK AND INFORMATION SY
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Page 96 and 97: STARTING POINTS 81 ‘gender, race,
Page 98 and 99: STARTING POINTS 83 Now, imagine an
Page 100 and 101: STARTING POINTS 85 organization,
Page 102 and 103: STARTING POINTS 87 Figure 5.2 Incre
Page 104 and 105: STARTING POINTS 89 already overflow
Page 106 and 107: STARTING POINTS 91 responsibilities
Page 108 and 109: STARTING POINTS 93 answer the quest
Page 110 and 111: STARTING POINTS 95 Kohn, L.T., J.M.
Page 112 and 113: Chapter 6 Designing interactions En
Page 114 and 115: DESIGNING INTERACTIONS 99 the way t
Page 116 and 117: DESIGNING INTERACTIONS 101 1 Identi
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Page 122 and 123: DESIGNING INTERACTIONS 107 Figure 6
Page 124 and 125: DESIGNING INTERACTIONS 109 ■ Figu
Page 126 and 127: DESIGNING INTERACTIONS 111 measurem
Page 132 and 133: DESIGNING INTERACTIONS 117 Covell D
Page 134 and 135: Part II Information strategy, imple
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INFORMATION STRATEGY: AN INTRODUCTI
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Chapter 8 Developing the informatio
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STRATEGY, IMPLEMENTATION AND EVALUA
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Guidelines for information system d
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Chapter 9 Implementing information
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IMPLEMENTING INFORMATION SYSTEMS 16
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Chapter 10 Project management of in
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Index accumulation 53-4, 61, 73-4,
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INDEX 223 contingent and emergent c
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INDEX 225 satisfaction 176 patient
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INDEX 227 support 164 technology de
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