Abstract
CompuHx* is an Interactive Health Appraisal System (IHAPS) used in the examining room to record patient information, assist in diagnosis, and provide a legible summary of findings. This paper describes Phase I of a longitudinal study in which 22 examiners (five system users and 17 non-users) responded to detailed surveys and interviews about the system. Findings indicated that both users and non-users had mixed feelings about the system's ease of use and impact on their jobs, but agreed that it would have value for their practice. Underlying their acceptance of the system was a common concern for maintaining a caring relationship with patients and not allowing computer technology to depersonalize the examining room. Examiners also expressed concerns about the implementation process.
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- Anderson J. G., Jay S. J., Schweer H. M., Anderson M. M. Why doctors don't use computers: some empirical findings. J R Soc Med. 1986 Mar;79(3):142–144. doi: 10.1177/014107688607900305. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Aydin C. E., Rice R. E. Bringing social worlds together: computers as catalysts for new interactions in health care organizations. J Health Soc Behav. 1992 Jun;33(2):168–185. [PubMed] [Google Scholar]
- Brownbridge G., Lilford R. J., Tindale-Biscoe S. Use of a computer to take booking histories in a hospital antenatal clinic. Acceptability to midwives and patients and effects on the midwife-patient interaction. Med Care. 1988 May;26(5):474–487. doi: 10.1097/00005650-198805000-00004. [DOI] [PubMed] [Google Scholar]
- Gerrity M. S., DeVellis R. F., Earp J. A. Physicians' reactions to uncertainty in patient care. A new measure and new insights. Med Care. 1990 Aug;28(8):724–736. doi: 10.1097/00005650-199008000-00005. [DOI] [PubMed] [Google Scholar]
- Herzmark G., Brownbridge G., Fitter M., Evans A. Consultation use of a computer by general practitioners. J R Coll Gen Pract. 1984 Dec;34(269):649–654. [PMC free article] [PubMed] [Google Scholar]
- McDonald C. J., Tierney W. M., Overhage J. M., Martin D. K., Wilson G. A. The Regenstrief Medical Record System: 20 years of experience in hospitals, clinics, and neighborhood health centers. MD Comput. 1992 Jul-Aug;9(4):206–217. [PubMed] [Google Scholar]