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PubMed1995

Inside multi-disciplinary design in medical informatics: experiences from the use of an argumentative design method.

This paper reports on a qualitative study using an argumentation-based design method (Argumentative Design) in the development of clinical software systems. The method, which requires visualization of the underlying design goals, the specific needs-for-change, and the probable consequences of the alternative design measures, caused previously implicit argument structures to be exposed and discussed. This uncovering of hidden agendas also revealed previously implicit coalitions and organizational influences on the design process. Implications for software development practices in medical informatics are discussed.

Clinical Protocols↗

PubMed2006

Applied medical informatics for the chest physician: information you can USE!--Part 2.

In part 2 of this series on applied medical informatics for the chest physician, we will examine in detail the key reasons for the current low adoption and effective use of the electronic medical record.

Academic Medical Centers↗

PubMed1994

Standardisation in medical informatics in Europe.

This paper stresses the importance of standardisation in the domain of healthcare informatics and telematics. The paper gives an overview of the current standing of the activities of CEN TC 251 (European Standardisation Committee, Technical Committee on Healthcare Informatics) and describes the scope and content of a number of emerging European standards.

Europe↗

PubMed1994

The professional workstation as enabler: conference recommendations. International Medical Informatics Association.

This paper reports on the Working Conference on Healthcare Professional Workstation sponsored by the International Medical Informatics Association (IMIA) and held in Washington DC, 14-16 June 1993. It sets forth the vision of a health care infostructure in which the workstation acts as enabler, giving professionals access to information when, where, and how it is needed. The paper explains upon the conference methodology and provides the conference cochairs' summary recommendations, both short- and long-term. These recommendations are based upon the work of five breakout groups, which addressed Functional Requirements, User Interfaces, Data and Knowledge Management, Processing, and Sharing and Communications. Presented in detailed and display formats, these summary recommendations address issues in the areas of architecture, linkages, evaluation, security, standards, education, and training. The paper also sets forth immediate next steps for the workstation initiative, including the formation of a formal IMIA Working Group on Workstations.

Computer Communication Networks↗

PubMed2000

Is telemedicine a subset of medical informatics?

Informatics has a key characteristic of a new discipline in a technically transient environment--there is no universal definition of it. This is not surprising, given its complex and diverse nature. In a broad sense informatics is the interface between developing technologies and the decision sciences, in particular clinical sciences. Telemedicine has no universally accepted definition either. Telemedicine requires the use of electronic communication networks for the transmission of information and data related to the diagnosis and treatment of, as well as education about, medical conditions. The debate ensues over whether it is or is not a subset of medical informatics. The care of the elderly diploma programme is a telemedicine project within the department of family medicine at the University of Alberta; it is a distance learning programme directed towards educating and training physicians in rural Alberta. This project provided us with the practical experience of addressing both informatics and telemedicine issues jointly.

Aged↗

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