Document (#35474)

Author

Plotnick, R.

Title

Computers, systems theory, and the making of a wired hospital : a history of Technicon Medical Information System, 1964-1987

Source

Journal of the American Society for Information Science and Technology. 61(2010) no.6, S.1281-1294

Year

2010

Abstract

This paper investigates the controversy surrounding the systems approach in medicine, contributing to the body of literature on systems and information technology in civilian contexts. Specifically, the paper follows the design and implementation of a hospital information system at El Camino Hospital in Mountain View, California, in the 1960s and 1970s. The case study suggests that while many considered people problems like healthcare too complex for the systems approach, in fact it could have positive results if system engineers could translate social concerns about medicine into business and organizational strategies. This paper identifies the ways systems designers approached an organization characterized by autonomy rather than collaboration, craft rather than science, and charity rather than business, and helped to redefine that organization as one that emphasized rationality, efficiency, and the coexistence of man and machine.

Field

Medizin

Similar documents (content)

1. Nangle, B.; Keane, M.T.: Effective retrieval in hospital information systems : the use of context in answering queries to patient discharge summaries (1994) 0.11

   0.10804137 = sum of:
     0.10804137 = product of:
       0.54020685 = sum of:
         0.023139529 = weight(abstract_txt:system in 798) [ClassicSimilarity], result of:
           0.023139529 = score(doc=798,freq=1.0), product of:
             0.08782885 = queryWeight, product of:
               1.3393245 = boost
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.019445723 = queryNorm
             0.2634616 = fieldWeight in 798, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.078125 = fieldNorm(doc=798)
         0.035655297 = weight(abstract_txt:than in 798) [ClassicSimilarity], result of:
           0.035655297 = score(doc=798,freq=1.0), product of:
             0.117170125 = queryWeight, product of:
               1.5469478 = boost
               3.8950868 = idf(docFreq=2444, maxDocs=44218)
               0.019445723 = queryNorm
             0.30430365 = fieldWeight in 798, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.8950868 = idf(docFreq=2444, maxDocs=44218)
               0.078125 = fieldNorm(doc=798)
         0.080476 = weight(abstract_txt:rather in 798) [ClassicSimilarity], result of:
           0.080476 = score(doc=798,freq=1.0), product of:
             0.20160986 = queryWeight, product of:
               2.0291917 = boost
               5.1093373 = idf(docFreq=725, maxDocs=44218)
               0.019445723 = queryNorm
             0.39916697 = fieldWeight in 798, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               5.1093373 = idf(docFreq=725, maxDocs=44218)
               0.078125 = fieldNorm(doc=798)
         0.056482896 = weight(abstract_txt:systems in 798) [ClassicSimilarity], result of:
           0.056482896 = score(doc=798,freq=2.0), product of:
             0.14983676 = queryWeight, product of:
               2.2583995 = boost
               3.4118783 = idf(docFreq=3963, maxDocs=44218)
               0.019445723 = queryNorm
             0.37696287 = fieldWeight in 798, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               3.4118783 = idf(docFreq=3963, maxDocs=44218)
               0.078125 = fieldNorm(doc=798)
         0.34445313 = weight(abstract_txt:hospital in 798) [ClassicSimilarity], result of:
           0.34445313 = score(doc=798,freq=1.0), product of:
             0.53148085 = queryWeight, product of:
               3.2946632 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.019445723 = queryNorm
             0.64810073 = fieldWeight in 798, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.078125 = fieldNorm(doc=798)
       0.2 = coord(5/25)
   

2. Vasudevan, M.C.; Mohan, M.; Kapoor, A.: Information system for knowledge management in the specialized division of a hospital (2006) 0.10

   0.10071568 = sum of:
     0.10071568 = product of:
       0.62947303 = sum of:
         0.056110375 = weight(abstract_txt:system in 1499) [ClassicSimilarity], result of:
           0.056110375 = score(doc=1499,freq=3.0), product of:
             0.08782885 = queryWeight, product of:
               1.3393245 = boost
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.019445723 = queryNorm
             0.6388604 = fieldWeight in 1499, product of:
               1.7320508 = tf(freq=3.0), with freq of:
                 3.0 = termFreq=3.0
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.109375 = fieldNorm(doc=1499)
         0.03521304 = weight(abstract_txt:paper in 1499) [ClassicSimilarity], result of:
           0.03521304 = score(doc=1499,freq=1.0), product of:
             0.09285056 = queryWeight, product of:
               1.3770809 = boost
               3.467376 = idf(docFreq=3749, maxDocs=44218)
               0.019445723 = queryNorm
             0.37924424 = fieldWeight in 1499, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.467376 = idf(docFreq=3749, maxDocs=44218)
               0.109375 = fieldNorm(doc=1499)
         0.055915214 = weight(abstract_txt:systems in 1499) [ClassicSimilarity], result of:
           0.055915214 = score(doc=1499,freq=1.0), product of:
             0.14983676 = queryWeight, product of:
               2.2583995 = boost
               3.4118783 = idf(docFreq=3963, maxDocs=44218)
               0.019445723 = queryNorm
             0.3731742 = fieldWeight in 1499, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.4118783 = idf(docFreq=3963, maxDocs=44218)
               0.109375 = fieldNorm(doc=1499)
         0.4822344 = weight(abstract_txt:hospital in 1499) [ClassicSimilarity], result of:
           0.4822344 = score(doc=1499,freq=1.0), product of:
             0.53148085 = queryWeight, product of:
               3.2946632 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.019445723 = queryNorm
             0.90734106 = fieldWeight in 1499, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.109375 = fieldNorm(doc=1499)
       0.16 = coord(4/25)
   

3. Clarke, A.; Steele, R.: Smartphone-based public health information systems : anonymity, privacy and intervention (2015) 0.08

   0.084802255 = sum of:
     0.084802255 = product of:
       0.3028652 = sum of:
         0.077733666 = weight(abstract_txt:healthcare in 2342) [ClassicSimilarity], result of:
           0.077733666 = score(doc=2342,freq=1.0), product of:
             0.15850388 = queryWeight, product of:
               1.038787 = boost
               7.84674 = idf(docFreq=46, maxDocs=44218)
               0.019445723 = queryNorm
             0.49042124 = fieldWeight in 2342, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               7.84674 = idf(docFreq=46, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
         0.034974195 = weight(abstract_txt:could in 2342) [ClassicSimilarity], result of:
           0.034974195 = score(doc=2342,freq=1.0), product of:
             0.11725794 = queryWeight, product of:
               1.2635508 = boost
               4.772275 = idf(docFreq=1016, maxDocs=44218)
               0.019445723 = queryNorm
             0.2982672 = fieldWeight in 2342, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               4.772275 = idf(docFreq=1016, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
         0.018511623 = weight(abstract_txt:system in 2342) [ClassicSimilarity], result of:
           0.018511623 = score(doc=2342,freq=1.0), product of:
             0.08782885 = queryWeight, product of:
               1.3393245 = boost
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.019445723 = queryNorm
             0.21076928 = fieldWeight in 2342, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
         0.020121736 = weight(abstract_txt:paper in 2342) [ClassicSimilarity], result of:
           0.020121736 = score(doc=2342,freq=1.0), product of:
             0.09285056 = queryWeight, product of:
               1.3770809 = boost
               3.467376 = idf(docFreq=3749, maxDocs=44218)
               0.019445723 = queryNorm
             0.216711 = fieldWeight in 2342, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.467376 = idf(docFreq=3749, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
         0.028524239 = weight(abstract_txt:than in 2342) [ClassicSimilarity], result of:
           0.028524239 = score(doc=2342,freq=1.0), product of:
             0.117170125 = queryWeight, product of:
               1.5469478 = boost
               3.8950868 = idf(docFreq=2444, maxDocs=44218)
               0.019445723 = queryNorm
             0.24344292 = fieldWeight in 2342, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.8950868 = idf(docFreq=2444, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
         0.0910482 = weight(abstract_txt:rather in 2342) [ClassicSimilarity], result of:
           0.0910482 = score(doc=2342,freq=2.0), product of:
             0.20160986 = queryWeight, product of:
               2.0291917 = boost
               5.1093373 = idf(docFreq=725, maxDocs=44218)
               0.019445723 = queryNorm
             0.4516059 = fieldWeight in 2342, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               5.1093373 = idf(docFreq=725, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
         0.03195155 = weight(abstract_txt:systems in 2342) [ClassicSimilarity], result of:
           0.03195155 = score(doc=2342,freq=1.0), product of:
             0.14983676 = queryWeight, product of:
               2.2583995 = boost
               3.4118783 = idf(docFreq=3963, maxDocs=44218)
               0.019445723 = queryNorm
             0.2132424 = fieldWeight in 2342, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.4118783 = idf(docFreq=3963, maxDocs=44218)
               0.0625 = fieldNorm(doc=2342)
       0.28 = coord(7/25)
   

4. Raghavan, K.S.; Sajana, C.: NeurOn: modeling ontology for neurosurgery 0.08

   0.08380082 = sum of:
     0.08380082 = product of:
       0.52375513 = sum of:
         0.052461293 = weight(abstract_txt:could in 3534) [ClassicSimilarity], result of:
           0.052461293 = score(doc=3534,freq=1.0), product of:
             0.11725794 = queryWeight, product of:
               1.2635508 = boost
               4.772275 = idf(docFreq=1016, maxDocs=44218)
               0.019445723 = queryNorm
             0.44740078 = fieldWeight in 3534, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               4.772275 = idf(docFreq=1016, maxDocs=44218)
               0.09375 = fieldNorm(doc=3534)
         0.027767435 = weight(abstract_txt:system in 3534) [ClassicSimilarity], result of:
           0.027767435 = score(doc=3534,freq=1.0), product of:
             0.08782885 = queryWeight, product of:
               1.3393245 = boost
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.019445723 = queryNorm
             0.3161539 = fieldWeight in 3534, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.09375 = fieldNorm(doc=3534)
         0.030182607 = weight(abstract_txt:paper in 3534) [ClassicSimilarity], result of:
           0.030182607 = score(doc=3534,freq=1.0), product of:
             0.09285056 = queryWeight, product of:
               1.3770809 = boost
               3.467376 = idf(docFreq=3749, maxDocs=44218)
               0.019445723 = queryNorm
             0.3250665 = fieldWeight in 3534, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               3.467376 = idf(docFreq=3749, maxDocs=44218)
               0.09375 = fieldNorm(doc=3534)
         0.4133438 = weight(abstract_txt:hospital in 3534) [ClassicSimilarity], result of:
           0.4133438 = score(doc=3534,freq=1.0), product of:
             0.53148085 = queryWeight, product of:
               3.2946632 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.019445723 = queryNorm
             0.7777209 = fieldWeight in 3534, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.09375 = fieldNorm(doc=3534)
       0.16 = coord(4/25)
   

5. Krizak, J.D.: Hospital documentation planning : the concept and the context (1993) 0.08

   0.07997482 = sum of:
     0.07997482 = product of:
       0.6664569 = sum of:
         0.04263146 = weight(abstract_txt:organization in 2149) [ClassicSimilarity], result of:
           0.04263146 = score(doc=2149,freq=1.0), product of:
             0.10211034 = queryWeight, product of:
               1.1791158 = boost
               4.4533744 = idf(docFreq=1398, maxDocs=44218)
               0.019445723 = queryNorm
             0.41750383 = fieldWeight in 2149, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               4.4533744 = idf(docFreq=1398, maxDocs=44218)
               0.09375 = fieldNorm(doc=2149)
         0.039269086 = weight(abstract_txt:system in 2149) [ClassicSimilarity], result of:
           0.039269086 = score(doc=2149,freq=2.0), product of:
             0.08782885 = queryWeight, product of:
               1.3393245 = boost
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.019445723 = queryNorm
             0.44710916 = fieldWeight in 2149, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               3.3723085 = idf(docFreq=4123, maxDocs=44218)
               0.09375 = fieldNorm(doc=2149)
         0.58455634 = weight(abstract_txt:hospital in 2149) [ClassicSimilarity], result of:
           0.58455634 = score(doc=2149,freq=2.0), product of:
             0.53148085 = queryWeight, product of:
               3.2946632 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.019445723 = queryNorm
             1.0998634 = fieldWeight in 2149, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.09375 = fieldNorm(doc=2149)
       0.12 = coord(3/25)