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  The computer in the consulting room: a psychological framework
Titel: The computer in the consulting room: a psychological framework
Auteur: Fitter, M. J.
Cruickshank, P. J.
Verschenen in: Behaviour & information technology
Paginering: Jaargang 1 (1982) nr. 1 pagina's 81-92
Jaar: 1982-01-01
Inhoud: The use of an interactive computer system to aid the doctor with history taking and diagnosis is described. The system is developed for dyspepsia cases and is designed to be flexible enough to give the doctor considerable choice in the way it is used in the consulting room. We have observed and analysed its use by doctors in two very different settings; registrars and SHOs in an outpatient clinic, and GP trainers in a simulation exercise. All the doctors found individual ways of using the computer in the consultation, some chose to use it 'conversationally', alternating their attention between patient and computer, whilst others attempted to minimize its use while the patient was present. Patients' reactions to the use of computers in general, and to their experience of this system specifically are described. The ways in which the computer imposes structure on the consultation and seems to influence the doctors' decision processes are discussed. The complex dynamics of the interaction between patient, doctor and computer are outlined and are related to the cognitive load imposed. We raise 'human factors' issues, specific to the medical consultation environment, which need consideration in the design of future systems.
Uitgever: Taylor & Francis
Bronbestand: Elektronische Wetenschappelijke Tijdschriften

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