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Tacit knowledge--an epistemological framework and implications for research in doctors information needs.

P Thirup1, P Mikkelsen

  • 1Danish National Library of Science and Medicine, Nørre Alle 49, 2200 København N, Denmark. pt@dadlnet.dk

Studies in Health Technology and Informatics
|February 24, 2001
PubMed
Summary

This study introduces a framework for medical knowledge, highlighting how unspoken, tacit knowledge impacts doctor information needs and challenges the creation of effective decision support systems.

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Area of Science:

  • Medical Informatics
  • Epistemology of Science

Background:

  • Medical knowledge encompasses explicit and tacit components.
  • Tacit knowledge significantly influences clinical practice and information requirements.
  • Current decision support systems (DSS) struggle to fully integrate tacit knowledge.

Purpose of the Study:

  • To propose an epistemological framework for medical knowledge.
  • To guide research aimed at meeting physicians' information needs.
  • To address the challenges posed by tacit knowledge in medical DSS development.

Main Methods:

  • Conceptual analysis of medical knowledge.
  • Exploration of epistemological challenges in knowledge articulation.
  • Review of literature on decision support systems and tacit knowledge.

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Main Results:

  • Tacit knowledge is a critical, yet often unarticulated, aspect of medical expertise.
  • The epistemological difficulty of articulating tacit knowledge hinders DSS integration.
  • Existing research often overlooks the impact of tacit knowledge on DSS efficacy.

Conclusions:

  • An epistemological framework is needed to guide research on medical knowledge.
  • Tacit knowledge must be considered to improve doctors' information access and DSS.
  • Further research should focus on methods to address tacit knowledge in medical informatics.