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A visual study of computers on doctors' desks.

Christopher Pearce1, Hannah Walker, Carolyn O'Shea

  • 1Melbourne East General Practice Network, Blackburn 3130, Victoria, Australia. drchrispearce@mac.com

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General practice consulting rooms, originally designed for doctor-patient interaction, now accommodate computers. Analysis reveals distinct desk areas and setting types, influencing the three-way doctor-patient-computer dynamic.

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Area of Science:

  • Medical Informatics
  • Human-Computer Interaction
  • General Practice

Background:

  • General practice has undergone significant computerization.
  • Consulting rooms were designed before widespread computer use.
  • Integrating computers into existing room designs presents challenges.

Purpose of the Study:

  • To analyze the spatial arrangement of general practice consulting rooms.
  • To understand how computers are integrated into the doctor-patient-computer interaction.
  • To provide a framework for assessing computer placement effects.

Main Methods:

  • Analysis of still shots from 20 general practitioners' consulting rooms.
  • Application of dramaturgical methodology to describe room settings.
  • Categorization of desk areas and overall room settings.

Main Results:

  • Identified distinct desk areas: patient, working, clinical, and administrative.
  • Classified settings into two broad categories: patient-inclusive and patient-exclusive.
  • Highlighted the spatial negotiation between doctors, patients, and computers.

Conclusions:

  • Understanding the 'staging' of the consulting room is crucial for analyzing the three-way interaction.
  • Further analysis of interaction dynamics can inform optimal computer placement.
  • Spatial configuration impacts the doctor-patient-computer relationship in primary care settings.