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Computerized clinical information

J W Humphry1, V S Cheung

  • 1Information Systems Department, Waianae Coast Comprehensive Health Center, HI 96792-3199.

Hawaii Medical Journal
|December 1, 1993
PubMed
Summary

Physician adoption of computer systems in patient care is slow. However, the Waianae Coast Comprehensive Health Center

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Area of Science:

  • Health Informatics
  • Medical Computing
  • Clinical Information Systems

Background:

  • Computer use in medicine lags behind expectations.
  • While MEDLINE searches are common, direct patient care applications see limited physician acceptance.
  • Effective integration of technology in clinical workflows remains a challenge.

Purpose of the Study:

  • To describe the development and physician adoption of an in-house computer system at a health center.
  • To highlight the impact of physician involvement in system design on user acceptance.
  • To assess the effectiveness of a locally developed system in improving computer use in patient care.

Main Methods:

  • Development of a custom in-house computer system, the Pacific Area Medical Manager (PAMM).
  • Inclusion of a Patient Health Status (PHS) module within the PAMM system.
  • Physician participation in all planning stages of the PHS module development.

Main Results:

  • The Pacific Area Medical Manager (PAMM) system was successfully developed and implemented.
  • Physician involvement in the Patient Health Status (PHS) module planning increased system acceptance.
  • Demonstrated a positive trend in the adoption of computer systems for patient care.

Conclusions:

  • Local development and physician collaboration are key to successful clinical information system adoption.
  • Involving end-users in system design significantly improves acceptance and integration.
  • The PAMM system with its PHS module shows promise for enhancing computer use in direct patient care.

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