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Updated: Aug 10, 2026

16:17
The ITS2 Database
Published on: March 12, 2012
The commerce of ideas: Internets and Intranets
1Bernard Becker Medical Library, Washington University School of Medicine, St. Louis, MO 63110, USA. frisse@medicine.wustl.edu
Summary
Academic physicians excel in clinical medicine but lag in information management. The World Wide Web (WWW) and intranets offer transformative potential for academic medicine, yet many centers lack a clear IT vision and action plan.
Area of Science:
- Academic Medicine
- Health Care Information Technology
- Medical Informatics
Background:
- Academic physicians excel in clinical medicine, research, and education, but historically underperform in information management.
- The rise of network-based communications necessitates improved information infrastructure for academic medical centers to maintain a competitive edge.
- Many institutions have adopted health care information technology indiscriminately rather than with focused leadership.
Purpose of the Study:
- To explore the impact of World Wide Web (WWW) technologies and internal intranets on academic medicine.
- To analyze how increased Internet penetration and intranet use can transform biomedical publishing, education, and hospital libraries.
- To assess the current state of information technology vision and strategic planning within academic medical centers.
Main Methods:
- Speculative essay based on current trends in information technology adoption within academic medicine.
- Analysis of the transformative potential of the Internet and intranets in healthcare information management.
- Review of institutional approaches to information technology vision and implementation.
Main Results:
- The Internet is significantly altering biomedical publishing, education, and library services.
- Intranets are emerging as crucial tools for administrative support and patient-specific information delivery.
- Despite the potential, many academic medical centers lack the strategic vision and will to implement effective information technology plans.
Conclusions:
- Academic medicine faces a critical juncture regarding information management and technology adoption.
- Strategic leadership and a coherent plan are essential for harnessing the full potential of the Internet and intranets.
- Failure to adapt information technology strategies may hinder academic medical centers' future competitiveness and effectiveness.
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