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Doctors and psychosocial information: records and reuse in inpatient care

Published: 10 April 2010 Publication History

Abstract

We conducted a field-based study at a large teaching hospital to examine doctors' use and documentation of patient care information, with a special focus on a patient's psychosocial information. We were particularly interested in the gaps between the medical work and any representations of the patient. The paper describes how doctors record this information for immediate and long-term use. We found that doctors documented a considerable amount of psychosocial information in their electronic health records (EHR) system. Yet, we also observed that such information was recorded selectively, and a medicalized view-point is a key contributing factor. Our study shows how missing or problematic representations of a patient affect work activities and patient care. We accordingly suggest that EHR systems could be made more usable and useful in the long run, by supporting both representations of medical processes and of patients.

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cover image ACM Conferences
CHI '10: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
April 2010
2690 pages
ISBN:9781605589299
DOI:10.1145/1753326
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Published: 10 April 2010

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Author Tags

  1. cscw
  2. ehr
  3. electronic patient records
  4. health informatics
  5. medical records
  6. organizational memory
  7. physician information needs
  8. psychosocial information

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