Berg M, Langenberg C, vd Berg I, Kwakkernaat J
Maastricht University, The Netherlands.
Stud Health Technol Inform. 1997;43 Pt B:811-5.
This paper argues that we should see medical work practices as natural systems, and that we should understand the process of IT design as the development of sociotechnical configurations. Drawing upon our experiences with an electronic patient record (EPR) on an Intensive Care Unit, several considerations for design are developed. First, the EPR should not be overly structured with rationalistic and pre-fixed notions of the organization and content of medical work. Second, it is crucial to ensure that the usage of the system will yield immediate benefits for primary users: the systems should support work; not generate it. Third, designing IT should include being aware of the socio-political nature of seemingly 'neutral' tools as EPRs.
本文认为，我们应将医疗工作实践视为自然系统，并且应将信息技术（IT）设计过程理解为社会技术配置的发展。基于我们在重症监护病房使用电子病历（EPR）的经验，我们提出了一些设计方面的考量。首先，电子病历不应因对医疗工作的组织和内容存在理性主义和预先设定的观念而过度结构化。其次，确保系统的使用能为主要用户带来直接益处至关重要：系统应支持工作，而非产生工作。第三，设计信息技术应包括意识到诸如电子病历这类看似“中立”的工具的社会政治性质。
