Shortliffe E H
Section on Medical Informatics, Stanford University School of Medicine, California 94305-5479.
Ann Acad Med Singap. 1991 Mar;20(2):277-80.
With the emergence of personal computers and graphical interfaces during the 1980s, advanced computational power has at last become accessible and affordable for practising clinicians in both inpatient and outpatient settings. Many observers have accordingly noted the relatively low level of direct computer use by physicians in their practices. This paper summarises developing trends in clinical computing, emphasising the role of local and wide-access networks, the revolutionary potential of optical storage techniques, and the notion of integrated workstations that will bring a critical mass of diverse functions to the physician. An important lesson of this review is the current availability of most of the technologies needed for high-quality and acceptable clinical computing tools. The barriers to successful implementation tend to be logistical, financial, and political. Despite these obstacles, new technologies, coupled with educational efforts, should allow the computer to emerge as a crucial aid to clinicians in the decade ahead.
随着20世纪80年代个人电脑和图形界面的出现，先进的计算能力终于变得可供住院和门诊环境中的临床医生使用且价格实惠。许多观察家因此注意到医生在实际工作中直接使用计算机的水平相对较低。本文总结了临床计算的发展趋势，强调了局域网和广域网的作用、光存储技术的变革潜力，以及将为医生带来大量多样功能的集成工作站的概念。本次综述的一个重要教训是，高质量且可接受的临床计算工具所需的大多数技术目前都已具备。成功实施的障碍往往是后勤、财务和政治方面的。尽管存在这些障碍，但新技术与教育努力相结合，应能使计算机在未来十年成为临床医生的关键辅助工具。
