Berg M
Department of Health Ethics and Philosophy, Maastricht University, The Netherlands.
Methods Inf Med. 1998 Sep;37(3):294-301.
The computer-based patient record (CPR) is a tool likely to have great impact on the practice of medicine in the years to come. Yet, clinical settings with a fully integrated CPR are hard to find. This paper takes a sociological look at the attempts to construe and introduce CPRs. It is argued that part of the current trouble in getting these tools to work lies in the model of medical work that is inscribed in many (attempted) CPRs. A more sociological perspective on medical work should be able to offer points of departure for the construction of systems which might fit the needs of health care workers better. Based on participatory observation, the paper outlines what it is medical work comes down to from a sociological perspective, and how the medical record figures in this work. Finally, some consequences this depiction has for current discussions on and (proposed) implementations of CPRs are described.
基于计算机的患者记录（CPR）是一种在未来几年可能会对医学实践产生重大影响的工具。然而，很难找到完全集成CPR的临床环境。本文从社会学角度审视了构建和引入CPR的尝试。有人认为，目前在使这些工具发挥作用方面遇到的部分问题在于许多（尝试性的）CPR中所体现的医疗工作模式。对医疗工作采用更具社会学视角应该能够为构建更符合医护人员需求的系统提供出发点。基于参与观察，本文概述了从社会学角度来看医疗工作归根结底是什么样的，以及病历在这项工作中所起的作用。最后，描述了这种描述对当前关于CPR的讨论和（提议的）实施所产生的一些影响。
