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J R Soc Med. 1983 January; 76(1): 45–52.
PMCID: PMC1438566

Utilization of computers in clinical practice--role of physician networks: preliminary communication.

Abstract

This study examines the influence of physician networks on the utilization of computers in clinical practice. Data on patient referrals, consultations, professional discussions, and on-call coverage were collected from 24 physicians who comprise a private group practice. Their utilization of a computerized hospital medical information system (HIS) in caring for patients admitted to a 1160-bed private, university affiliated, teaching hospital was determined. A matrix representing the professional relations among these physicians was subjected to smallest space analysis, a form of multidimensional scaling. Also, a number of indices that describe structural and interactional properties of the network and individual physicians were computed. The three-dimensional representation of the network that resulted from the analysis suggests a two-step process of adoption and utilization of medical technology. Physicians who were engaged in outside professional activities and in the training of medical students and house staff were more likely to utilize the system in caring for patients. These physicians, who were more centrally located and dominant in the referral and consultation process, were more likely to influence the practice patterns of their colleagues. The use of network analysis to identify influential physicians whose involvement is essential to the success of efforts aimed at introducing computers into clinical practice is discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Blackburn JP. Microchips in medicine. J R Soc Med. 1981 Sep;74(9):644–645. [PMC free article] [PubMed]
  • Eisenberg JM. An educational program to modify laboratory use by house staff. J Med Educ. 1977 Jul;52(7):578–581. [PubMed]
  • Goran MJ. The evolution of the PSRO hospital review system. Med Care. 1979 May;17(5 Suppl):1–47. [PubMed]
  • Greer AL. Advances in the study of diffusion of innovation in health care organizations. Milbank Mem Fund Q Health Soc. 1977 Fall;55(4):505–532. [PubMed]
  • Greer AL. Medical technology: assessment, adoption, and utilization. J Med Syst. 1981;5(1-2):129–145. [PubMed]
  • Jay SJ, Anderson JG. Computerized hospital information systems: their future role in medicine. J R Soc Med. 1982 May;75(5):303–305. [PMC free article] [PubMed]
  • Walker CH. "Batch" or "on-line" for child health--a review. Br Med J. 1980 Jul 5;281(6232):90–92. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press