Factors leading to lack of computer use in clinical care
involves complex organisms (unlike physical processes)
if over-simplify, not useful (vs. bank transaction)
therefore need sophisticated abstraction + detail
technology for gathering complex info. just emerging
reimbursement has not been linked to clinical info.
- therefore many admin. systems but few clinical
health care administered by individuals, small groups
- less need for coordination
inertia; fear; ignorance; money
security, integrity; previous failures
lack of standards; language (controlled vocabulary)
rapid turnover of technology