A visual study of computers on doctors' desks

<strong>Background</strong> General practice has rapidly computerised over the past ten years, thereby changing the nature of general practice rooms. Most general practice consulting rooms were designed and created in an era without computer hardware, establishing a pattern of work aroun...

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Main Authors: Christopher Pearce, Hannah Walker, Carolyn O'Shea
Format: Article
Language:English
Published: BCS, The Chartered Institute for IT 2008-07-01
Series:Journal of Innovation in Health Informatics
Subjects:
Online Access:http://hijournal.bcs.org/index.php/jhi/article/view/682
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author Christopher Pearce
Hannah Walker
Carolyn O'Shea
author_facet Christopher Pearce
Hannah Walker
Carolyn O'Shea
author_sort Christopher Pearce
collection DOAJ
description <strong>Background</strong> General practice has rapidly computerised over the past ten years, thereby changing the nature of general practice rooms. Most general practice consulting rooms were designed and created in an era without computer hardware, establishing a pattern of work around maximising the doctor-patient relationship. General practitioners (GPs) and patients have had to integrate the computer into this environment. <strong>Methods</strong> Twenty GPs allowed access to their rooms and consultations as part of a larger study. The results are based on an analysis of still shots of the consulting rooms. Analysis used dramaturgical methodology; thus the room is described as though it is the setting for a play. <strong>Results</strong> First, several desk areas were identified: a shared or patient area, a working area, a clinical area and an administrative area. Then, within that framework, we were able to identify two broad categories of setting, one inclusive of the patient and one exclusive. <strong>Conclusion</strong> With the increasing significance of the computer in the three-way doctor_patient_computer relationship, an understanding of the social milieu in which the three players in the consultation interact (the staging) will inform further analysis of the interaction, and allow a framework for assessing the effects of different computer placements.
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spelling doaj.art-bd560f117bfc4e478d6e0e2b15c184072022-12-21T17:31:08ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632008-07-0116211111710.14236/jhi.v16i2.682624A visual study of computers on doctors' desksChristopher PearceHannah WalkerCarolyn O'Shea<strong>Background</strong> General practice has rapidly computerised over the past ten years, thereby changing the nature of general practice rooms. Most general practice consulting rooms were designed and created in an era without computer hardware, establishing a pattern of work around maximising the doctor-patient relationship. General practitioners (GPs) and patients have had to integrate the computer into this environment. <strong>Methods</strong> Twenty GPs allowed access to their rooms and consultations as part of a larger study. The results are based on an analysis of still shots of the consulting rooms. Analysis used dramaturgical methodology; thus the room is described as though it is the setting for a play. <strong>Results</strong> First, several desk areas were identified: a shared or patient area, a working area, a clinical area and an administrative area. Then, within that framework, we were able to identify two broad categories of setting, one inclusive of the patient and one exclusive. <strong>Conclusion</strong> With the increasing significance of the computer in the three-way doctor_patient_computer relationship, an understanding of the social milieu in which the three players in the consultation interact (the staging) will inform further analysis of the interaction, and allow a framework for assessing the effects of different computer placements.http://hijournal.bcs.org/index.php/jhi/article/view/682doctor_patient_computer interactioncomputer placementgeneral practice
spellingShingle Christopher Pearce
Hannah Walker
Carolyn O'Shea
A visual study of computers on doctors' desks
Journal of Innovation in Health Informatics
doctor_patient_computer interaction
computer placement
general practice
title A visual study of computers on doctors' desks
title_full A visual study of computers on doctors' desks
title_fullStr A visual study of computers on doctors' desks
title_full_unstemmed A visual study of computers on doctors' desks
title_short A visual study of computers on doctors' desks
title_sort visual study of computers on doctors desks
topic doctor_patient_computer interaction
computer placement
general practice
url http://hijournal.bcs.org/index.php/jhi/article/view/682
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