Anthropologists have been using ethnographic methods since the 1970s to support the design and evaluation of software. While early use of such skills in the design world was viewed as experimental, at least by computer scientists and engineers, ethnography has now become established as a useful skill in technology design. Not only are corporations and… (More)
This paper is a report on the first phase of a long-term, interdisciplinary project whose goal is to increase the overall effectiveness of physicians' time, and thus the quality of health care, by improving the information exchange between physicians and patients in clinical settings. We are focusing on patients with long-term and chronic conditions,… (More)
The problem of user acceptance of knowledge-based systems is a current concern in medical informatics. User acceptance should increase when system-builders understand both the needs of potential users and the context in which a system will be used. Ethnography is one source of such understanding. This paper describes the contribution of ethnography (and an… (More)
This paper presents pre-implementation data from the internal medicine division of a large physician group practice scheduled to implement an electronic medical record (EMR). Data were gathered through short-term participant observation and interviews. Findings indicate that (1) most physicians anticipate enough benefits to be willing to use the system; (2)… (More)
The changing technology of technological change: general and abstract knowledge and the division of innovative labour.word analysis as a tool for describing the network of interactions between basic and technological research: the case of polymer chemistry. Effects of fish oil fatty acid ingestion in patients with Raynaud's syndrome.