Lincoln, T.L. and Essin, D.J. (1995) `A document processing architecture for electronic medical records', in: Medinfo '95, R.A. Greenes, H.E. Peterson and D.J. Protti (eds), Healthcare Computing and Communications Canada, Edmonton, 227-230.

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Information Systems for Public Sector Management - Working Paper Series   (Correct)

....impacts. As well as imposing rationality, rationally conceived HCIS also tend to impose uniformity by allowing one particular way of doing things. This will suppress flexibility and diversity in the health care context, overriding the typical reality of individual work styles, needs and approaches (Lincoln and Essin, 1995). We term this an equivocal outcome since it may either help or hinder patient care. It may help in situations where flexibility and diversity are equated with corruption or with poor or uneven work quality. It may hinder in situations where flexibility and diversity are necessary reactions to ....

.... as possible explains the interest in HCIS features that more closely imitate reality, such as free text based recording and search systems, pen and audio input, mobile computing, and integration of images into computerised medical records (Dayhoff, 1995; Laukkanen and Maier, 1995; Lincoln and Essin, 1995; Verhoosel et al. 1998) Many HCIS may therefore have to become more technically sophisticated in order to become more reality supporting and, hence, to integrate more easily into health care practice. Figure 2. Continuum of Health Care Applications Supporting Organisational Reality Requiring ....

Lincoln, T.L. and Essin, D.J. (1995) `A document processing architecture for electronic medical records', in: Medinfo '95, R.A. Greenes, H.E. Peterson and D.J. Protti (eds), Healthcare Computing and Communications Canada, Edmonton, 227-230.

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