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Expert Systems in Medicne: Possible Future Effects

Published online by Cambridge University Press:  10 March 2009

P Potthoff ,
M. Rothemund ,
D. Schwefel ,
R. Engelbrecht  and
W. van Eimeren
P Potthoff
Affiliation:
MEDIS-GSF, Federal Republic of Germany
M. Rothemund
Affiliation:
MEDIS-GSF, Federal Republic of Germany
D. Schwefel
Affiliation:
MEDIS-GSF, Federal Republic of Germany
R. Engelbrecht
Affiliation:
MEDIS-GSF, Federal Republic of Germany
W. van Eimeren
Affiliation:
MEDIS-GSF, Federal Republic of Germany
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Extract

It should be pointed out that during the interviews most of the experts had positive expectations of ESM. The developers are more generally enthusiastic than the prospective users and affected parties who, especially in respect of the diffusion of ESM into practical application, only show a limited optimism.

However, the representatives of the medical profession and the health insurance industry were convinced that ESM might contribute to cost-neutral increases of quality in out-patient and in-patient medicine. But we also understood them to say that they consider other developments in medicine to be overriding, for example, a tendency of general medicine towards a more family-oriented medicine and a reduced emphasis on technology-oriented medicine. In respect of the conception shared by developers as well as potential users that over-enthusiastic expectations should rather be restrained, we consider such a balanced expectation of positive effects of ESM to be adequate to the actual knowledge of the subject.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 4 , Issue 1 , January 1988 , pp. 121 - 133
Copyright
Copyright © Cambridge University Press 1988

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References

Banta, H. D., Behney, C. J., & Willems, J. S.Toward rational technology in health care. New York: Springer Publishing Company, 1981.Google Scholar
Buchanan, B. G.Expert systems, working systems and the research literature. Expert Systems, 1986, 3, 32–51.CrossRefGoogle Scholar
Culyer, A. J., & Horisberger, B. (eds.), Technologie im Gesundheitswesen. Berlin: Springer Verlag, 1984.CrossRefGoogle Scholar
Davis, R. Amplifying expertise with expert systems. In Winston, P. H., & Prendergast, K. A. (eds.), The A1 business. Commercial users of artificial intelligence. Cambridge, MA: MIT Press, 1985.Google Scholar
Deutsches Ärzteblatt, 1986, 83, 1229–30.Google Scholar
DeDombal, F. T.Computer-aided diagnosis of acute abdominal pain: The British experience. Revue Epidemiologique et Santé Public, 1984, 32, 50–56.Google Scholar
Dudeck, J., Clayton, P. D., Sebald, P. et al. , Erfahrungen bei der Anpassung des Krankenhaus-Informationssystems HELP an die deutsche Umgebung. In Telemed, (ed.), Medizinische Informatik in der Schweiz. Basel: 1986, 127–46.Google Scholar
Gurstein, M. Social impacts of selected artificial intelligence applications—The Canadian context. Futures, 1985, 652–71.CrossRefGoogle Scholar
Kingsland, L. C. III, Lindberg, D. A. B., & Sharp, G. C.A1/RHEUM—A consultant for rheumatology. Journal of Medical Systems, 1983, 7, 221–27.CrossRefGoogle Scholar
Kingsland, L. C., III,Artificial intelligence: Promise and reality. In Levy, A. H., & Williams, B. T. (eds.), AAMSI Congress 1986, Proceedings. Anaheim, CA: 1986, 87–91.Google Scholar
Kleinmuntz, B.Diagnostic problem solving by computer: A historical review and the current state of the science. Computers in Biology and Medicine, 1984, 14, 255–70.CrossRefGoogle ScholarPubMed
Lordieck, W., & Reichertz, P. L.Die EDV in den Krankenhäusern der Bundesrepublik Deutschland. Berlin: Springer Verlag, 1983.CrossRefGoogle Scholar
Maxmen, J. S. Long-term trends in health care: The post-physician era reconsidered. In Schwefel, D. (ed.), Indicators and trends in health and health care. Berlin: Springer Verlag, 1987.Google Scholar
McDonald, C. J., Hui, S. L., Smith, D. M. et al. , Reminders to physicians from an introspective computer medical record — a two-year randomized trial. Annals of Internal Medicine, 1984, 100, 130–38.CrossRefGoogle ScholarPubMed
McIntyre, N., DeDombal, F. T., Smith, D. M. et al. : Computer aided diagnosis of acute abdominal pain—multi center study phase II. Final unpublished report, 1985.Google Scholar
Miller, P. Issues in the evaluation of artificial intelligence systems in medicine. In IEEE (ed.), Proceedings of the Ninth Annual Symposium on Computer Applications in Medical Care, Washington, DC, 1985, 281–85.Google Scholar
Pryor, T. A., Gardner, R. M., Clayton, P. D., & Warner, H. R.The HELP system. Journal of Medical Systems, 1983, 7, 87–101.CrossRefGoogle ScholarPubMed
Schwartz, W. B.Medicine and the computer: The promise and problems of change. New England Journal of Medicine, 1970, 283, 1257–64.CrossRefGoogle ScholarPubMed
Weiss, S. M., Kulikowski, C. A., & Galen, R.Representing expertise in a computer program. Journal of Clinical Laboratory Automation, 1983, 3, 383–87.Google Scholar