caa a22 4500 386356238 CHVBK 20180307111854.0 cr unu---uuuuu 161130e198901 xx s 000 0 eng 10.1017/S0266462300005936 doi S0266462300005936 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300005936 Lorch Stephen Harvard School of Public Health Technology and The Work of the Doctor Outside the Hospital [Elektronische Daten] [Stephen Lorch] This article examines the ends to which technology are employed in the office practice of medicine. It argues that the types of decisions technology supports are of greater impact on how medicine is practiced over the long view than the actual technologies themselves. The more relevant the technologies are to the effectiveness of diagnosis and treatment, the more they drive the practice of medicine toward a standard endeavor. Similarly, technologies that make existing tests and procedures more efficient often reduce the skill level that is needed to provide care. The results of these forces coupled with the increasing administrative, economic, and regulating pressures lead to a diminished role for physicians unless a conscious effort is made to introduce technologies that enhance their unique and discretionary work with patients. Copyright © Cambridge University Press 1989 International Journal of Technology Assessment in Health Care Cambridge University Press 5/1(1989-01), 43-52 0266-4623 5:1<43 1989 5 THC https://doi.org/10.1017/S0266462300005936 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300005936 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Lorch Stephen Harvard School of Public Health NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/1(1989-01), 43-52 0266-4623 5:1<43 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge