Glowing predictions about the all-encompassing and beneficial role of
computers in medicine have appeared with increasing frequency in the scientific
literature since the 1970s. However, this optimistic vision has not yet been
realized almost 25 years later. A prescient commentary 15 years ago predicted
the numerous obstacles that have prevented these rosy scenarios from coming
true in clinical practice.1 Several factors
continue to echo the challenges faced in this area, including lack of investment;
lack of leadership from practicing physicians, medical schools, and professional
societies; and continuing control of information services in most health care
organizations by chief information officers and other administrators.
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