BACKGROUND: Medical informatics has been guided by an individual-centered model of human cognition, inherited from classical theory of mind, in which knowledge, problem-solving, and information-processing responsible for intelligent behavior all derive from the inner workings of an individual agent. OBJECTIVES AND RESULTS: In this paper we argue that medical informatics commitment to the classical model of cognition conflates the processing performed by the minds of individual agents with the processing performed by the larger distributed activity systems within which individuals operate. We review trends in cognitive science that seek to close the gap between general-purpose models of cognition and applied considerations of real-world human performance. One outcome is the theory of distributed cognition, in which the unit of analysis for understanding performance is the activity system which comprises a group of human actors, their tools and environment, and is organized by a particular history of goal-directed action and interaction. CONCLUSION: We describe and argue for the relevance of distributed cognition to medical informatics, both for the study of human performance in healthcare and for the design of technologies meant to enhance this performance.
BACKGROUND: Medical informatics has been guided by an individual-centered model of human cognition, inherited from classical theory of mind, in which knowledge, problem-solving, and information-processing responsible for intelligent behavior all derive from the inner workings of an individual agent. OBJECTIVES AND RESULTS: In this paper we argue that medical informatics commitment to the classical model of cognition conflates the processing performed by the minds of individual agents with the processing performed by the larger distributed activity systems within which individuals operate. We review trends in cognitive science that seek to close the gap between general-purpose models of cognition and applied considerations of real-world human performance. One outcome is the theory of distributed cognition, in which the unit of analysis for understanding performance is the activity system which comprises a group of human actors, their tools and environment, and is organized by a particular history of goal-directed action and interaction. CONCLUSION: We describe and argue for the relevance of distributed cognition to medical informatics, both for the study of human performance in healthcare and for the design of technologies meant to enhance this performance.
Authors: Daniel G Morrow; Thembi Conner-Garcia; James F Graumlich; Michael S Wolf; Stacey McKeever; Anna Madison; Kathryn Davis; Elizabeth A H Wilson; Vera Liao; Chieh-Li Chin; Darren Kaiser Journal: Contemp Clin Trials Date: 2012-06-01 Impact factor: 2.226
Authors: Sarah A Collins; Lena Mamykina; Desmond Jordan; Dan M Stein; Alisabeth Shine; Paul Reyfman; David Kaufman Journal: J Biomed Inform Date: 2011-11-28 Impact factor: 6.317
Authors: Rosalie G Waller; Melanie C Wright; Noa Segall; Paige Nesbitt; Thomas Reese; Damian Borbolla; Guilherme Del Fiol Journal: J Am Med Inform Assoc Date: 2019-05-01 Impact factor: 4.497
Authors: George S Avrunin; Lori A Clarke; Heather M Conboy; Leon J Osterweil; Roger D Dias; Steven J Yule; Julian M Goldman; Marco A Zenati Journal: Softw Eng Healthc Syst SEHS IEEE ACM Int Workshop Date: 2018-05