000002740 001__ 2740 000002740 005__ 20250424232751.0 000002740 0247_ $$2DOI$$a10.6083/M44T6GPC 000002740 037__ $$aETD 000002740 245__ $$aHandling external clinical information in independent primary care practices: a cognitive work analysis 000002740 260__ $$bOregon Health and Science University 000002740 269__ $$a2014 000002740 336__ $$aDissertation 000002740 502__ $$bPh.D. 000002740 520__ $$aHuman factors methods are rapidly being adopted by the medical informatics community to explore the safety, efficiency, and effectiveness of health information technology (HIT). Although our understanding of how these technologies affect large healthcare organizations is improving, less is known about the context and real-world work practices found in independent primary care practices. This manuscript contains a comprehensive literature review and the results of original research conducted in four primary care practices in Oregon. The goal was to learn: What socio-technical factors shape the way small primary care practices handle external clinical information, and what are the implications for the design of supportive systems? 000002740 540__ $$fCC BY 000002740 542__ $$fIn copyright - single owner 000002740 650__ $$aDiagnostic Techniques and Procedures$$032007 000002740 650__ $$aPrimary Health Care$$024590 000002740 650__ $$aReferral and Consultation$$025251 000002740 650__ $$aCommunication$$016935 000002740 650__ $$aFamily Practice$$018881 000002740 650__ $$aInformation Science$$020805 000002740 651__ $$aOregon$$041094 000002740 691__ $$aSchool of Medicine$$041369 000002740 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000002740 7001_ $$aMcCormack, James$$uOregon Health and Science University$$041354 000002740 7201_ $$aEden, Karen$$uOregon Health and Science University$$041354$$7Personal$$eChair 000002740 8564_ $$9d53c8603-08f1-4aa3-b071-ed0b05fb4d76$$s4502248$$uhttps://digitalcollections.ohsu.edu/record/2740/files/3520_etd.pdf$$ePublic$$2a7d06ea19cedb41a1399d7f66a152e93$$31 000002740 905__ $$a/rest/prod/4q/77/fr/61/4q77fr61s 000002740 909CO $$ooai:digitalcollections.ohsu.edu:2740$$pstudent-work 000002740 980__ $$aBiomedical Informatics