Compassion, Computers, and the Regulation of Clinical Technology
Authors: ALVAN R. FEINSTEIN
Journal: Annals of Internal Medicine (1967)

Special Article1 April 1967Compassion, Computers, and the Regulation of Clinical TechnologyALVAN R. FEINSTEIN, M.D., F.A.C.P.ALVAN R. FEINSTEIN, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-4-789 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA clinician today often eats a breakfast that was stored in a refrigerator and cooked on an electric stove; he drives his automobile to a multistoried building, where he takes a self-service elevator to his office; he checks the telephoned reports of results obtained via X ray, electrocardiograph, or spectrophotometer; he looks at his television set and sees pictures sent instantaneously via artificial satellite from the other side of the earth; he then takes the microphone of his dictation equipment and composes a letter that will be transcribed with the aid of an electric typewriter. In the letter, he deplores...References1. MCKUSICK VA Quotation cited on p. 12 of : Cardiovascular Sound in Health and Disease. The Williams & Wilkins Co., Baltimore, 1958. Google Scholar2. FEINSTEIN AR: Scientific methodology in clinical medicine. I. Introduction, principles, and concepts. Ann. Intern. Med. 61: 564, 1964. LinkGoogle Scholar3. MEADOR CK: The art and science of non-disease. New Eng. J. Med. 272: 92, 1965. CrossrefMedlineGoogle Scholar4. FEINSTEIN AR: Scientific methodology in clinical medicine. II. Classification of human disease by clinical behavior. Ann. Intern. Med. 61: 757, 1964. LinkGoogle Scholar5. FEINSTEIN AR: Clinical Judgment. The Williams & Wilkins Co., Baltimore, 1967. Google Scholar6. BRUCEYARNALL RASR: Computer-aided diagnosis of cardiovascular disorders. J. Chronic Dis. 19: 473, 1966. CrossrefMedlineGoogle Scholar7. LEDLEYLUSTED RSLB: Reasoning foundation of medical diagnosis: symbolic logic, probability and value theory aid our understanding of how physicians reason. Science 130: 9, 1959. CrossrefMedlineGoogle Scholar8. CACERESABRAHAM CAS: Computer use in health and medical research—role for computers in heart disease control. Amer. J. Public Health 53: 582, 1963. CrossrefGoogle Scholar9. PIPBERGERSTALLMANN HVFW: Computation of differential diagnosis in electrocardiography. Ann. N. Y. Acad. Sci. 115: 1115, 1964. CrossrefMedlineGoogle Scholar10. ACHESON RM: Observer error and variation in the interpretation of electrocardiograms in an epidemiological study of coronary heart disease. Brit. J. Prev. Soc. Med. 14: 99, 1960. MedlineGoogle Scholar11. HURSTWENGER JWNK CABRERAESTESHELLERSTEIN EEHHK (editors); : Electrocardiographic Interpretation. Blakiston Division, McGraw-Hill Book Co., New York, 1963. Google Scholar12. SONQUISTMORGAN JAJN: The Detection of Interaction Effects. A Report on a Computer Program for the Selection of Optimal Combinations of Explanatory Variables. Monograph No. 35 Survey Research Center. Institute for Social Research. The University of Michigan, Ann Arbor, 1964. Google Scholar13. FEINSTEINKOSS ARN: Prognosis by computer: based on storage and retrieval of data for 5-year clinical course of 691 cases of lung cancer (abstract). J. Clin. Invest. 45: 1007, 1966. Google Scholar14. BRONOWSKI J: The Identity of Man. Natural History Press, Garden City, N. Y., 1965. Google Scholar15. Ibid., pp. 80, 101, 105. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ALVAN R. FEINSTEIN, M.D., F.A.C.P.Affiliations: West Haven and New Haven, ConnecticutFrom the Department of Medicine (Clinical Biostatistics Section), Veterans Administration Hospital, West Haven, Conn., and the Departments of Medicine and Epidemiology, Yale University School of Medicine, New Haven, Conn.This work was conceived and prepared during research supported by grant 0704A66, the Bureau of State Services, the U. S. Public Health Service, Washington, D. C.Requests for reprints should be addressed to Alvan R. Feinstein, M.D., Yale University School of Medicine, 333 Cedar St., New Haven, Conn. 06510. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComputers and compassion in general practiceComputer interpretation of laboratory test resultsMaris: A knowledge system for internal medicineThe computerization of the orthodontic patientCOMPUTERS IN THE SERVICE OF MEDICINERecording clinical data for computer analysis of an oncology unitNORMAL VALUES IN MEDICINE 1 April 1967Volume 66, Issue 4Page: 789-805KeywordsBiostatisticsClinical epidemiologyComputersElectrocardiographyHospital medicineMedical servicesResearch grants ePublished: 1 December 2008 Issue Published: 1 April 1967 PDF downloadLoading ...