TY - JOUR
T1 - Distributed cognition
T2 - An alternative model of cognition for medical informatics
AU - Hazlehurst, Brian
AU - Gorman, Paul N.
AU - McMullen, Carmit K.
N1 - Funding Information:
This material is based upon work supported by the National Science Foundation under grant number IIS-0534797 and the Agency for Healthcare Research and Quality grant number 5 R01 HS12003.
PY - 2008/4
Y1 - 2008/4
N2 - 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.
AB - 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.
KW - Clinical information system design
KW - Cognitive science
KW - Distributed cognition
KW - Human performance
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U2 - 10.1016/j.ijmedinf.2007.04.008
DO - 10.1016/j.ijmedinf.2007.04.008
M3 - Article
C2 - 17556014
AN - SCOPUS:39749165918
SN - 1386-5056
VL - 77
SP - 226
EP - 234
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
IS - 4
ER -