title: Medical informatics challenges of the 1990s: acknowledging secular change.
authors.forename: M S
authors.initials: MS
authors.lastname: Tuttle
mesh_terms: D003195:Computer Communication Networks; D006801:Humans; D008389:Marketing of Health Services; D008490:Medical Informatics / Q000458:organization & administration / Q000639:trends*; D009937:Organizational Objectives; D012922:Social Change; D012984:Software