title: Distribution of a primary care office information system.
abstract: Primary Care Office InSite (PCOI) is a Web-based intranet application that provides ready access to a collection of information useful in primary care. The PCOI Web site was developed by, and is widely used within, the Massachusetts General Hospital (MGH) and its affiliated community practices. Over 1600 users logged 60,000 separate sessions in the past year. The site contains clinical practice guidelines, patient educational material, drug prescription and cost information and referral information, all designed for use during routine patient care activity. This paper discusses the problems encountered and the lessons learned during an ongoing experiment to disseminate PCOI via the Internet to four distant and very different ambulatory care sites. None of these sites (a rural community hospital, a city-wide health care network, an inner-city general hospital, and an Indian Health Service hospital have the resources to develop such an application internally.
authors.affiliation: Massachusetts General Hospital Laboratory of Computer Science, Boston, USA.
authors.forename: G Octo
authors.initials: GO
authors.lastname: Barnett
authors.forename: Edward P
authors.initials: EP
authors.lastname: Hoffer
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Schneider
authors.forename: Mary
authors.initials: M
authors.lastname: Morgan
authors.forename: C ynthia Maciel
authors.initials: Cy
authors.lastname: Knowles
authors.forename: Elina
authors.initials: E
authors.lastname: Levin
authors.forename: Aimee
authors.initials: A
authors.lastname: Lee
mesh_terms: D000555:Ambulatory Care Information Systems; D001292:Attitude to Computers; D003195:Computer Communication Networks; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D006801:Humans; D007255:Information Services; D008404:Massachusetts; D009936:Organizational Innovation; D017410:Practice Guidelines as Topic; D011320:Primary Health Care