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David C. Classen, MD, MS

JAMA. 1998;280:1360-1361.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Glowing predictions about the all-encompassing and beneficial role of computers in medicine have appeared with increasing frequency in the scientific literature since the 1970s. However, this optimistic vision has not yet been realized almost 25 years later. A prescient commentary 15 years ago predicted the numerous obstacles that have prevented these rosy scenarios from coming true in clinical practice.¹ Several factors continue to echo the challenges faced in this area, including lack of investment; lack of leadership from practicing physicians, medical schools, and professional societies; and continuing control of information services in most health care organizations by chief information officers and other administrators.

Several articles in THE JOURNAL^2-5 offer hope that the vision is indeed becoming reality. These articles address clinical decision support systems (CDSSs), which are clinical consultation systems that use population statistics and expert knowledge to offer real-time information for clinicians. These systems . . . [Full Text of this Article]

From the Department of Clinical Epidemiology, LDS Hospital and Intermountain Health Care, Salt Lake City, Utah.

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