The aim of this article is to advance the case of pragmatism as a research philosophy and to illustrate its applicability as a mixed methodology perspective in medical informatics. Epistemology is empirical not foundational. Pragmatism offers a practical starting point for a pluralist methodology. Medical practice is pragmatist, empirical, and situated. Medical informatics is a hybrid sociotechnical field that requires multimethod research.
Allan, K. (2006). Contemporary social and sociological theory: Visualizing social worlds. London: Sage.
2.
Als-Nielsen, B., Chen, W., Gluud, C., & Kjaergard, L.L. (2003). Association of funding and conclusions in randomized drug trials: A reflection of treatment effect or adverse events? JAMA: Journal of the American Medical Association , 290, 921-928.
3.
Amia. (2007). About informatics . Retrieved October 25, 2007, from http://www.amia.org/informatics/
4.
Ammenwerth, E., Iller, C., & Mahler, C. (2006). IT-adoption and the interaction of task, technology and individuals: A fit framework and a case study. BMC: Medical Informatics and Decision Making, 6, 3.
5.
Arikha, N. (2007). Passions and tempers: A history of the humours . New York: Ecco.
6.
Ash, J.S., Sittig, D.F., Dykstra, R.H., Guappone, K., Carpenter, J.D., & Seshadri, V. (2007). Categorizing the unintended sociotechnical consequences of computerized provider order entry. International Journal of Medical Informatics, 76(Suppl. 1), 21-27.
7.
Atkinson, P. (1977). Medical mystique. Part 1: Indeterminacy and professional process. Sociology of Work and Occupations, 4, 243-260.
8.
Atkinson, P. (1997). The clinical experience. The construction and reconstruction of medical reality. Alder-shot, UK: Ashgate.
9.
Atkinson, P. (2005). Qualitative research-unity and diversity. Forum: Qualitative Social Research, 6(3). Retrieved July 19, 2006, from http://www.qualitative-research.net/index.php/fqs/issue/view/1
10.
Aydin, C.E., & Rice, R.E. (1992). Bringing social worlds together: Computers as catalysts for new interactions in health care organizations. Journal of Health and Social Behavior, 33, 168-185.
11.
Ben-Menahem, Y. (2005). Hilary Putnam. Cambridge, UK: Cambridge University Press.
12.
Berg, M. (1995). Turning a practice into a science: Reconceptualizing postwar medical practice. Social Studies of Science, 25, 437-476.
13.
Berg, M. (1998). Medical work and the computer-based patient record: A sociological perspective. Methods of Information in Medicine , 37, 294-301.
14.
Berg, M. (2004). Health information management: Integrating health care technology in health care work. London: Routledge.
15.
Berkeley, G. (1710). A treatise concerning the principles of human knowledge.
16.
Bridgman, T., & Willmott, H. (2006). Frameworks for understanding organizational change: The case of a major ICT outsourcing contract. Journal of Applied Behavioral Science, 42, 110-126.
17.
Bryman, A. (1984). The debate about quantitative and qualitative research: A question of method or epistemology? British Journal of Sociology, 35, 75-92.
18.
Bryman, A. (2007). Barriers to integrating quantitative and qualitative research. Journal of Mixed Methods Research, 1(1), 8-22.
19.
Cardinal, D., Hayward, J., & Jones, G. (2004). Epistemology: The theory of knowledge. LondonHodderMurray.
20.
Chiasson, M., Reddy, M., Kaplan, B., & Davidson, E. (2007). Expanding multi-disciplinary approaches to healthcare information technologies: What does information systems offer medical informatics ? International Journal of Medical Informatics, 76(Suppl. 1), 89-97.
21.
Clark, A.M. (1998). The qualitative-quantitative debate: Moving from positivism and confrontation to post-positivism and reconciliation. Journal of Advanced Nursing, 27, 1242-1249.
22.
Clifton, R. (1995). Philosophical problems of quantum mechanics. In T. Honderich (Ed.), The Oxford companion to philosophy (pp. 737-738). Oxford, UK: Oxford University Press.
23.
Coiera, E. (2003). Guide to health informatics (2nd ed.). London: Hodder Arnold.
24.
Coiera, E. (2004). Four rules for the reinvention of health care . British Medical Journal, 328, 1197-1199.
25.
Coiera, E. (2007). Putting the technical back into socio-technical systems research. International Journal of Medical Informatics , 76(Suppl. 1), 98-103.
26.
Conan Doyle, A. (1892). The adventure of the blue carbuncle. Strand Magazine, 3(13).
27.
Cook, H.J. (2006). What stays constant at the heart of medicine. British Medical Journal, 333, 1281-1282.
28.
Creswell, J.W. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd ed.). London: Sage.
29.
De Keizer, N.F., & Ammenwerth, E. (2008). The quality of evidence in health informatics: How did the quality of healthcare IT evaluation publications develop from 1982 to 2005? International Journal of Medical Informatics, 77, 41-49.
30.
Dewey, J. (1916). Democracy and education: An introduction to the philosophy of education. New York: Macmillan.
31.
Dewey, J. (1917). The need for a recovery of philosophy. In J. Dewey (Ed.), Creative intelligence: Essays in the pragmatic attitude. New York : H. Holt.
32.
Dreyfus, H., & Dreyfus, S. (1987). From Socrates to expert systems: The limits of calculative rationality. In P. Rainbow & W. Sullivan (Eds.), Interpretive social sciences: A second look (pp. 327-350). Berkeley: University of California Press.
33.
Einstein, A. (1983). Sidelights on relativity. New York: Dover. (Original work published 1922)
34.
Frankel, R., Altschuler, A., George, S., Kinsman, J., Jimison, H., Robertson, N.R., et al. (2005). Effects of exam-room computing on clinician-patient communication: A longitudinal qualitative study. Journal of General Internal Medicine, 20, 677-682.
35.
Friedman, C., & Wyatt, J. (1997). Evaluation methods in medical informatics. London: Springer-Verlag.
36.
Gaddis, J. (2002). The landscape of history: How historians map the past. Oxford, UK: Oxford University Press.
37.
Gorovitz, S., & Macintyre, A. (1976). Toward a theory of medical fallibility. Journal of Medicine and Philosophy, 1(1), 51-71.
38.
Greene, J. (2007). Mixed methods in social enquiry. Chichester, UK: Wiley.
39.
Greene, J. (2008). Is mixed methods social inquiry a distinctive methodology? Journal of Mixed Methods Research, 2(1), 7-22.
40.
Groopman, J. (2007). How doctors think. New York : Houghton Mifflin.
41.
Guba, E., & Lincoln, Y. (2005). Paradigmatic controversies, contradictions and emerging confluences. In N. Denzin & Y. Lincoln (Eds.), Sage handbook of qualitative research (3rd ed., pp. 191-216). London: Sage.
42.
Gullberg, J. (1997). Mathematics from the birth of numbers. London: W. W. Norton & Co.
43.
Harrison, M.I., Koppel, R., & Bar-Lev, S. (2007). Unintended consequences of information technologies in health care-An interactive sociotechnical analysis . Journal of the American Medical Informatics Association , 14, 542-549.
44.
Heathfield, H., Pitty, D., & Hanka, R. (1998). Evaluating information technology in health care: Barriers and challenges. British Medical Journal, 316, 1959-1961.
45.
Henry, S.G. (2006). Recognizing tacit knowledge in medical epistemology . Theoretical Medicine and Bioethics, 27, 187-213.
46.
Hildebrand, D. (2003). Beyond realism and antirealism: John Dewey and the neopragmatists. Nashville, TN: Vanderbilt University Press.
47.
Horsky, J., Zhang, J., & Patel, V.L. (2005). To err is not entirely human: Complex technology and user cognition. Journal of Biomedical Informatics, 38, 264-266.
48.
Houser, N., De Tienne, A. , Eller, J.,Clark, C.,Lewis, A., & Bront Davis, D. (Eds.). (1998). The essential Peirce. Vol. 2: Selected philosophical writings. Indianapolis: Indiana University Press.
49.
Howe, K. (1988). Against the quantitative-qualitative incompatibility thesis or dogmas die hard. Educational Researcher, 17, 10-16.
50.
Hsu, J., Huang, J., Fung, V., Robertson, N., Jimison, H., & Frankel, R. (2005). Health information technology and physician-patient interactions: Impact of computers on communication during outpatient primary care visits. Journal of the American Medical Informatics Association , 12, 474-480.
51.
Hunter, K.M. (1992). Remaking the case. Literature and Medicine, 11, 163-179.
52.
James, W. (2000). Pragmatism. London: Penguin. (Original work published 1904)
53.
Jensen, H. S., Richter, L. M., & Vendelø, M. T. (Eds.). (2003). The evolution of scientific knowledge . Cheltenham, UK: Edward Elgar .
54.
Johnson, R.B., & Onwuegbuzie, A.J. (2004). Mixed methods research: A research paradigm whose time has come. Educational Researcher , 33, 14-26.
55.
Kant, I. (1787). The critique of pure reason.
56.
Kaplan, B. (2001). Evaluating informatics applications-Some alternative approaches: Theory, social interactionism, and call for methodological pluralism . International Journal of Medical Informatics, 64, 39-56.
57.
Kaplan, B., & Shaw, N.T. (2004). Future directions in evaluation research: People, organizational, and social issues. Methods of Information in Medicine, 43, 215-231.
58.
Kay, S., & Purves, I.N. (1996). Medical records and other stories: A narratological framework. Methods of Information in Medicine, 35, 72-87.
59.
Kekes, J. (1994). The pragmatic idealism of Nicholas Rescher. Philosophy and Phenomenological Research, 54, 391-394.
60.
Kjaergard, L.L., & Als-Nielsen, B. (2002). Association between competing interests and authors' conclusions: Epidemiological study of randomised clinical trials published in the BMJ. British Medical Journal, 325, 249.
61.
Kuhn, T. (1962). The structure of scientific revolutions. Chicago: University of Chicago Press.
62.
Kuhn, T.S., Conant, J., & Haugeland, J. (2000). The road since structure: Philosophical essays 1970-1993. Chicago: University of Chicago Press.
63.
Layder, D. (2006). Understanding social theory (2nd ed.). London: Sage.
64.
Lipscomb, M. (2007). Mixed method nursing studies: A critical realist critique. Paper presented at Mixed Methods 2007 , Cambridge, UK.
65.
Locke, J. (1689). An essay concerning human understanding.
66.
Luke, H. (2003). Medical education and sociology of medical habitus . Boston: Kluwer Academic.
67.
Lycett, A. (2007). Conan Doyle: The man who created Sherlock Holmes . London: Weidenfeld & Nicolson .
68.
Malterud, K. (1995). The legitimacy of clinical knowledge: Towards a medical epistemology embracing the art of medicine. Theoretical Medicine, 16, 183-198.
69.
Mattingly, C. (1991). The narrative nature of clinical reasoning. American Journal of Occupational Therapy, 45, 998-1005.
70.
Maxcy, S. (2003). Pragmatic threads in mixed methods research in the social sciences: The search for multiple modes of inquiry and the end of the philosophy of formalism. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioral research (pp. 51-90). London : Sage.
71.
McDermid, D. (2006). Pragmatism. In J. Fieser & B. Dowden (Eds.), The Internet encyclopedia of philosophy.
72.
McGiffert, A.C. (1910). The pragmatism of Kant. Journal of Philosophy , Psychology and Scientific Methods, 7, 197-203.
73.
Miles, A. (2007). Science: A limited source of knowledge and authority in the care of patients. A review and analysis of how doctors think. Clinical judgement and the practice of medicine. Journal of Evaluation in Clinical Practice, 13, 545-563.
74.
Montgomery, K. (2006). How doctors think: Clinical judgment and the practice of medicine. Oxford, UK: Oxford University Press.
75.
Morgan, D. (2007). Paradigms lost and pragmatism regained: Methodological implications of combining qualitative and quantitative methods. Journal of Mixed Methods Research, 1(1), 48-76.
76.
Murphy, J. (1990). Pragmatism from Peirce to Davidson. Oxford, UK: Westview Press.
77.
NHS Connecting for Health. (2004). What is health informatics? Retrieved May 12, 2006, from http://www.informatics.nhs.uk/
78.
Niglas, K. (2004). The combined use of qualitative and quantitative methods in educational research. Unpublished doctoral dissertation, Tallinn Pedagogical University, Tallinn , Estonia.
79.
Norris, C. (2000). Minding the gap: Epistemology and philosophy of science in the two traditions. Amherst: University of Massachusetts Press.
80.
O'Hear, A. (1980). Karl Popper. London: Routledge & Kegan Paul.
81.
Orlikowski, W., & Barley, S. (2001). Technology and institutions: What can research on information technology and research on organizations learn from each other ? MIS Quarterly, 25, 145-165.
82.
Patel, V.L., Kaufman, D.R., & Arocha, J.F. (2002). Emerging paradigms of cognition in medical decision-making . Journal of Biomedical Informatics, 35, 52-75.
83.
Patel, V.L., Kushniruk, A.W., Yang, S., & Yale, J.F. (2000). Impact of a computer-based patient record system on data collection, knowledge organization, and reasoning. Journal of the American Medical Informatics Association, 7, 569-585.
84.
Patton, M. (2002). Qualitative research and evaluation methods (3rd ed.). London: Sage.
85.
Pawson, R., Greenhalgh, T., Harvey, G., & Walshe, K. (2004). Realist synthesis: An introduction. Retrieved August 25, 2006, from http://www.ccsr.ac.uk/methods/publications/documents/RMPmethods2.pdf
86.
Pawson, R., Greenhalgh, T., Harvey, G., & Walshe, K. (2005). Realist review-A new method of systematic review designed for complex policy interventions. Journal of Health Services Research & Policy, 10(Suppl. 1), 21-34.
87.
Peirce, C. (1905). What pragmatism is. The Monist , 15(2), 161-181.
88.
Penrose, R. (1989). The emperor's new mind: Concerning computers, minds and the laws of physics. London: Random House.
89.
Phillips, R., Ball, C., Sackett, D., Badenoch, D., Straus, S., Haynes, B., et al. (2001). Levels of evidence and grades of recommendation . Retrieved August 22, 2006, from http://www.cebm.net/levels_of_evidence.asp
90.
Plano Clark, V. L., & Creswell, J. W. (Eds.). (2008). The mixed methods reader. London: Sage.
91.
Quine, W.V. (1980). Two dogmas of empiricism. In Quine, W. V. (Ed.), From a logical point of view (2nd ed., pp. 20-46). Cambridge, MA : Harvard University Press.
92.
Rescher, N. (1995). Pragmatism. In T. Honderich (Ed.), The Oxford companion to philosophy (pp. 710-713). Oxford, UK: Oxford University Press.
93.
Rescher, N. (2005). Realism and pragmatist epistemology. Pittsburgh, PA: University of Pittsburgh Press.
94.
Robson, C. (2002). Real world research (2nd ed.). Oxford, UK: Blackwell.
95.
Ronan, C. (1983). The Cambridge illustrated history of the world's science. Cambridge, UK: Cambridge University Press.
96.
Royal Society. (2006). Digital healthcare: The impact of information and communication technologies on health and healthcare. Retrieved December 13, 2006, from http://www.royalsoc.ac.uk/document.asp?tip=1&id=5684
97.
Scott, P.J., & Briggs, J.S. (2007). Using mixed methods in a medical informatics study . Paper presented at Mixed Methods Conference 2007 , Fitzwilliam College, University of Cambridge, UK.
98.
Sharda, P., Das, A.K., Cohen, T.A., & Patel, V. (2006). Customizing clinical narratives for the electronic medical record interface using cognitive methods. International Journal of Medical Informatics, 75, 346-368.
99.
Talmon, J.L., & Hasman, A. (2002). Medical informatics as a discipline at the beginning of the 21st century. Methods of Information in Medicine, 41, 4-7.
100.
Tashakkori, A., & Teddlie, C. (1998). Introduction to mixed method and mixed model studies in the social and behavioural sciences. In A. Tashakkori & C. Teddlie (Eds.), Mixed methodology: Combining qualitative and quantitative approaches (pp. 3-19). Thousand Oaks, CA: Sage.
101.
Teddlie, C., & Tashakkori, A. (2003). Major issues and controversies in the use of mixed methods in the social and behavioral sciences. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social & behavioral research (pp. 3-50). London: Sage.
102.
Tosh, J. (2006). The pursuit of history (4th ed.). Harlow: Pearson.
103.
Van Bemmel, J.H. (1996). Medical informatics, art or science? Methods of Information in Medicine, 35, 157-172.
104.
Varzi, A. (2007). Boundary. The Stanford encyclopedia of philosophy . Retrieved February 25, 2008, from http://plato.stanford.edu/archives/fall2007/entries/boundary
105.
Venkatesh, V., Morris, M., Davis, G., & Davis, F. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly, 27, 425-478.
106.
Ventres, W., Kooienga, S., Vuckovic, N., Marlin, R., Nygren, P., & Stewart, V. (2006). Physicians, patients, and the electronic health record: An ethnographic analysis. Annals of Family Medicine , 4, 124-131.
107.
Ward, A. (2006). Kant: The three critiques. Cambridge, UK: Polity Press.
108.
Weed, L.L. (1968a). Medical records that guide and teach. New England Journal of Medicine, 278, 652-657.
109.
Weed, L.L. (1968b). Medical records that guide and teach. New England Journal of Medicine, 278, 593-600.
110.
Weed, L.L. (2004). Shedding our illusions: A better way of medicine . Fertility and Sterility, 81(Suppl. 2), 45-52.
111.
Williams, M. (2006). Can scientists be objective? Social Epistemology, 20, 163-180.
112.
Wyatt, J. (1996). Medical informatics, artefacts or science? Methods of Information in Medicine, 35, 197-200.
113.
Yank, V., Rennie, D., & Bero, L.A. (2007). Financial ties and concordance between results and conclusions in meta-analyses: Retrospective cohort study. British Medical Journal, 335, 1202-1205.
114.
Ziman, J. (1978). Reliable knowledge. An exploration of the grounds for belief in science. Cambridge, UK: Cambridge University Press.
115.
Ziman, J. (2000). Real science. What it is and what it means. Cambridge, UK: Cambridge University Press .
116.
Zoller, G. (Ed.). (2004). Kant: Prolegomena to any future metaphysics. Oxford, UK: Oxford University Press.