An empirical study of Internet usage and difficulties among medical practice management in the UK

Considers the use of information technology in the UK National Health Service (NHS) as the government pledges to connect every doctor or general practitioner (GP) to the NHS’s information superhighway by the year 2002. This paper uses a case study of a particular UK health authority as a vehicle to illustrate the complexity of the social and technical considerations surrounding this issue. At a grass roots level, the adoption and diffusion of information technology within general practices (surgeries or groups of GPs) is highly varied and there are huge contrasts in the levels of commitment to information management. Within the case study this is evident on an individual level, in that some GPs enthuse about technology, while others are positively “technophobic”. On the general practice level, there are other elements to consider, especially in relation to the levels of financial support available. Non‐fund holding general practices in socially deprived areas are far less willing to embrace information ma...

[1]  Jenny Owen,et al.  Doctors as Managers: Constructing Systems and Users in the National Health Service , 1997 .

[2]  T af Klercker,et al.  Dilemmas in introducing World Wide Web-based information technology in primary care: a focus group study. , 1998, Family practice.

[3]  Stephen Flowers,et al.  Software failure, management failure : amazing stories and cautionary tales , 1996 .

[4]  J. McGrath.  Groups: Interaction and Performance , 1984 .

[5]  Brian P. Bloomfield,et al.  Power, Machines and Social Relations: Delegating to Information Technology in the National Health Service , 1995 .

[6]  Anita Berlin,et al.  Information Technology in General Practice: current use and views on future development , 1997 .

[7]  S. Herring.  Computer-mediated communication : linguistic, social and cross-cultural perspectives , 1996 .

[8]  M. Dean,et al.  london End of sharp-elbowed internal market for NHS , 1997, The Lancet.

[9]  Alan Gillies.  Computers and the NHS: an analysis of their contribution to the past, present and future delivery of the National Health Service , 1998, J. Inf. Technol..

[10]  R. Yin.  Case Study Research: Design and Methods , 1984 .

[11]  C. Warwick.  The new NHS: modern dependable , 1998 .

[12]  Catherine C. Marshall,et al.  Designing Qualitative Research , 1996 .

[13]  E. Rogers.  Diffusion of Innovations , 1962 .

[14]  Guy G. Gable,et al.  Integrating case study and survey research methods: an example in information systems , 1994 .

[15]  Izak Benbasat,et al.  The Case Research Strategy in Studies of Information Systems , 1987, MIS Q..

[16]  E. B. Swanson,et al.  Information systems innovation among organizations , 1994 .

[17]  Justin Keen,et al.  Rethinking NHS networking , 1998, BMJ.

[18]  D. G. Wastell,et al.  The SEI's capability maturity model: a critical survey of adoption experiences in a cross-section of typical UK companies , 1997 .

[19]  B Leese,et al.  Change in general practice and its effects on service provision in areas with different socioeconomic characteristics , 1995, BMJ.

[20]  Athanasia Pouloudi,et al.  NHSNET: opportunities, problems and lessons for interorganisational systems implementation , 1998, ECIS.

[21]  I. Haslock.  Working for patients. , 1989, British journal of rheumatology.

[22]  Bonnie Kaplan,et al.  Combining Qualitative and Quantitative Methods in Information Systems Research: A Case Study , 1988, MIS Q..

[23]  Floyd J. Fowler,et al.  Survey Research Methods , 1984 .

[24]  Marvin V. Zelkowitz,et al.  Software engineering technology infusion within NASA , 1996 .

[25]  M Mira,et al.  Information technology and general practice. A survey of general practitioner attitudes towards computerisation. , 1999, Australian family physician.