The Development of Primary Care Information Technology in the United Kingdom

被引：32

作者：

de Lusignan, Simon ^{[1
]}

Chan, Tom ^{[1
]}

机构：

[1] St Georges Univ London, Div Community Hlth Sci, London SW17 ORE, England

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2008年 / 31卷 / 03期

关键词：

computer systems; family practice; informatics; medical records; primary healthcare;

D O I：

10.1097/01.JAC.0000324664.88131.d2

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: UK primary care is highly computerized; initially led by enthusiastic general practitioners who developed their own systems. This preceded the development of a National Health Service information strategy and an ambitious National Programme for IT. Model: A 4-element model is proposed to explain the development of information technology: (1) individual clinician choice; (2) integration into the clinical task-usually an office visit; (3) technological developments; and (4) organizational factors. Conclusion: All 4 elements of this model have been tilted in favor of the utilization of information technology; lessons from the United Kingdom may help other health systems looking to implement information technology systems in primary care.

引用

页码：201 / 210

页数：10

共 26 条

[1]

ANDERSON JG, 1994, EVALUATING HLTH CARE

[2]

Which general practices have higher list inflation? An exploratory study [J].

Ashworth, M ;

Jenkins, M ;

Burgess, K ;

Keynes, H ;

Wallace, M ;

Roberts, D ;

Majeed, A .

FAMILY PRACTICE, 2005, 22 (05) :529-531

[3]

Bates David W, 2006, Proc (Bayl Univ Med Cent), V19, P311

[4]

Why general practitioners use computers and hospital doctors do not - Part 2: scalability [J].

Benson, T .

BRITISH MEDICAL JOURNAL, 2002, 325 (7372) :1090-1093

[5]

Why general practitioners use computers and hospital doctors do not - Part 1: incentives [J].

Benson, T .

BRITISH MEDICAL JOURNAL, 2002, 325 (7372) :1086-1089

[6]

Brennan S., 2005, NHS IT PROJECT BIGGE

[7]

The use of routinely collected computer data for research in primary care: opportunities and challenges [J].

de Lusignan, S ;

van Weel, C .

FAMILY PRACTICE, 2006, 23 (02) :253-263

[8]

de Lusignan S, 2003, METHOD INFORM MED, V42, P416

[9]

de Lusignan Simon, 2006, Inform Prim Care, V14, P59

[10]

de Lusignan Simon, 2004, Inform Prim Care, V12, P255

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