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Implementing electronic records in NHS secondary care organizations in England: Policy and progress since 1998

Lookup NU author(s): Dr Arabella Scantlebury, Professor Joy Adamson


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© The Author 2017. Published by Oxford University Press.Background: A number of different policies have aimed to introduce electronic records into National Health Service (NHS) secondary care organizations in England over recent years. There has been little formal attempt to explore the overall impact of these policies (as opposed to evaluations of individual initiatives) and how they have developed and progressed over time. Sources of data: National NHS IT policy documents and evaluations of national NHS IT policy between 1998 and 2015. Areas of agreement: There has been limited progress in implementing integrated electronic records in secondary organizations since 1998. Areas of controversy: The management and execution of NHS IT policy has been poor, with over ambitious aims contributing to the limited success. Growing points: Detailed guidance on how to implement electronic records in secondary care organizations is required. The ambitions of current policy should be revisited. Areas timely for developing further research: Research exploring the costs and benefits of different approaches to introducing electronic records is needed.

Publication metadata

Author(s): Clarke A, Watt I, Sheard L, Wright J, Adamson J

Publication type: Review

Publication status: Published

Journal: British Medical Bulletin

Year: 2017

Volume: 121

Issue: 1

Pages: 95-106

Online publication date: 09/01/2017

Acceptance date: 01/12/2016

ISSN (print): 0007-1420

ISSN (electronic): 1471-8391

Publisher: Oxford University Press


DOI: 10.1093/bmb/ldw055

PubMed id: 28043952