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Health Informatics Journal

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Problems in community healthcare information systems: a case study
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S. D. James
Department of Information and Library Studies, University of Wales,
Aberystwyth, Llanbadarn Fawr, Aberystwyth, Ceredigion SY23 3AS, UK,
sdd{at}aber.ac.uk

R. E. Thomas
Department of Information and Library Studies, University of Wales,
Aberystwyth, Llanbadarn Fawr, Aberystwyth, Ceredigion SY23 3AS, UK,
ret{at}aber.ac.uk

Achieving useful and usable community health information systems is
still a challenge. This paper considers the recent developments within
a rural community trust in the UK, with particular reference to the
change in approach by the management and Information Management &
Technology (IM&T) department towards system users. The Trust has used
a system based on hand-held computers for about 10 years, and the
system generated mostly quantitative monitoring data. The information
was rarely useful to the staff who input the data, and its use for
management purposes was also limited. User dissatisfaction and the
need to upgrade the system for Year 2000 compliance has led to a
consultative process which highlighted the drawbacks of the existing
system and identified a number of interim solutions to be implemented
pending a move towards an integrated, multi-disciplinary system. User
participation in this process has engendered a more positive and
constructive attitude towards these changes.
Health Informatics Journal, Vol. 5, No. 3, 146-153 (1999)
DOI: 10.1177/146045829900500306

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