Journal of the American Medical Informatics Association : JAMIA
-
J Am Med Inform Assoc · Mar 2019
Historical ArticleTwenty-five years of national health IT: exploring strategy, structure, and systems in the English NHS.
There is global interest in implementing national information systems to support healthcare, and the National Health Service in England (NHS) has a troubled 25-year history in this sphere. Our objective was to chronicle structural reorganizations within the NHS from 1973 to 2017, alongside concurrent national information technology (IT) strategies, as the basis for developing a conceptual model to aid understanding of the organizational factors involved. ⋯ Alignment between incremental health IT strategy and dynamic structure is an under-researched area. Lessons from organizational studies and the management of mega-projects may help in understanding some of the ongoing challenges.