Publications

One of our main purposes is to educate and share learning in methods, evaluation and research. Our work on real world problems that impact on real people gives us unique insights into the importance of action research and real world evaluation. We try to disseminate learning and improve practice through our publications.

Bottom up & Middle Out Approaches to Electronic Patient Information Systems: A Focus on Healthcare Pathways

Published in ‘Journal Of Innovation in Health Informatics’ Background A study is reported that examines the use of electronic health record (EHR) systems in two UK local health communities. Objective These systems were developed locally and the aim of the study was to explore how well they were supporting the coordination of care along healthcare […]

Getting the Benefit from Electronic Patient Information that Crosses Organisational Boundaries – Final Report NIHR Service Delivery and Organisation Programme

Final Report National Institute for Health Research Service Delivery and Organisation Programme Executive Summary Conclusions Within the two LHCs studied, there are areas in which substantial progress has been made in creating working forms of integrated care in healthcare pathways. These islands of progress have produced solutions that are quite different from one another and they […]

The Implications of e-health System Delivery Strategies for Integrated Healthcare: Lessons from the UK & Elsewhere

Abstract: Purpose This paper explores the implications that different technical strategies for sharing patient information have for healthcare workers and, as a consequence, for the extent to which these systems provide support for integrated care. Methods Four technical strategies were identified and the forms of coupling they made with healthcare agencies were classified. A study […]

Fitness For Purpose When There Are Many Different Purposes: Who Are Electronic Patient Records For?

The use of the electronic patient record in supporting e-health care pathways Abstract: Electronic patient record systems serve many purposes for many different kinds of users. Four case studies are reported of the use made by healthcare staff of electronic patient record systems that supported healthcare pathways. The results demonstrate that the systems fit the […]

How to Fail When Introducing Electronic Technologies into Organisations

The challenges of large scale IT projects viewed through the National Programme for IT – NPfIT Abstract: The history of computer applications is littered with examples of large and expensive IT systems failing when they were implemented in organisations. This paper illustrates how this happens by describing the case of the NPfIT, the National Programme […]

Local Sociotechnical System Development in the NHS National Programme for Information Technology

National Programme for IT Electronic Health Records – User Perspectives Abstract: The National Programme for IT is implementing standard electronic healthcare systems across the National Health Service Trusts in England. This paper reports the responses of the Trusts and their healthcare teams to the applications in the programme as they are being implemented. It concludes […]