Baugh, P. J. with D. M. Walters, "The Introduction of Hospital Information System - The Necessity for Accommodation", 1994
ua435
This paper examines the introduction of information system into the new environment of the National Health Service since restructuring in 1989. Taking its approach from Soft Systems Methodology, it looks at cultural analysis in the context of the development of decision support systems for hospital managers and medical staff. Drawing on the deeper cultural analysis developed by Schein, it examined the problems which face systems developers when attempting to seek an accommodation of views between groups which not only have different requirements but significantly different outlooks predicated by their roles in the hospital environment. Particular attention is focused on the survival instincts of these two groups when faced with an environment which is changing rapidly. The medical profession is seen as one which sees its former pre-eminence within the hospital threatened. This may have adverse effects on the development of system for doctors and managers alike but, unless the cultural dimension is addressed, solutions to hospital information problems will, at best, be partial.
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