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Lessons From Britain's Health Information Technology Fiasco
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Britain's National Health Service IT initiative failed because of a top down emphasis and focus on procurement. The project was started by Labor in 2002 and budgeted for 12 billion pounds. Lohr talks with Dr. David Brailer, and Dr. David Blumenthal, who headed the program for health IT in the Bush and Obama administrations, and with Richard Alvarez of Canada Health Infoway, which is the nonprofit corporation setup for conversion to electronic health records in Canada. Dr Brailer says the program in the UK was forced top down on doctors and nurses, and seen as a procurement program, ignoring the human aspects related to doctor preferences. Dr. Blumenthal empasized the need for collaborative effort all the way with doctors and nurses in a program of this kind. The confrontation that resulted from the lack of participation by health care professionals led to failure. Britain's new Cameron government ended the program.
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One of the key lessons from the failed NHS IT initative for digital medical records is that implementation must be at the local level and involve participation of doctors. Britain's Labor party sponsored initiative was top-down in emphasis and focussed on procurement. It ended up in confrontation with doctors and was shut down by the new Conservative Cameron government.
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