Letters Shared electronic records

What have we really learnt?

BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a2595 (Published 19 November 2008) Cite this as: BMJ 2008;337:a2595
  1. Michael Tremblay, health technology and innovation policy adviser1
  1. 1Brabourne Lees, Ashford, Kent TN25 6RJ
  1. mike{at}tremblay-consulting.biz

    Greenhalgh and colleagues see the shared electronic record as having to respond to existing ways of working and established practices, not the other way round.1 My take is this:

    • Powerful forces in established ways of working in the NHS are hostile to technological changes that threaten established and possibly dysfunctional and wasteful practices. As a taxpayer, this is not acceptable, …

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