Alternative strategies to interpretative information systems

ABSTRACT

The relentless move to computerisation in the National Health Service in the United Kingdom (NHS) is challenged in this paper. The distinction between two types of information is defined: proceduralised and interpretative. An alternative to the latter is presented that relies on a change in organisational structure in the form of a self contained unit. This effectively reduces the need to process information. The unit, based on the principles of Patient Focused Care, provide multiskilled teams using a combination of multi-disciplinary documentation and protocols of care to ensure effective communication takes place without the use of interpretative information systems.

REFERENCES

• 1: HERG,(i (1989) Mapping RM l-Icalth Scrvices Management 1)ec 1989
• 2: Den Pain , Jenny Owen , Ian Franklin , Eileen Green, Human-centered systems design: a review of trends within the broader systems development context, Gendered by design?: information technology and office systems, Taylor & Francis, Inc., Bristol, PA, 1994
• 3: Bloomfield. B Coomhs. R ()vcen. J (I 992)'l.'op.f)ov,'n - Bottom {tp 'l'hc I-Icallh Scrvice Jotmml. 6 }:ebruarx' 1992
• 4: Bloomfield. 13 Coombs. R ()\x'cn. J (19911).-lct'otntting/iw I'ICT Policy l'apcr !1). WSRC 199{}
• 5: Rector. AI.. Noxx'lan. WA Kay', S t to\,,kms. TJ )1993) A l?amcv,'ork Ibr modcllino the elcctmnic medical record in Methods of Inlbnnalion in Medicines 32:II)9-119
• 6: Walsham. (i (1993) lnlt't?,'t'liltg h//bl~naliolt .~'~'slem.s' ht O~'ganizatioll.s'. Wile\'
• 7: R. Kling, Defining the boundaries of computing across complex organizations, Critical issues in information systems research, John Wiley & Sons, Inc., New York, NY, 1987
• 8: Galbraith. J (I 9771} ()/xanizalion l)cxig,. Addison-Wesley
• 9: Booz Allen Hamilton (t988) ()peJ'atiouai Re.s'l/'ttclttt'ing -..l Recilw/br Success. l leallh Care Viewpoint. London. 13ooz Allen ltalnilton.
• 10: Lathrop., JP (t993) Resn~wtul'ing {/eahh ('at'e: The }'at/cut
• 11: Galbraith. J (1977) ()i'ganization Design. Addison-Wesley. Page 85
• 12: Zuboff, S (t 988) 7he Smart :\lachitte
• 13: Sparks. 1) (I 994) 'l'hc Carc Management Pathxva'~'. notcs Ii'om the IPC project team. In~hottsc paper, lOrighton Itcallh Care
• 14: Integrated thdient Care Team (I 993). lnlegrctled }~atie~/l ('al'e at th'ightolt th'alth ('ai'e.' "th'iJtgi,g ('a/'e to your Bedside" Planing atut !)esigtt: I)hase End Report. In-house publication August 1993
• 15: Kelly, J Rawlinson. C and Whittlcslonc. I'(1993) l'aticntlbcused-carc - built to last or tt'ds year's model in I3ritish Hospital Malmgcmcnl 1994 The Annual Review of British Hospital and Health Care Harming and Development

INDEX TERMS

Primary Classification:
  K. Computing Milieux
  K.4 COMPUTERS AND SOCIETY
      K.4.3 Organizational Impacts

Additional Classification:
  H. Information Systems
  H.1 MODELS AND PRINCIPLES
      H.1.2 User/Machine Systems
          Subjects: Human factors

  J. Computer Applications
  J.1 ADMINISTRATIVE DATA PROCESSING
      Subjects: Business

  K. Computing Milieux
  K.4 COMPUTERS AND SOCIETY
      K.4.1 Public Policy Issues
      K.4.2 Social Issues

General Terms:
Design, Human Factors, Management, Theory