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A prodigious information systems failure.

M Bourn1, C A Davies

  • 1Department of Accounting and Management Science, University of Southampton, England.

Topics in Health Information Management
|October 4, 1996
PubMed
Summary
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A 1980s regional health information system project in England failed due to dwindling support, despite technical ambition and organizational changes. This case study examines its technocratic focus and impact on power dynamics within the National Health Service.

Area of Science:

  • Health Informatics
  • Information Systems Management
  • Organizational Change

Background:

  • The 1980s saw significant shifts in National Health Service (NHS) management practices.
  • Regional health authorities faced increasing pressure to adopt new information systems.
  • Technological advancements spurred ambitious IT projects within healthcare.

Purpose of the Study:

  • To analyze the conception and implementation of a regional health information system.
  • To evaluate the reasons for the project's failure.
  • To assess the project's technocratic focus and organizational impact, including power dynamics.

Main Methods:

  • Case study methodology.
  • Analysis of a specific regional information systems project in England.

Related Experiment Videos

  • Examination of organizational changes and management practices within the NHS.

    • Main Results:

    • The technically ambitious project involved extensive organizational restructuring.
    • Significant financial resources were expended on the project.
    • The project ultimately failed due to a loss of regional support.

    Conclusions:

    • The project's technocratic approach contributed to its downfall.
    • Implicit shifts in power relationships were a consequence of the organizational changes.
    • Understanding the socio-political context is crucial for the success of large-scale health information system implementations.