UK Primary Healthcare Groups: Stakeholders, Technology and Benefits

UK Primary Healthcare Groups: Stakeholders, Technology and Benefits

Ray Hackney (Manchester Metropolitan University, UK) and Neil McBride (DeMontfort University, Netherlands)
DOI: 10.4018/978-1-878289-65-0.ch002
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The UK Information Management Strategy (NHS, 1998) for the period to 2005 envisages the implementation of a Nationwide private network which will support clinical and administrative functions throughout the National Health Service (NHS). Using Web-based technologies, a wide variety of applications will enable rapid communication between professionals. Secondary, acute services and primary care services will be linked in a way that has not been previously possible. Communications concerning hospital appointment booking, referrals, discharges from hospitals, radiology results and laboratory test requests will all be mediated by the NHSnet, producing faster, more accurate communication and increased integration of services. Electronic patient records (EPRs) will be transmitted between general practitioners (GPs) and hospitals, prescription requests will be transmitted to pharmacists, even patients will be able to access information concerning conditions and treatment and communicate with health professionals from their homes. In effect we are observing the potential for technology-enabled change as ‘information powers the NHS’ (Nicholls, 1995). The UK information management strategy provides the foundations for radical changes in healthcare philosophy: shifting the focus of activity to primary care, increasing patient responsibility and involvement in the healthcare process and increasing the information available to healthcare professionals and patients. Thus, an agenda for social and cultural change within healthcare delivery is to be driven by the availability of technical infrastructure (Lenaghan, 1998). It would be naive to consider that the availability of the technology will naturally lead to its acceptance as a communication media or to the required organizational and cultural change. The management of a Web-enabled infrastructure and its Web-based information systems is as much about the management of its social construction as its physical construction. Stakeholders within the health service will have individual perceptions and expectations of the technology which through discussion and interaction within groups will determine the social construction placed upon the technology and ultimately the benefits incurred by its use. This social construction will be significantly affected by the context within which the technology is implemented. Contextual issues may include the attitude of stakeholders and stakeholder groups to the technology, economic drivers which influence the availability of the technology, and previous implementations of information and communication technology. If the implementation of a Web-based communication system throughout the UK NHS is to be successful, the needs of stakeholders and the types of application possible should be matched to produce benefits. The management and delivery of benefits requires an understanding of stakeholders’ interests and the implementation of applications appropriate to those interests. This chapter considers the following questions: Who are the stakeholders involved in a Web-based information infrastructure? What applications are possible? How do we match applications to stakeholders to achieve benefits? In each of these areas a research agenda is developed, Firstly we provide and overview of the technology which will enable a new approach to healthcare communications in the UK.

Complete Chapter List

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Table of Contents
Lauren B. Eder
Chapter 1
David W. Forslund, David G. Kilman
With the arrival of the “World Wide Web,” we have witnessed a transition toward a truly global perspective with respect to electronic health... Sample PDF
The Impact of the Global, Extensible Electronic Health Record
Chapter 2
Ray Hackney, Neil McBride
The UK Information Management Strategy (NHS, 1998) for the period to 2005 envisages the implementation of a Nationwide private network which will... Sample PDF
UK Primary Healthcare Groups: Stakeholders, Technology and Benefits
Chapter 3
Grace Johnson, Anand Kumar, Arkalgud Ramaprasad, Madhusudhan Reddy
The past few years have seen Web-based technology diffusing into a wide cross-section of industries, cutting across various barriers, and changing... Sample PDF
Technology-Based Marketing in the Healthcare Industry: Implications for Relationships Between Players in the Industry
Chapter 4
Stefan Kirn, Christian Heine
In most countries of the world, public health is an important indicator for the prosperity of a society. However, due to increasing deficits in... Sample PDF
Teleradiology: IT-Based Co-operation and Networking in Public Health
Chapter 5
Jeanine W. Turner
Telemedicine is redefining the boundaries of the doctor and patient encounter. No longer do the doctor and patient need to be in the same room. No... Sample PDF
Telemedicine: Generating the Virtual Office Visit
Chapter 6
Hans Lehmann, Terence Wee
The rationale for using a single case study approach is set out and put into context of current case research literature and thinking. The validity... Sample PDF
Automating Patients Admission: Proactive Leadership on a Shoestring
Chapter 7
Mikko Korpela, Juha Mykkänen, Mika Räsänen, Hellevi Ruonamaa, Marko Sormunen
A migration strategy can turn legacy systems into a valuable heritage. In Finland, most hospital information systems are based on the U.S.... Sample PDF
Transforming Legacy Systems into a Valuable Heritage: The Case of the FixIT Migration Tools in Finland
Chapter 8
Rajiv Kohli, David Ziege
Changes in the healthcare business resulting from capitation and declining reimbursement have led to cost-cutting measures in all areas of... Sample PDF
Disseminating Cost Information Through a Corporate Intranet: A Case Study and Lessons Learned
Chapter 9
Rolf Grütter, Katerina Stanoevska-Slabeva, Walter Fierz
The healthcare industry is essentially knowledge based. The quality and efficiency of work performed in healthcare institutions depends on their... Sample PDF
Enhancing Knowledge Management in a Multi-Center Clinical Trial by a Web-Based Knowledge Medium
Chapter 10
Guisseppi A. Gorgionne, Aryya Gangopadhyah, Monica Adya
Geographical variations in cancer rates have been observed for decades. Described spatial patterns and trends have provided clues for generating... Sample PDF
A Decision Technology System to Advance the Diagnosis and Treatment of Breast Cancer
Chapter 11
James R. Warren, Joseph T. Noone
A variety of forces are encouraging change in the healthcare systems of developed countries. Chief among these is perception of high (and rising)... Sample PDF
Web-Enabled Integration of Patient Data and Clinical Guidelines for Coordinated Care
Chapter 12
James G. Anderson, Linda L Casebeer, Robert E. Kristofco, Angela S. Carillo
The rapid expansion of scientific knowledge brings increased physician uncertainty in clinical decisionmaking. Clinical practice guidelines have... Sample PDF
Using Web-Enabled Technology to Promote the Adoption of Practice Guidelines
Chapter 13
Jerry B. Weinberg, Steven P. Klein, Robert Klepper, Bernard Waxman, Xudong Yu, Daniel K. Anderson
Effective physicians must listen to their patient’s concerns, take accurate and complete medical histories, and earn patient trust and confidence.... Sample PDF
Patient-Doctor Interconnectivity: Improving Health Care Management and Patient Compliance with Web Technology
Chapter 14
Riitta Söderlund, Pekka Reijonen, Malin Brännback
In most Western countries, healthcare systems are in economic crisis. It is not possible to increase available resources, but at the same time... Sample PDF
A Web-Based Solution for Enhancing Diabetic Well-Being
Chapter 15
The Web-Enabled Patient  (pages 222-238)
Michele Lemaire
The past decade has witnessed major changes in the concepts of health and disease and in the respective role and responsibility of doctors and... Sample PDF
The Web-Enabled Patient
Chapter 16
Catherine E. Bridge, Simeon J. Simoff
Identifying and removing architectural barriers to access for people with disabilities follows community recognition that people with disabilities... Sample PDF
Disability Access to the Built Environment: Web-Based On-Line Evaluation and Informatio Dissemination
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