Відмінності між версіями «And was ahead in the game. Among 1997 and 2010, the United kingdom»

Версія за 15:36, 23 січня 2018

Involving 1997 and 2010, the Uk Labour Town Integrated Record until this had been fixed. We worked with government (which in 1948 introduced the National Well being Service as a part of a cradle-to-grave welfare state) sought to modernize public-sector solutions with the help of "stateof-the-art" facts technology. In Could 2010, a common election inside the Uk created a hung parliament followed by a hastily aligned coalition among the Conservative Party (which has traditionally leaned to the appropriate and sought to roll back the state and to help private enterprise) as well as the Liberal Democrat Party (which has traditionally leaned to the left and sought to protect civil liberties). Many people anticipated that these odd bedfellows would quickly dismantle the centralized, state-driven NPfIT in favor of smaller, a lot more bespoke systems that would get in agility what they lost in interoperability and would emphasize regional record linkage (e.g., in between general practice and title= eLife.14985 nearby hospitals) rather than national integration.T. Greenhalgh, J. Russell, R.E. Ashcroft, and W. ParsonsThis anticipated shift didn't happen, no less than to not the extent that a lot of stakeholders hoped. Whilst there was a great deal talk of "decentralization" and "flexibility," national contracts with commercial suppliers weren't canceled (Collins 2010), and two from the NPfIT's most unpopular technologies--the Summary Care Record (SCR, an extract from a patient's individual medical record, stored on a national database) and HealthSpace (a personal overall health organizer that makes it possible for an individual to view their personal Summary Care Record on the web)--were retained as central elements in the new national eHealth policy that replaced the NPfIT (Division of Health 2010). Conservative and Liberal Democrat politicians, who occupied the opposition benches when the NPfIT emerged and took shape, had, at the time, repeatedly called for the government to be held to account for the program's higher expenses and allegedly weak overall performance. By way of example, "At a time when each penny of public income desires to become spent wisely, [the prime minister] desires to waste ?3 billion on an NHS pc program that doesn't work" (Nick Clegg, leader, Liberal Democrat Celebration, Prime Minister's Concerns, October 29, 2008). But when Clegg became deputy prime minister in Could 2010, he didn't pursue this argument and appeared to acquiesce using the opposing position. The independent evaluation on the Summary Care Record and HealthSpace applications by two of the authors of this short article (TG and JR) as well as other collaborators (in this account, for simplicity, referred to as "we") followed an i.And was ahead of your game. Between 1997 and 2010, the Uk Labour government (which in 1948 introduced the National Health Service as a part of a cradle-to-grave welfare state) sought to modernize public-sector services with the assist of "stateof-the-art" information technologies. By this was meant large, centrally procured systems created by commercial software program suppliers working below contract based on detailed advanced specification and stringent technical security requirements. The National Programme for IT (NPfIT) in England (though, notably, not in Scotland, Wales, or Northern Ireland) was a paradigm case of such policy (Department of Health 2005). Despite the fact that it was described by some as world major in its scope, vision, and technical sophistication, it was dismissed by other folks as monolithic, inflexible, resource hungry, and overgoverned (Kreps and Richardson 2007).