Computers and the NHS: An Analysis of their Contribution to the Past, Present and Future Delivery of the National Health Service
回顾1986年以来计算机在英国NHS改革中的作用，通过兰开夏郡超百万患者的案例研究分析其对健康促进的影响，并展望1997年白皮书提出的改革信息战略。
This paper looks at the contribution that computers have made to the delivery of the National Health Service through a period of major reform that began in 1986, and is still ongoing. The paper starts with a retrospective analysis of the first generation of NHS Reforms and the role played by computer systems. The major empirical component is a case study looking at the impact of computers on health promotion activities among over 1 million patients in Lancashire. Finally, the paper looks forward to the latest NHS reforms, as outlined in the 1997 White Paper The New DHS (Department of Health, 1997, HMSO, London) and outlines the information implications and a strategic framework to deliver changes required if the reforms are to succeed.