Why Health Care IS Succeed or Fail

................................................................................................................................... 1 A. BACKGROUND: HEALTH CARE INFORMATION SYSTEM SUCCESS AND FAILURE .............................. 2 A1. Understanding HCIS Success and Failure .......................................................................... 3 B. DIMENSIONS OF CHANGE: CONCEPTION—REALITY GAPS ............................................................ 5 B1. Dimensions of the Conception—Reality Gap....................................................................... 5 Case Study 1........................................................................................................................................5 Case Study 2........................................................................................................................................7 C. ARCHETYPES OF HEALTH CARE INFORMATION SYSTEM FAILURE.................................................. 8 C1. Gaps Between Formal Rationality and Behavioural Reality................................................ 8 Impacts of Imposing Rational Information Systems...............................................................................9 Outcomes of Imposing Rational Information Systems .........................................................................10 C2. Gaps Between the Context of Design and of Implementation ............................................ 11 Public—Private Sector Gaps..............................................................................................................12 Country Gaps.....................................................................................................................................13 Combining the Gaps ..........................................................................................................................14 D. CONCLUSIONS.......................................................................................................................... 16 D1. Gap Closure Techniques for Greater HCIS Success.......................................................... 17 A Caveat on Techniques ....................................................................................................................20 D2. Questions for Future Research ......................................................................................... 21 References .............................................................................................................................. 22