Why national eHealth programs need dead philosophers: Wittgensteinian reflections on policymakers' reluctance to learn from history.

Journal article

CONTEXT: Policymakers seeking to introduce expensive national eHealth programs would be advised to study lessons from elsewhere. But these lessons are unclear, partly because a paradigm war (controlled experiment versus interpretive case study) is raging. England's $20.6 billion National Programme for Information Technology (NPfIT) ran from 2003 to 2010, but its overall success was limited. Although case study evaluations were published, policymakers appeared to overlook many of their recomme...

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Authors: Greenhalgh, T; Russell, J; Ashcroft, R; Parsons, W

• Journal: Milbank quarterly
• Volume: 89
• Issue: 4
• Pages: 533-563
• Publication date: 2011-12-01
• DOI: 10.1111/j.1468-0009.2011.00642.x
• EISSN: 1468-0009
• ISSN: 0887-378X
• Language: English
• Keywords: Famous Persons; Philosophy, Medical; Internet; Health Planning; Health Promotion; Humans; Total Quality Management; History, 20th Century; Social Marketing; Health Care Reform; Health Plan Implementation; Great Britain; State Medicine; Policy Making