Health I.T. failure: socialized medical records.

• Author: Suderman, Peter
• Position: Citings - Information technology - Brief article

BRITAIN'S National Health Service (NHS) may offer the best possible environment in which to test a government-run electronic medical record system. The system is fully socialized, with a single government payer, universal enrollment, and doctors employed directly by the state. There are roughly 60 million beneficiaries, enough to see if integrated electronic records can work on a large scale but perhaps not so many that the process of creating and maintaining those records will necessarily be overwhelmed. And the NHS is popular within all of the country's major political parties.

Yet despite the health system's high level of integration, a decade-long attempt to implement a large-scale information technology network has failed. In February the NHS announced that it had canceled a multiyear, $20 billion health I.T. project after a 2011 government report concluded that it was...