The DOI matches its Crossref record; 43 of the 44 references it cites were found in a registry or an index.
Adoption and non-adoption of a shared electronic summary record in England: a mixed-method case study
Open accessAbstract
OBJECTIVE: To evaluate a national programme to develop and implement centrally stored electronic summaries of patients' medical records. DESIGN: Mixed-method, multilevel case study. SETTING: English National Health Service 2007-10. The summary care record (SCR) was introduced as part of the National Programme for Information Technology. This evaluation of the SCR considered it in the context of national policy and its frontline implementation and use in three districts. Participants and methods Quantitative data (cumulative records created nationally plus a dataset of 416 325 encounters in participating primary care out-of-hours and walk-in centres) were analysed statistically. Qualitative data (140 interviews including policy makers, managers, clinicians, and software suppliers; 2000 pages of ethnographic field notes including observation of 214 clinical consultations; and 3000 pages of documents) were analysed thematically and interpretively. RESULTS: Creating individual SCRs and supporting their adoption and use was a complex, technically challenging, and labour intensive process that occurred more slowly than planned. By early 2010, 1.5 million such records had been created. In participating primary care out-of-hours and walk-in centres, an SCR was accessed in 4% of all encounters and in 21% of encounters where one was available; these figures were rising in some but not all sites. The main determinant of SCR access was the identity of the clinician: individual clinicians accessed available SCRs between 0 and 84% of the time. When accessed, an SCR seemed to support better quality care and increase clinician confidence in some encounters. There was no direct evidence of improved safety, but findings were consistent with a rare but important positive impact on preventing medication errors. SCRs sometimes contained incomplete or inaccurate data, but clinicians drew judiciously on these data along with other sources. SCR use was not associated with shorter consultations or reduction in onward referral. Successful introduction of SCRs depended on interaction between multiple stakeholders from different worlds (clinical, political, technical, commercial) with different values, priorities, and ways of working. The programme's fortunes seemed to turn on the ability of change agents to bridge these different institutional worlds, align their conflicting logics, and mobilise implementation effort. CONCLUSIONS: Benefits of centrally stored electronic summary records seem more subtle and contingent than many stakeholders anticipated, and clinicians may not access them. Complex interdependencies, inherent tensions, and high implementation workload should be expected when they are introduced on a national scale.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Information and communication technology (ICT) programmes in health care fail partly because people do not use the technologies.”
In the citing paper
“Analysis of a large quantitative data set on out-of-hours encounters showed that even when SCRs were available as a one-click option, clinicians working in unscheduled care settings accessed them in only one case in five.8”
In the citing paper
“and conflicting interpretations of the programme by clinicians, service users, policy-makers, industry and technical designers.8,11”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The Discovery of Grounded Theory: Strategies for Qualitative Research
Glaser, B. G., & Strauss, A. L. (2017) · Aldine (Routledge reprint) · doi:10.4324/9780203793206 · Cited by 25,789
Building Theories from Case Study Research
Eisenhardt, K. M. (1989) · The Academy of Management Review · doi:10.2307/258557 · Cited by 17,455
Callon, M. (1984) · The Sociological Review · doi:10.1111/j.1467-954x.1984.tb00113.x · Cited by 7,763
A Set of Principles for Conducting and Evaluating Interpretive Field Studies in Information Systems1
Klein, H. K., & Myers, M. D. (1999) · MIS Quarterly · doi:10.2307/249410 · Cited by 5,263
The Constant Comparative Method of Qualitative Analysis
Glaser, B. G. (1965) · Social Problems · doi:10.2307/798843 · Cited by 4,937
Building Theories from Case Study Research
Eisenhardt, K. M., & Eisenhardt, K. M. (2016) · SAGE Publications Ltd eBooks · doi:10.4135/9781473915480.n52 · Cited by 4,126
Power, Action and Belief. A New Sociology of Knowledge?
Law, J. R., Fyfe, G., Callon, M., Latour, B., Rayner, S. G., & Douglas, M. (1986) · Routledge eBooks · Cited by 3,524
Narrative Methods for Organizational & Communication Research
Bøje, D. M. (2001) · SAGE Publications Ltd eBooks · doi:10.4135/9781849209496 · Cited by 1,668
Discourse: A Critical Introduction.
Blommaert, J. (2008) · Linguistische Berichte (LB) · doi:10.46771/2366077500214_7 · Cited by 1,525
The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview
Black, A. D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., McKinstry, B., Procter, R., Majeed, A., & Sheikh, A. (2011) · PLoS Medicine · doi:10.1371/journal.pmed.1000387 · Cited by 1,442
Flagged first, then by citations
1 of the 44 references couldn’t be matched to a known paper.
Research works printed but not linked: 5
- Darling A. Modern public services for Britain: investing in reform. Comprehensive spending review: new public spending plans 1999- 2002. HM Treasury, 1998.
- Department of Health. The NHS informatics review report. The Stationery Office, 2008.
- Darzi A. High quality health for all: NHS Next Stage Review Final Report. The Stationery Office, 2008.
- Darling A. Comprehensive spending review. HM Treasury, 1998.
- BMA Press Office. BMA calls for roll-out of electronic patient records to be suspended. Press release, 10 March 2010. British Medical Association, 2010.
Cited by
Sorted by citations
Items 201–276 of 276
Ssembatya, R., & Zawedde, S. (2014) · INC · Cited by 1
CONCEPTUAL FOUNDATION OF SAFER GUIDES
Sittig, D. F., & Singh, H. (2015) · Apple Academic Press eBooks · doi:10.1201/b18371-5 · Cited by 1
Lessons Learned from the Implementation of an Emergency Department Information System
Vezyridis, P., Timmons, S., & Wharrad, H. J. (2020) · IGI Global eBooks · doi:10.4018/978-1-7998-2451-0.ch010 · Cited by 1
Bozan, K., & Datta, P. M. (2016) · Interdisciplinary Journal of Information Knowledge and Management · doi:10.28945/3434 · Cited by 1
The Health Information Revolution
Benson, T., & Grieve, G. (2020) · Health information technology standards · doi:10.1007/978-3-030-56883-2_1 · Cited by 1
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0013 · Cited by 1
Heimly, V., & Monteiro, E. (2011) · Journal of the Association for Information Systems · Cited by 1
Clarke, A. (2015) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York) · Cited by 1
Gonçalves, M. F., & David, G. (2014) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Rudin, R. S. (2011) · DSpace@MIT (Massachusetts Institute of Technology)
To be or to become? : an enquiry into the changing nature of requirements in open source health IT
Curto-Millet, D. (2014) · London School of Economics and Political Science Theses Online (London School of Economics and Political Science)
E‐Health: what are we talking about?
Lehnbom, E. C., McLachlan, A. J., & Brien, J. (2011) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2010.02389.x
Dickenson, A. D., & Scott, M. (2012) · Journal of the Association for Information Systems
Nicholas, J. R. (2010) · BMJ · doi:10.1136/bmj.c4304
Designing national electronic services in the public healthcare sector.
Larsen, E. (2014) · NORA - Norwegian Open Research Archives
The Health Information Revolution
Benson, T. (2009) · Computers in health care · doi:10.1007/978-1-84882-803-2_1
PHG Foundation project team and authors
Wright, C. F., Burton, H., Pokorska, A., Sagoo, G. S., Sanderson, S., & Skinner, R. (2011)
Nothing Free About Free Market
Larsen, E., & Ellingsen, G. (2014) · Springer eBooks · doi:10.1007/978-3-319-06498-7_5
Sadeq, T. J., & Nikjoo, R. G. (2013)
How Do Adopters Transition Between New and Incumbent Channels?Preprint
Overby, E. M., & Ransbotham, S. (2009) · SSRN Electronic Journal · doi:10.2139/ssrn.1529288
Why Continuing Education in eHealth
Berntsen, K. E. (2013)
Shahtahmasebi, S. (2016) · International Journal of Computers in Clinical Practice · doi:10.4018/ijccp.2016010103
INFORMATION SHARING IN NHS POLYCLINICS Completed Research Paper
Brooks, L., Mehta, R., & Huang, Z. H. (2011)
Future of Health Informatics: a unified database
Shahtahmasebi, S. (2014)
Patient Safety in Community Care
Eason, K., & Waterson, P. E. (2017) · IGI Global eBooks · doi:10.4018/978-1-5225-2237-9.ch051
Lessons Learned from the Implementation of an Emergency Department Information System
Vezyridis, P., Timmons, S., & Wharrad, H. J. (2015) · Advances in healthcare information systems and administration book series · doi:10.4018/978-1-4666-9446-0.ch014
Fra henvisningsbrev til elektronisk dialog
Kristoffersen, J. E. (2014)
Geesink, I., van Keulen, I., Schuijff, M., Brom, F. W. A., & van Est, Q. C. (2009)
Clinical Information in Use: Problems, Outcomes and Challenges from Experience
Cipriani, G. (2017) · TELe-Health · doi:10.1007/978-3-319-28661-7_10
Yeung, N. (2012) · Library and Archives Canada (Government of Canada)
Role of Pharmacy Education in the Advancement of Pharmacy Practice: A Western Perspective
Sherman, A., & Osman, A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-811909-9.00004-6
Health Information Technology Policy
Rudin, R. S., Tang, P. C., & Bates, D. W. (2021) · Springer eBooks · doi:10.1007/978-3-030-58721-5_29
Shahtahmasebi, S. (2016) · IGI Global eBooks · doi:10.4018/978-1-5225-1674-3.ch002
The Health Information Revolution
Benson, T. (2012) · Health information technology standards · doi:10.1007/978-1-4471-2801-4_1
Document Management Mechanism for Holistic Emergency Healthcare
Poulymenopoulou, M., Malamateniou, F., & Vassilacopoulos, G. (2017) · IGI Global eBooks · doi:10.4018/978-1-5225-3926-1.ch042
Patient Safety in Community Care
Eason, K., & Waterson, P. E. (2014) · Advances in healthcare information systems and administration book series · doi:10.4018/978-1-4666-4546-2.ch011
Tolppa, T., Pari, V., Pell, C. L., Aryal, D., Hashmi, M., Ghalib, M. S., Tripathy, S., Vijayaraghavan, B. K. T., Beane, A., Dondorp, A. M., et al. (2022) · doi:10.2196/preprints.41028
Personal health records - Potential one-stop approach in polypharmacy
Chen, Y.-L., Satria, F. B., Jamshed, S. Q., Babar, Z., Mukherjee, N., Yang, H., Li, Y., & Iqbal, U. (2022) · Computer Methods and Programs in Biomedicine Update · doi:10.1016/j.cmpbup.2022.100063
Knutsen, I. R., Johnsrud, U. S., Slorafoss, S. J., Haugen, A. G., & Joranger, P. (2022) · doi:10.23865/noasp.172.ch17
Introduction: Medication Safety in Municipal Health and Care Services
Olsen, R. M., & Sletvold, H. (2022) · doi:10.23865/noasp.172.ch1
Mussi, C. C., Luz, R., Damázio, D. D. R., Parma, G. C., & Porto, B. S. D. S. (2023) · CONTECSI - International Conference on Information Systems and Technology Management · doi:10.5748/19contecsi/pse/hea/7066
Mussi, C. C., Luz, R., Damázio, D. D. R., dos Santos, E. M., & Sun, V. (2023) · Informação & Informação · doi:10.5433/1981-8920.2022v27n4p456
Kumari, K., & Garje, B. (2024) · Journal of Advances and Scholarly Researches in Allied Education · doi:10.29070/cn5t8v45
Bugnon, B., Nicolet, A., Marti, J., Bonnabry, P., & von Plessen, C. (2025) · Journal of Participatory Medicine · doi:10.2196/preprints.78056
Hebden, T., Jones, E., Allcock, R., Chandrasekaran, B., & Ramcharitar, S. (2025) · Cureus · doi:10.7759/cureus.87763
Governmentality and Health Care Networks
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0011
Introduction to the Revised Second Edition
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0001
Interorganizational Learning in the Networks
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0010
Developing a Performance Assessment Framework
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.005.0002
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0005
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0012
The Limited Role of Information and Communication Technologies in Managed Networks
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0008
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0004
‘Reforming’ UK Health Care Organizations
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0002
List of Abbreviations and Acronyms
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.002.0006
Making Wicked Problems Governable?
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · doi:10.1093/9780198936268.001.0001
A Governmentality-Based Perspective on UK Health Care Organizations
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0003
Leadership in Health Care Networks
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0009
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.002.0004
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0006
Networks for Older People’s Care
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.003.0007
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.005.0001
Ferlie, E. B., Fitzgerald, L., McGivern, G., Dopson, S., & Bennett, C. (2025) · Oxford University Press eBooks · doi:10.1093/9780198936268.002.0005
Anwar, Z., Sabharwal, M., & Bansal, N. (2025) · doi:10.17352/jbdm.000002
Digitale legemiddellister kan skape nye utfordringer for helsepersonell
Thornes, E. (2026) · Sykepleien Forskning · doi:10.4220/sykepleiens.2026.104777
Patterns of system outsourcing in fragile environments: a case from Afghanistan
Wahaj, H. G., & Vranić, V. (2026) · Social Network Analysis and Mining · doi:10.1007/s13278-026-01602-7
Rahja, M., Crotty, M., Greene, L., Leung, C., Wong, V. V., Whitehead, C., & Laver, K. (2026) · Disability and Rehabilitation · doi:10.1080/09638288.2026.2678075
Mergaliyeva, L., & Cao, D. (2026) · Information Technology and People · doi:10.1108/itp-11-2025-1709
É., E. E., Raimi, O., Bademosi, A., Wegbom, A. I., & Ordu, S. (2026) · International Journal of Public Health and Pharmacology · doi:10.52589/ijphp-khuzlfqv
Middle-out health IT programs: A scoping review of international experience
Price, C., Green, W., & Suhomlinova, O. O. (2026) · Health Policy and Technology · doi:10.1016/j.hlpt.2026.101283
Granås, A. G., Josendal, A. V., Wathne, J. S., Oesterhus, R., Dyb, K., & Manskow, U. S. (2026) · International Journal of Healthcare Management · doi:10.1080/20479700.2026.2709838
Predicting the epidemic: a study of diabetes risk profiling in a multi-ethnic inner city population
Noble, D. J. (2012) · OpenGrey (Institut de l'Information Scientifique et Technique)
Metadata
- Authors
- Greenhalgh, T., Stramer, K., Bratan, T., Byrne, E., Russell, J., & Potts, H. W. W.
- Affiliations
- Queen Mary University of London (GB)
- University College London (GB)
- Corresponding author
- Greenhalgh, T.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2010-06-16
- Volume
- 340
- Issue
- jun16 4
- Pages
- c3111-c3111
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2093551211
- Cited by
- 275
- References
- 44
- Citations by year
- 2026: 8 · 2025: 27 · 2024: 8 · 2023: 7 · 2022: 10 · 2021: 5 · 2020: 12 · 2019: 12 · 2018: 13 · 2017: 13 · 2016: 20 · 2015: 16 · 2014: 29 · 2013: 30 · 2012: 22
- FWCI
- 55.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Systems Theories and Implementation
- Keywords
- Summary Care Record, electronic health records, health information technology adoption, walk-in centres, medication errors, quality of care, stakeholder interaction, change agents, health policy evaluation
- MeSH terms
- Data Collection, England, Humans, Program Evaluation, Medical Records Systems, Computerized, Qualitative Research, Clinical Governance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
