This story is proof of a fact long known in medical administration.  You can’t tell doctors what to do.  You have to persuade them, frequently one by one, to change the ways they work.  Britain’s failure to establish a comprehensive health information technology system is a warning to similar efforts in the US.  Here, however, many hospitals have already learned the hard way, and they appoint a doctor to the technology effort.  The doctor’s job is to convince peers to try the new system and to show them how to use it.  The US needs a comprehensive health information system.  This country wastes billions through redundant and inefficient record-keeping, but we won’t get it unless each doctor willingly participates.  It is a challenge for medical relations.

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