The availability and use of clinical information and communication technologies vary markedly between practices. Practices do not inevitably become paperless after a certain number of years of computerisation. Most sampled practices wish to embrace information and communication technologies. There is no set definition of a 'paperless'practice. Practices with varying degrees of computerisation define themselves as being paperless.Understanding between clinicians and managers on the in-house use of paper notes and electronic data gathering can and should be improved. Keywords: computerisation, information and communication technologyK Thiru, S de Lusignan and N Shaw 90 personal ICT use. Managers were also asked to record if their practice consultations were paperless or not. During the last quarter of 1999, 133 practices were sent one managers' questionnaire and six clinicians' questionnaires. A reminder was sent with additional questionnaires to non-responding practices approximately three months later.
The authors explore the history of open source software and how the future of this paradigm can affect global changes to healthcare informatics. They identify four key requirements: 1 to establish an international health informatics open source (IHI-OS) community 2 to develop a kernel that is broad enough but also provides sufficient detail to be usable across international boundaries and across medical disciplines 3 to develop a business case for international health informatics open source 4 to develop international standards.
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