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The Role of Information Systems in the United Kingdom National Health Service: Action at a Distance and the Fetish of Calculation

Research output: Contribution to journalJournal article

Published

Journal publication date11/1991
JournalSocial Studies of Science
Journal number4
Volume21
Number of pages34
Pages701-734
Original languageEnglish

Abstract

This paper examines some fundamental issues pertaining to the use of, as well as to the distinctive characteristics of, information technology in relation to the development of information systems within the UK National Health Service (NHS). The paper refers to the current Resource Management Initiative in the NHS, which involves the fabrication of information systems to connect medical activity to resource usage, and thus to costs. Examining the features of some of the rival inscriptions undergoing development to make this connection visible, the paper highlights the properties of information technology in enhancing their mobilization. It also addresses the immutability and combinability of these inscriptions, and discusses some of the implications, in terms of medical practice and knowledge, which may follow from their use.