title: Managing change in health informatics--lessons learned from a third of a century of change.  Introduction.
abstract: This short paper describes strategies and tactics that have been used for introducing Health Informatics projects in Scotland, UK during the last almost 40 years. This is a country of only 5 million population. It has a scattered geography with isolated islands and moorland and hilly areas along with a populous former industrial heartland. It has a unified National Health Service, free at each point of contact. By many measurements it is not a healthy population with traditions of unhealthy life-styles.
authors.forename: John S
authors.initials: JS
authors.lastname: Bryden
mesh_terms: D006751:Hospital Information Systems; D019451:Information Management; D008491:Medical Informatics Applications; D012606:Scotland