title: Strategic action in health information technology: why the obvious has taken so long.
abstract: Recent enthusiasm for the automation of medical records and the creation of a health information infrastructure must be viewed in the context of a four-decade history of anticipation and investment. To understand the current opportunities and challenges, we must understand both the evolution of attitudes and accomplishments in health care information technology (IT) and the cultural, economic, and structural phenomena that constrain our ability to embrace the technology. Because prudent IT investment could make a profound difference in U.S. health and disease management, our strategic response must begin with an understanding of the pertinent history plus the challenges that lie ahead.
authors.affiliation: Department of Biomedical Informatics, College of Physicians and Surgeons, Columbia University, New York City, NY, USA. shortliffe@dbmi.columbia.edu
authors.forename: Edward H
authors.initials: EH
authors.lastname: Shortliffe
mesh_terms: D004059:Diffusion of Innovation; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D005791:Patient Care; D014481:United States