title: Web based diabetes care planning - sociotechnical barriers to implementation in general practice.
abstract: BACKGROUND
  This research explored the sociotechnical barriers in the implementation of web based diabetes care plans in general practice from the perspective of implementing stakeholders.
  
  
  METHODS
  A qualitative case study design was use to explore the sociotechnical barriers. Twenty-one stakeholders were purposely recruited and interviewed.
  
  
  RESULTS
  Technological barriers included rudimentary IT applications in general practice; standardisation and interoperability issues; and 'bugs' in the system. The role of practice managers as gatekeepers influenced the uptake of the technology. General practitioners were noted to be time poor, while practice nurses preferred to stick with paper based ways of doing care plans. The relationship between allied health professionals and GPs also influenced the adoption process.
  
  
  CONCLUSIONS
  Implementers had significant insight into the sociotechnical barriers to diabetes web based care planning in general practice. Future research should examine the roles of the stakeholders involved in determining standards and the interoperability of systems.
authors: Department of General Practice, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria. akuh.adaji@monash.edu
authors: Akuh
authors: A
authors: Adaji
authors: Peter
authors: P
authors: Schattner
authors: Leon
authors: L
authors: Piterman
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D003920:Diabetes Mellitus / Q000628:therapy*; D017144:Focus Groups / Q000379:methods*; D058006:General Practice / Q000458:organization & administration*; D006285:Health Planning / Q000379:methods* / Q000592:standards; D006801:Humans; D020407:Internet; D036301:Qualitative Research; D011795:Surveys and Questionnaires