Summary
Objectives: This paper examines the potential of various models relating technology to society
and institutional structures to inform health policy. Among the models discussed are
various versions of technological determinism, social constructivism, actor network
theory and critical theory.
Methods: The paper considers recent developments in policy and strategy that aim to shape
the way the UK’s National Health Service (NHS) integrates Information and Communication
Technologies (ICTs) into health care and considers what these alternative models highlight
or emphasise, and how they might influence the activities of setting local implementation
strategies.
Results and Conclusions: Contemporary ICTs are often presented as having a particular relevance and power
in reforming or transforming the delivery of health care. Understanding how such technologies
might be conceived of, implemented and become an integral part of some future health
care system is an important and challenging task that requires innovative theoretical
treatments.
Keywords
Social shaping of technology - actor-network theory - health policy - local implementation
strategies - NHS information technology policy