{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:25Z","timestamp":1777851985256,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2004,12,1]],"date-time":"2004-12-01T00:00:00Z","timestamp":1101859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p>This article looks at the need for integrated care records (ICRs) that are \u2018fitfor-purpose\u2019 and how this can be facilitated by data about what are glossed as \u2018social factors\u2019. Social factors, while increasingly considered in systems design, also need to be considered in the implementation, change management and benefits realization that are part of the work of ICR programmes such as the NHS Care Records Service. It is suggested that ICRs will not be properly fit-for-purpose unless social factors have been built into all aspects of ICR programmes. It is further argued that fit-for-purpose ICRs should be understood as ICR technologies that are \u2018ready-to-hand\u2019, that is, appropriate and usable. Following a brief description of ICRs, the focus is on the problem of fitness-for-purpose, and the role of ready-to-hand research, models, data collection and data representation formats in achieving fit-for-purpose ICRs. These issues are illustrated from both the extant literature and practical experience.<\/jats:p>","DOI":"10.1177\/1460458204048512","type":"journal-article","created":{"date-parts":[[2004,11,19]],"date-time":"2004-11-19T06:38:39Z","timestamp":1100846319000},"page":"314-324","source":"Crossref","is-referenced-by-count":5,"title":["Problems encountered in integrated care records research"],"prefix":"10.1177","volume":"10","author":[{"given":"K. Neil","family":"Jenkings","sequence":"first","affiliation":[{"name":"Sowerby Centre for Health Informatics, University of Newcastle upon Tyne,\r                        UK, Tel: 44 (0)191 243 6181, Fax: 44 (0)191 243 6101"}]}],"member":"179","published-online":{"date-parts":[[2004,12,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(98)00106-1"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S1386-5056(01)00210-6"},{"key":"atypb3","volume-title":"Computing Myths, Computing Realities: An Ethnography of Technology and Working People in Sheffield, England","author":"Hakken D.","year":"1993"},{"key":"atypb4","volume-title":"Understanding Wittgenstein","author":"Hunter J F M.","year":"1985"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/S1386-5056(01)00152-6"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1186\/cc1028"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025055829026"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-2-7"},{"issue":"9","key":"atypb9","volume":"325","author":"Benson T.","year":"2002","journal-title":"British Medical Journal"},{"key":"atypb10","volume-title":"Plans and Situated Action: The Problem of Human\/Machine Communication","author":"Suchman L.","year":"1987"},{"key":"atypb11","unstructured":"E-Health-Insider. http:\/\/www.e-health-insider.com 23 April 2004."},{"key":"atypb12","volume-title":"Studies in Ethnomethodology","author":"Garfinkel H.","year":"1967"},{"key":"atypb13","volume-title":"The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Health Care","author":"Timmerman S","year":"2003"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1177\/004839317500500304"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1207\/s15327051hci0902_1"},{"key":"atypb16","volume-title":"Rationalising Medical Work: Decision Support Techniques and Medical Practices","author":"Berg M.","year":"1997"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511815355"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.4324\/9780203257142"},{"key":"atypb19","volume-title":"Social Organization of Medical Work","author":"Strauss A","year":"1985"},{"key":"atypb20","author":"Crabtree A","year":"2001","journal-title":"The Journal of Corporate Transformation"},{"key":"atypb21","volume-title":"Technological Choices: Transformation in Material Cultures since the Neolithic","author":"Lemonnier P.","year":"1993"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511628122.002"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458204048512","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458204048512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:28:40Z","timestamp":1777501720000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458204048512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,12]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,12]]}},"alternative-id":["10.1177\/1460458204048512"],"URL":"https:\/\/doi.org\/10.1177\/1460458204048512","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,12]]}}}