American Journal of Applied Sciences

Factors Affecting the Implementation of the National Programme for Information Technology in the National Health Services: The Case of Lorenzo in the North, Midlands and East of England Region

Wasfi Alrawabdeh, Adel Salloum and Fayiz Shrafat

DOI : 10.3844/ajassp.2015.20.30

American Journal of Applied Sciences

Volume 12, Issue 1

Pages 20-30


This study is concerned with the aspect of revealing the factors that affect the adoption of IT programs in the health sector in the NHS in UK. It focuses on the identification of the factors that influence significantly the adoption of LORENZO, the Electronic Health Record system that is being implemented in the Strategic Health Authorities (SHAs) in the North, Midlands and East of England (NME) region as part of the National Program for Information Technology (NPfIT) in the NHS. This study is based on the Technology Acceptance Model (TAM). A qualitative research methodology was used to approach this area unlike the quantitative approach usually associated with the TAM. The data was obtained by conducting face-to-face semi-structured interviews with people who represented the end users in the NHS and the designing company (the LSP). By contrast with most academic studies, the research, therefore, studied the NPfIT from the bottom up (i.e., the end user perspective). The main tool used to aid the analysis of the interview data is NVivo. This analysis was used to develop an extended TAM model and to suggest a theoretical model of the relationship between LORENZO development methodology and users’ acceptance. The study suggests some factors, apart from usefulness, which LORENZO’s designers, the NHS should take into account when it comes to enhance users’ usage of IT adoption. These factors are clinical safety, security, integration and information sharing.


© 2015 Wasfi Alrawabdeh, Adel Salloum and Fayiz Shrafat. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.