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• W1024500521 abstract "Information services do not function within a vacuum. Indeed it is likely that the libraryand information service (LIS) which does not take into account the external environmentwill quickly cease to exist. The providers of services must look to the outside world andcreate regular ‘snapshots’ of what is happening in the external environment. A key skill isdifferentiating between those issues that will significantly impact on LIS, those that willhave limited relevance and those with minimal relevance. For those providers ofhealthcare LIS the dangers in ignoring the health environment are two-fold. Services canbe developed that are not required which will result in the LIS becoming atrophied. Theother risk is that necessary services will not be developed and prospective users will goelsewhere.The purpose of this chapter is to identify the major drivers that are shaping the healthexternal environment at the beginning of the 21st century. This chapter is structuredaround a Sociological, Technological, Economic and Political (STEP) analysis of thehealth external environment. Johnson and Scholes (1999) have outlined the value of thisapproach where the STEP analysis identifies key environmental influences that are likelyto drive change. This analysis should help LIS staff consider the differential impact ofkey drivers on the strategic options available.Providers of LIS could use the STEP analysis to consider strategic options but that isnot its primary purpose. It provides a structure to the many diverse and influential driversthat are shaping healthcare. The intention is to provide an informed insight into thechallenges facing health service providers.This STEP analysis has been developed through the contributions of various experts. BetweenJune 1999 and October 1999 a draft STEP analysis was produced. This was circulated to a rangeof professionals involved in healthcare delivery including a consultant surgeon, a researchphysiotherapist, an organizational performance development officer and a commissioning supportmanager. They refined the analysis which resulted in the final establishment of the drivers thatprovide the structure for this chapter. In Sociological factors the emphasis on self, healthinequalities and demography (especially the increase in the numbers of elderly) were identified.Information and Communications Technology (ICT), biological and pharmaceutical developmentsand the development of medical equipment made up the Technology drivers. In terms ofEconomic factors, cost containment, evidence based practice and rationing were included. Finallyideology, collaboration versus cooperation and globalization were established as key Politicalissues.The literature used to provide detail on the STEP factors has been identified usingthree important criteria: currency, expertise of authors and the authors’ abilities topresent comprehensive overviews. Interested readers will be able to follow up specificsource material to expand on the level of detail given below." @default.
• W1024500521 created "2016-06-24" @default.
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• W1024500521 date "2000-01-01" @default.
• W1024500521 modified "2023-09-26" @default.
• W1024500521 title "Health services : a contemporary approach" @default.
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