OK, so the fundamental problem with health IT is a greater problem in the commercial software industry as a whole. The buyer tends not to be the person who use

OK, so the fundamental problem with health IT is a greater problem in the commercial software industry as a whole. The buyer tends not to be the person who uses the software, and the more bureaucratic/ technocratic the process you use to get to the end user the more likely you are to not meet their needs. Put crudely and inaccurately, the procurement team end up going with the consultants who do a good game of golf. Add government and a big consulting firm like Deloitte in health IT, and you'll be ready for a world of pain. Here [0] is a good paper on the topic. [0] https://pubmed.ncbi.nlm.nih.gov/22188347/ https://pubmed.ncbi.nlm.nih.gov/22188347/