In my experience, medical technology solutions tend to be geared toward desk workers and bureaucrats because no-one else has the time to champion their needs an

In my experience, medical technology solutions tend to be geared toward desk workers and bureaucrats because no-one else has the time to champion their needs and 'default' enterprise assumptions map so poorly to the needs of doctors and nurses. So you get doctors and nurses who hate computers and computer-based solutions reflexively because a few more clicks, or minor Windows-cruft-based annoyances are just irritants for an intake clerk, but often tip the scales of "what's faster and more effective" for nurses and doctors back toward pen-and-paper. Those workers tend to have UX needs that run more toward mobile users [1] and medical software is very rarely designed to meet those needs. And the general aversion to computers -- again, in my experience -- is an act. Honestly saying they hate a given system has political costs and asking for changes again takes time (they rarely have to spare) to define and follow-through. But saying they simply aren't proficient with computers often has no such costs and can be very effective in getting overhead tasks pushed off to other workers. This is also why you see those same types of users take so quickly and eagerly to the new wave of stripped-down mobile companion apps. They don't necessarily want to carry a tablet instead of a clip-board. They just really want to use a focused-task, minimal, responsive interface instead of another windows enterprise UI. All of that is to say: Hospitals do care about IT. They just have a not-altogether-unique situation where the people who would most benefit from computerization rarely make time to see the projects done to their specifications and the overhead in 'typical' enterprise solutions can make-or-break feasibility. [2] [1] half-seconds count. size of click targets counts. data unrelated to the current task is wasteful noise. etc. [2] law and cpa firms can be similar, due the inaccessibility of the partners, the political situations and the resistance to anything that introduces overhead they can't bill for. These places, not unlike hospitals, often only see successful technology projects when they're limited to improving the speed/accuracy of administrative groups.