ABSTRACT
This paper discusses the future impact of information technology on health in the developing world. Using a combination of approaches, it is possible to develop a partially deterministic model of the transfer of microcomputer technology. The chapter seeks a partial refutation to the reification of technology. Technological change is often seen as the cause of changes in social systems and the values of society. The transfer of information technology to the Third World health sector must be seen as a teleonomic, rather than a teleological process. The health technology system may be divided into three components: the technology development system, the technology transfer and diffusion system, and the technology use system. The chapter discusses the five classes of health-technology users: the individual, the traditional practitioner, the modern practitioner, novel practitioner categories, and organizations. Introducing computer technology into health services will disrupt traditional cultures and values in less-developed countries more than is necessary or desired by the majority of their citizens.
