Beyond computer-based clinical reminders: improvement of the total service quality by small-group based organizational learning in primary care.

In order to support continuous development of the services in a patient-centered primary care organization, a Computer-Supported Co-operative Work (CSCW) system has been developed. The system structures and supports organizational learning as a daily activity in parallel to clinical work. It is based on coordinated small-group activities in which strategic planning is integrated with monitoring and change of patient management. Implications for the future role of information systems in primary care are discussed.