One of the key social issues that made adopting the system a
challenge was that many of the staff were reluctant to change, and
in some cases had little or no previous experience using computers.
Two of the 10 optometrists interviewed noted that they did not have any computer experience before the system was implemented. One of the managers explained,
‘‘We have mixed generations of staff; it is easier with younger and newly employed staff, it was not easy to convince senior consultant to train and make them to use system. They are used to paper based practice since last 20 to 30 years. . .’’ (Manager_4 Dec. 2007)