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The planning and implementation of electronic information systems and technology (IS/IT) following the National Health Service (NHS) reforms in the UK are both widespread and significant. Considers these new organizational arrangements, for primary care general practitioners (GPs), to aid decisions for the referral of patients to hospital specialists. The proposals, through an analyses of the concept of markets and hierarchies, may result in an alternative and better referral experience for those patients who express a preference. Presents an overview of the reforms and notes the subsequent impact of IS/IT as a facilitator for changing the structure of primary care within the NHS. Argues that, if primary care physicians adopt a more appropriate management of IS/IT and are proactive in its application, then the outcome will produce more patient choice, less non‐attendance and consequently improved health care provision.

The purpose of this paper is to define objectives for Customer Relationship Management (CRM) system adoption. The objectives provide a theoretical basis for strategizing about CRM system adoption. The objectives also provide managers to clearly direct CRM system adoption, thus ensuring a highly successful outcome.

The authors conducted a sequential multi-method research in Europe. The initial qualitative phase constituted 62 in-depth interviews. Using Keeney’s (1992) value-focused thinking approach, the authors defined 102 CRM system adoption objectives. Quantitative purification techniques, using a sample of 210 organisations, a more parsimonious set of objectives were developed. The complete set of objectives were classified into fundamental and means objectives.

Results present three fundamental and three means objectives. These objectives allow for successful CRM system adoption. The three fundamental objectives are: maximise CRM organisational culture; ensure an effective relationship with CRM providers; and minimise CRM project risks. The three means objectives are: maximise CRM usage, maximise relational marketing capabilities, maximise CRM orientation.

This study provides strategic objectives that can be used by companies to plan adoption of a CRM system. Hence the fundamental and means objectives take the form a strategic planning template.

Although technology adoption has been well researched and has also been extended to address CRM systems, the focus has largely been behavioural. The strategic objectives for CRM system adoption, presented in this paper, are novel. Objectives enable decision making and resource planning. The combination of fundamental and means objectives provide a theoretical basis for ensuring successful CRM system adoption.