Open Source Paradigm: A Synopsis of The Cathedral and the Bazaar for Health and Social Care

Tim Benson

Abstract


Background: Open source software (OSS) is becoming more fashionable in health and social care, although the ideas are not new. However progress has been slower than many had expected.

Objective: The purpose is to summarise the Free/Libre Open Source Software (FLOSS) paradigm in terms of what it is, how it impacts users and software engineers and how it can work as a business model in health and social care sectors.

Method: Much of this paper is a synopsis of Eric Raymond’s seminal book The Cathedral and the Bazaar, which was the first comprehensive description of the open source ecosystem, set out in three long essays. Direct quotes from the book are used liberally, without reference to specific passages. The first part contrasts open and closed source approaches to software development and support. The second part describes the culture and practices of the open source movement. The third part considers business models.

Conclusion: A key benefit of open source is that users can access and collaborate on improving the software if they wish. Closed source code may be regarded as a strategic business risk that that may be unacceptable if there is an open source alternative. The sharing culture of the open source movement fits well with that of health and social care.


Keywords


Software; Medical Informatics; Open Access to Information; Delivery of Health Care.

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References


McDonald C J, Schadowa G and Barnesa M et al. Open Source software in medical informatics – why, how and what. International Journal of Medical Informatics 2003; 69(2–3): 175–184. http://dx.doi.org/10.1016/S1386-5056(02)00104-1.

Weber S. The Success of Open Source. Massachusetts, United States:Harvard University Press, 2004.

Noll J. What Constitutes Open Source? A Study of the Vista Electronic Medical Record Software. Proceedings of the 5th IFIPWG 2, 13 International Conference on Open Source Systems (OSS 2009), Skövde, Sweden, 3–6 June 2009.

Thick M. Trusting data is the next stage of the NHS’ digital journey. IMS MAXIMS 2015. Available from http://www.imsmaxims.com/opinion/trusting-data-is-the-next-stage-of-the-nhs-digital-journey/. Accessed 26 March 2016.

NHS England. Open Source Programme Update. Available from http://www.slideshare.net/mongodb/nhs-england-open-source-programme-mongo-db-digital-masterclass-november-2014. Accessed November 2014.

Liao Y, Fernandes K, Downs D and Foley G. Facilitating the Adoption of Open Source Technologies for UK Health Care: An Ecosystem Framework. International Journal of Health Information Management Research 2013;1(1): 37–47.

Reynolds CJ and Wyatt JC. Open Source, Open Standards, and Health Care Information Systems. Journal of Medical Internet Research 2011;13(1):e24. http://dx.doi.org/10.2196/jmir.1521. PMid:21447469; PMCid:PMC3221346.

Karopka T, Schmuhl H and Demski H. Free/Libre Open Source Software in Health Care: A Review. Healthcare Informatics Research 2014;20(1):11–22. http://dx.doi.org/10.4258/hir.2014.20.1.11. PMid:24627814; PMCid:PMC3950260.

Carnall D. Medical software’s free future: Open collaboration over the Internet is changing development methods. British Medical Journal 2000; 321(7267):976. http://dx.doi.org/10.1136/bmj.321.7267.976. PMid:11039943; PMCid:PMC1118811.

Raymond ES. The Cathedral and the Bazaar: Musings on Linux and Open Source by an Accidental Revolutionary. California, United States:O’Reilly, 1999.

Bezroukov N. A Second Look at the Cathedral and Bazaar.First Monday 1999;4(12). Available from http://firstmonday.org/issues/issue4_12/bezroukov/index.html. Accessed 26 March 2016.

Brooks F. The Mythical Man-Month: Essays on Software Engineering. Boston, United States:Addison-Wesley, 1975.

Hertel G, Niedner S and Herrmann S. Motivation of software developers in Open Source projects: an Internet-based survey of contributors to the Linux kernel. Research Policy 2003;32(7): 1159–77. http://dx.doi.org/10.1016/S0048-7333(03)00047-7.

SourceForge. Fetchmail – the mail-retrieval daemon: Client daemon to move mail from POP and IMAP to your local computer. Available from http://sourceforge.net/projects/fetchmail/. Accessed 24 March 2015.

Shay SK. Motivation, governance and the viability of hybrid forms of open source software development. Management Science 2006;52 (7):1000–1014. http://dx.doi.org/10.1287/mnsc.1060.0553.

Benson T. Medical software’s free future: all software developed at public’s expense should be licensed as open source. Letter to the editor. British Medical Journal 2001;322(7290):863. PMid:11321010; PMCid:PMC1120027.




DOI: http://dx.doi.org/10.14236/jhi.v23i2.866

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