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General purpose (e.g. a spreadsheet) would be cheap but lacks specific medical record features (e.g. prescription tracking, appointment scheduling, clinical coding).
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Special purpose hospital management software exists (e.g. EMIS, SystmOne); cheaper than bespoke, already proven in healthcare, meets most requirements.
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Bespoke would exactly fit the hospital’s specific workflow but would be very expensive and time-consuming to develop and maintain.
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Conclusion: special-purpose is likely the best balance between cost, features and speed of deployment for most hospitals. Bespoke only justified if highly unusual requirements exist.