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Although the design of an ehealth data records system was largely driven by carers themselves, ultimately these same carers did not want to use the system once a series of pilot studies ended. The reasons for this lack of acceptance of the system by carers at seven different care organizations in the United States, the United Kingdom and the Netherlands are explored. Four reasons are put forward to explain this lack of acceptance: 1) the ability of the system to be used to evaluate jobfatcat:xnyogm25qraqbelgb4gvoe7vcm