Digital libraries (DLs) are major advances in information technology that frequently fall short of expectations 7, 28]. Covi & Kling 7] argue that understanding the wider context of technology use is essential to understanding digital library use and its - plementation in different social worlds. Recent health informatics research also - gues that social and organisational factors can determine the success or failure of healthcare IT developments 8, 11, 12]. Heathfield 11] suggests that this is due to the complex, autonomous nature of the medical discipline and the specialized (clinician...