Via an agreement with Istituto per la Ricostruzione Industriale industrial state holding company in Italy, McDonnell Douglas Information Systems is to become a partner in CISAN, Consorzio d’Informatics per la Sanita, a consortium which provides computer-based health systems to the Italian marketplace: the Italian health service is similar to the National Health Service in the UK, and is experiencing the same kinds of changes – it will be spending to $30m on information technology over the next four years.