Information Infrastructures within European Health Care

Working with the Installed Base

by Margunn Aanestad, Miria Grisot, Ole Hanseth, Polyxeni Vassilakopoulou

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Book Description

This book consolidates experiences from across Europe on the design, development, implementation and evolution of inter-organisational information infrastructures for healthcare. It provides insights with practical relevance for those involved or interested in the planning and implementation of such infrastructures and includes 11 empirical cases on the introduction of core infrastructural arrangements in different national settings: six cases investigate the use of e-prescriptions and five the public platforms for patient-oriented eHealth services. Both are linked to different types of aims. E-prescription initiatives are usually seen as opportunities to improve healthcare delivery by systematic change (controlling medication costs, improving patient safety and providing rich information for policy making and performance management). Public platforms for patient-oriented eHealth services are seen as opportunities for change and innovation, aiming to strengthen the patients' role and facilitate a shift from provider-centered healthcare towards patient-centeredness. For both types of initiatives, there is a requirement to mix novelty with pre-existing infrastructural components. The cases are analysed by leading experts in health information systems through a common theoretical framework, exploring the role of the pre-existing sociotechnical basis, i.e. the installed base, and how it fundamentally impacts the evolution of information infrastructures. The book advances an "installed base sensitivity" in decision-making both at the policy/strategy level and at the concrete eHealth design level and shows how practitioners and policy-makers can address the complexity of infrastructures that facilitate information flows across organisational boundaries.

This open book is licensed under a Creative Commons License (CC BY-NC). You can download Information Infrastructures within European Health Care ebook for free in PDF format (5.0 MB).

Book Details

Subject
Medical
Publisher
Springer
Published
2017
Pages
260
Edition
1
Language
English
ISBN13
9783319510187
ISBN10
3319510185
ISBN13 Digital
9783319510200
ISBN10 Digital
3319510207
PDF Size
5.0 MB
License
CC BY-NC

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