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The Tension between National and Local Concerns in Preparing for Large-Scale Generic Systems in Healthcare

Permanent link
https://hdl.handle.net/10037/26376
DOI
https://doi.org/10.1007/s10606-022-09424-9
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Date
2022-03-16
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Author
Ellingsen, Gunnar; Hertzum, Morten; Melby, Line
Abstract
Large-scale generic systems are typically adapted to local practice through confguration. This is especially important in healthcare, which involves a plurality of institutions and users. However, the decision to acquire a generic system in public healthcare is typically founded on regional and national health policy goals, which often are translated into various forms of standardization. As a result, national and regional health policy interests may stand in contrast to interests on the local level. Therefore, we analyze how national and local concerns are weighed against each other in the preparations for implementing large-scale generic systems in healthcare. We explore what role confguration plays and what the prospects are for long-term development. We contribute with insight into how the organizational consequences of generic systems are formed already in the preparation phase and point to how confguration easily results in standardization, thereby basically privileging national and regional health goals at the expense of local needs. Empirically, we focus on the preparations for implementing the Epic electronic health record in Central Norway.
Publisher
Springer
Citation
Ellingsen, Hertzum, Melby. The Tension between National and Local Concerns in Preparing for Large-Scale Generic Systems in Healthcare. Computer Supported Cooperative Work (CSCW). 2022:1-31
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