• A Common Electronic Health Record for Norwegian Municipalities 

      Ellingsen, Gunnar; Christensen, Bente; Wynn, Rolf (Chapter; Bokkapittel, 2022)
      Large-scale electronic health record (EHR) systems have increasingly become a staple of the European healthcare market. The Norwegian health care authorities are planning for the acquisition of a common large-scale EHR system for 291 of Norway’s 356 municipalities. This has resulted in much controversy among the stakeholders. We explore the key contested areas.
    • Developing Large-scale Electronic Patient Records Conforming to the openEHR Architecture 

      Ellingsen, Gunnar; Christensen, Bente; Silsand, Line (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
    • Large-Scale EHR Suites and Path-Dependence 

      Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-29)
      Large-scale electronic health record (EHR) suites are expected to cover a broad range of use scenarios for healthcare workers in hospitals, nursing homes, home-care services, and general practitioner (GP) clinics. However, preparation for the implementation of EHR suites requires years of detailed planning and consumes considerable financial and human resources. A key problem, then, is that there ...
    • National Integration Components Challenge the Epic Implementation in Central Norway 

      Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente; Wynn, Rolf (Chapter; Bokkapittel, 2022)
      Electronic health record (EHR) suites cover a broad range of cross-sectoral use scenarios. Thereby, they streamline information flows but also require that healthcare professionals with diverse responsibilities must adapt to one and the same system. In the region of Central Norway, the EHR suite from Epic is being implemented at hospitals as well as in municipal healthcare. However, the 64 municipalities ...
    • Persuasion Tactics in the Implementation of f Large-Scale EHR Suites in Public Healthcare 

      Ellingsen, Gunnar; Christensen, Bente; Hertzum, Morten (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-08)
      Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an ...
    • Suppliers of Existing Systems in Municipal Healthcare Facing the Arrival of Large-Scale EHR Suites 

      Ellingsen, Gunnar; Christensen, Bente; Hertzum, Morten (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09)
      With backing from national health authorities, large-scale electronic health record (EHR) suites have increasingly entered the European healthcare market. The overall goal for these systems is to fulfill the needs of healthcare workers in hospitals, nursing homes, home-care service, and general practitioner (GP) clinics. The EHR suites will replace existing EHRs in their targeted area. However, ...
    • Users’ role in the making and scaling of an Information Infrastructure for Health Care based on the openEHR specification 

      Christensen, Bente (Doctoral thesis; Doktorgradsavhandling, 2017-11-11)
      In this thesis, I discuss the socio-technical challenges in growing and information infrastructure for Health Care based on the openEHR specification, particularly focusing users’ role and contribution. Conceptualizing the emerging EPR system as the growing of an Information Infrastructure, the different happenings and activities in the development project have been interpreted as infrastructuring ...