Persuasion tactics in the implementation of large-scale EHR suites in public healthcare

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Documents

  • Gunnar Ellingsen
  • Bente Christensen
  • Morten Hertzum
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 independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-technical literature.
Original languageEnglish
Title of host publicationContext Sensitive Health Informatics: The Role of Informatics in Global Pandemics : Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics
PublisherIOS Press
Publication date2021
Pages33-37
ISBN (Print) 9781643682303
ISBN (Electronic)9781643682310
DOIs
Publication statusPublished - 2021
SeriesStudies in Health Technology and Informatics
Volume286
ISSN0926-9630

ID: 279327366