The tension between national and local concerns in preparing for large-scale generic systems in healthcare

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

The tension between national and local concerns in preparing for large-scale generic systems in healthcare. / Ellingsen, Gunnar; Hertzum, Morten; Melby, Line.

In: Computer Supported Cooperative Work, Vol. 31, 09.2022, p. 411–441.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Ellingsen, G, Hertzum, M & Melby, L 2022, 'The tension between national and local concerns in preparing for large-scale generic systems in healthcare', Computer Supported Cooperative Work, vol. 31, pp. 411–441. https://doi.org/10.1007/s10606-022-09424-9

APA

Ellingsen, G., Hertzum, M., & Melby, L. (2022). The tension between national and local concerns in preparing for large-scale generic systems in healthcare. Computer Supported Cooperative Work, 31, 411–441. https://doi.org/10.1007/s10606-022-09424-9

Vancouver

Ellingsen G, Hertzum M, Melby L. The tension between national and local concerns in preparing for large-scale generic systems in healthcare. Computer Supported Cooperative Work. 2022 Sep;31:411–441. https://doi.org/10.1007/s10606-022-09424-9

Author

Ellingsen, Gunnar ; Hertzum, Morten ; Melby, Line. / The tension between national and local concerns in preparing for large-scale generic systems in healthcare. In: Computer Supported Cooperative Work. 2022 ; Vol. 31. pp. 411–441.

Bibtex

@article{72d0c9f7045045ee8c1f69fa08c0474f,
title = "The tension between national and local concerns in preparing for large-scale generic systems in healthcare",
abstract = "Large-scale generic systems are typically adapted to local practice through configuration. 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 configuration 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 configuration 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.",
keywords = "Faculty of Humanities, large-scale generic systems, Electronic health records, Epic, General Practitioners, national concerns, local concerns, Central Norway",
author = "Gunnar Ellingsen and Morten Hertzum and Line Melby",
year = "2022",
month = sep,
doi = "10.1007/s10606-022-09424-9",
language = "English",
volume = "31",
pages = "411–441",
journal = "Computer Supported Cooperative Work",
issn = "0925-9724",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - The tension between national and local concerns in preparing for large-scale generic systems in healthcare

AU - Ellingsen, Gunnar

AU - Hertzum, Morten

AU - Melby, Line

PY - 2022/9

Y1 - 2022/9

N2 - Large-scale generic systems are typically adapted to local practice through configuration. 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 configuration 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 configuration 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.

AB - Large-scale generic systems are typically adapted to local practice through configuration. 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 configuration 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 configuration 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.

KW - Faculty of Humanities

KW - large-scale generic systems

KW - Electronic health records

KW - Epic

KW - General Practitioners

KW - national concerns

KW - local concerns

KW - Central Norway

U2 - 10.1007/s10606-022-09424-9

DO - 10.1007/s10606-022-09424-9

M3 - Journal article

C2 - 35313648

VL - 31

SP - 411

EP - 441

JO - Computer Supported Cooperative Work

JF - Computer Supported Cooperative Work

SN - 0925-9724

ER -

ID: 291600880