Health information systems challenges: the Heidelberg conference and the future

Giuse, Dario A.; Kuhn, Klaus A.

doi:10.1016/s1386-5056(02)00182-x

Cited by 65 publications

(37 citation statements)

References 48 publications

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“…Several countries worldwide are therefore now committed to the increasing use of IT in healthcare settings [3]. These interventions need to be evaluated and in this respect the importance of theoretically informed investigations of these new technologies, in order to maximise the effectiveness of implementation, has repeatedly been highlighted [4-6]. …”

Section: Introductionmentioning

confidence: 99%

Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

Cresswell

Worth

Sheikh

2010

BMC Med Inform Decis Mak

237

165

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BackgroundActor-Network Theory (ANT) is an increasingly influential, but still deeply contested, approach to understand humans and their interactions with inanimate objects. We argue that health services research, and in particular evaluations of complex IT systems in health service organisations, may benefit from being informed by Actor-Network Theory perspectives.DiscussionDespite some limitations, an Actor-Network Theory-based approach is conceptually useful in helping to appreciate the complexity of reality (including the complexity of organisations) and the active role of technology in this context. This can prove helpful in understanding how social effects are generated as a result of associations between different actors in a network. Of central importance in this respect is that Actor-Network Theory provides a lens through which to view the role of technology in shaping social processes. Attention to this shaping role can contribute to a more holistic appreciation of the complexity of technology introduction in healthcare settings. It can also prove practically useful in providing a theoretically informed approach to sampling (by drawing on informants that are related to the technology in question) and analysis (by providing a conceptual tool and vocabulary that can form the basis for interpretations). We draw on existing empirical work in this area and our ongoing work investigating the integration of electronic health record systems introduced as part of England's National Programme for Information Technology to illustrate salient points.SummaryActor-Network Theory needs to be used pragmatically with an appreciation of its shortcomings. Our experiences suggest it can be helpful in investigating technology implementations in healthcare settings.

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Section: Introductionmentioning

confidence: 99%

Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

Cresswell

Worth

Sheikh

2010

BMC Med Inform Decis Mak

237

165

View full text Add to dashboard Cite

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“…2004). Clinically oriented applications are increasingly being developed and introduced to support the daily work of healthcare professionals (Giuse & Kuhn 2003).…”

Section: Introductionmentioning

confidence: 99%

Review: evaluating information systems in nursing

Oroviogoicoechea¹,

Elliott²,

Watson³

2008

Journal of Clinical Nursing

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The rapid introduction of IT systems for clinical practice urges evaluation of already implemented systems examining how and in what circumstances they work to guide effective further development and implementation of IT systems to enhance clinical practice. Evaluation involves more factors than just involving technologies such as changing attitudes, cultures and healthcare practices. Realistic evaluation could provide configurations of context-mechanism-outcomes that explain the underlying relationships to understand why and how a programme or intervention works.

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“…Unfortunately, targeting only the technical challenges has led to more failures than success stories (see, for instance, Berg 2001; Giuse and Kuhn 2003;Ellingsen and Monteiro 2006). A sobering example from the Norwegian healthcare sector is the first version of the nationally run, large-scale electronic prescription project, which crashed dramatically when a pilot system was launched in 2009.…”

Section: Theorymentioning

confidence: 99%

The Role of Integration in Health-Based Information Infrastructures

Ellingsen

Røed

2010

Comput Supported Coop Work

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Abstract. In this paper, we contribute with empirical insight into the complexity of establishing and sustaining integration between different information infrastructures in health care. An overall concern is to elaborate on how, despite many obstacles, the integration effort moves forward. We see this as a collective achievement, where users have an essential role in terms of mobilizing and coordinating the other actors as well as maintaining the integration. These activities are not limited to a specific project; they emerge from and are part of day-to-day practice. Empirically, we focus on a large integration initiative between the laboratory systems at the University Hospital of Northern Norway and the electronic patient records used by general practitioners in the Northern health region. Together with the vendor, Well Diagnostics, the hospital initiated a project aimed at establishing a new laboratory requisition system that enabled GPs to send requisitions electronically to the hospital laboratories. Theoretically, we draw on the concept of information infrastructures, and supplement this with Actor Network Theory.

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Health information systems challenges: the Heidelberg conference and the future

Cited by 65 publications

References 48 publications

Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

Review: evaluating information systems in nursing

The Role of Integration in Health-Based Information Infrastructures

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