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EB

ONLINE

Cham : Springer International Publishing AG, 2017

1 online resource (260 pages)

ISBN 9783319510200 (electronic bk.)

ISBN 9783319510187

Health Informatics Ser.

Print version: Aanestad, Margunn Information Infrastructures Within European Health Care Cham : Springer International Publishing AG,c2017 ISBN 9783319510187

4.3.2 Strategies Towards the Installed Base -- Strategies for Coordination.

3: Information Infrastructures and the Challenge of the Installed Base -- 3.1 Introduction -- 3.2 Information Infrastructures -- 3.3 Installed Base -- 3.4 Challenges of Installed Base Cultivation -- References -- 4: Strategies for Building eHealth Infrastructures -- 4.1 Introduction -- 4.2 E-Prescription -- 4.2.1 Overview of the Case Studies on E-Prescription: Services Offered, Starting Points, Motivation -- Functionality Domains Covered and Starting Points -- Motivations -- 4.2.2 Strategies Towards the Installed Base -- Strategies for Dealing with Existing Practices and Technologies -- Strategies for Further Development -- 4.3 Patient-Oriented eHealth Platforms -- 4.3.1 Overview of the Case Studies on Patient-Oriented eHealth: Services Offered, Starting Points, Motivations -- Services Offered and Starting Points -- Motivations ---

4.3.2 Strategies Towards the Installed Base -- Strategies for Coordination.

Intro -- Contents -- 1: Introduction -- 1.1 Background and Aim of the Book -- 1.2 Outline of the Book -- 1.2.1 Section A: Information Infrastructures in Healthcare -- 1.2.2 Section B: E-Prescription Infrastructures -- 1.2.3 Section C: Governmental Patient-Oriented eHealth Infrastructures -- References -- Part I: Information Infrastructures in Healthcare -- 2: Information Infrastructures for eHealth -- 2.1 Introduction -- 2.2 The eHealth Landscape -- 2.2.1 Core Information Systems in Healthcare Organizations -- 2.2.2 Information Systems Beyond the Healthcare Organization -- 2.3 E-Prescription -- 2.3.1 Prescriptions and e-Prescribing -- 2.3.2 Key Parts of e-Prescription and Variations -- 2.3.3 Drivers for e-Prescription Projects -- 2.4 E-Services for Patients and Citizens -- 2.4.1 Patient-Oriented eHealth Services -- 2.4.2 Drivers for Patient-Oriented eHealth Projects -- References ---

10.5.1 Deficiencies in Installed Base -- 10.5.2 An "Installed Base of Opposition" -- 10.6 Discussion -- 10.7 Appendix: List of Acronyms -- References -- Part III: Governmental Patient-Oriented eHealth Infrastructures -- 11: Navigating Towards Self-Care: The Catalan Public Patient Portal -- 11.1 Introduction -- 11.2 The Catalan Healthcare Model -- 11.3 The Installed Base of IT Systems -- 11.3.1 The Shared Electronic Medical Record of Catalonia -- 11.4 Case Narrative -- 11.4.1 Phase 1: Genesis and Pilot (2008-2011) -- 11.4.2 Phase 2: Opening the CPS (2012-2013) -- 11.4.3 Phase 3: Scaling the CPS (2014-2015) -- 11.5 Analysis and Discussion -- References -- 12: The Norwegian eHealth Platform: Development Through Cultivation Strategies and Incremental Changes -- 12.1 Introduction -- 12.2 Norwegian Healthcare -- 12.2.1 Overview of the Norwegian Healthcare Model ---

13.4.2 Repurpose and Enhance Current Data Sources in the Health Sector -- 13.4.3 Engage Multiple Stakeholders -- 13.5 Discussion: Moving Forward -- References -- 14: The Swedish Patient Portal and Its Relation to the National Reference Architecture and the Overall eHealth Infrastructure -- 14.1 Introduction -- 14.2 Swedish Healthcare -- 14.2.1 Overview of the Swedish Healthcare Model -- 14.2.2 Rationale for Developing the Swedish eHealth Architecture -- 14.2.3 Core Components in the Swedish eHealth Architecture -- 14.2.4 Core Components Developed by Stockholm County Council -- 14.3 The Development and Evolution of the Swedish Patient Directed Infrastructure -- 14.3.1 Phase 1: Development of My Healthcare Contacts and Public Web -- 14.3.2 Phase 2: Establishing and Developing the Patient Directed Connectivity Platform ---

5.4 Analysis and Discussion -- References -- 6: The ePrescription Initiative and Information Infrastructure in Norway -- 6.1 Introduction -- 6.2 The Norwegian Health Care Sector -- 6.3 Case Narrative -- 6.3.1 Establishment and Diffusion of a Solution for GPs -- 6.3.2 The Hospital Sector -- 6.3.3 Adding Multi-dose Dispensing -- 6.3.4 Other Developments -- 6.3.5 Operations and Governance -- 6.4 Concluding Discussion: Installed Base Strategy -- References -- 7: Cultivating the Installed Base: The Introduction of e-Prescription in Greece -- 7.1 Introduction -- 7.2 Healthcare in Greece -- 7.2.1 Overview of the Greek Healthcare System -- 7.2.2 Information Systems in Greek Healthcare -- 7.3 The Introduction of E-Prescription -- 7.3.1 Rationale for E-Prescription and Key Milestones -- 7.3.2 Information Handling Before the Introduction of E-Prescription ---

8.4 Assembling EPS as Past, Present and Future -- 8.4.1 The Physical and Material in a Digital World -- 8.4.2 The Reinvention of Services -- 8.4.3 Ruthless Standardization -- 8.5 What Can the Electronic Prescription Service Teach Us? -- References -- 9: The Challenges of Implementing Packaged Hospital Electronic Prescribing and Medicine Administration Systems in UK Hospitals: Premature Purchase of Immature Solutions? -- 9.1 Introduction -- 9.1.1 The UK Context for Hospital Electronic Infrastructures -- 9.2 Understanding the Uneven Success of HEPMA -- 9.2.1 How HEPMA Systems Are Constituted: Extension of Non-­clinical Systems -- 9.2.2 Adoption of Systems That Had Been Developed Outside England -- 9.2.3 Suppliers’ Configuration and Customization Strategies -- 9.2.4 Localized Adopter Practices Versus Generic Systems -- 9.2.5 ’Untamed’ Adopter Demands? -- 9.3 Discussion ---

12.3.1 Phase 1: Rationale for the Development of HealthNorway and Launch -- 12.3.2 Phase 2: Strategy Beyond the Initial Launch -- 12.3.3 Access to Personal Health Information -- Digital Support for Reimbursing Health Related Travel Costs -- Digital Communication Between Patients and Healthcare Providers -- 12.3.4 Phase 3: Mature Services and Further Development Through Alliances -- 12.4 Analysis -- 12.5 Discussion and Conclusion -- References -- 13: Building National Healthcare Infrastructure: The Case of the Danish e-Health Portal -- 13.1 Introduction -- 13.2 The Danish Healthcare Sector -- 13.3 Case Narrative: Sundhed.dk -- 13.3.1 Purpose of Sundhed.dk -- 13.3.2 Timeline of Sundhed.dk -- 13.3.3 Sundhed.dk Organization -- 13.4 Analysis: Three Modes of Capitalizing on the Installed Base -- 13.4.1 Collate and Assemble Existing Data Resources ---

9.3.2 Analysing the State of the Technology Market/Technology Field -- 9.3.3 Is the HEPMA Market Replicating the Path of ERP? -- 9.3.4 The English HEPMA Market Is Still in an Emergence Stage -- 9.3.5 Conclusions -- References -- 10: Medication Infrastructure Development in Germany -- 10.1 Introduction -- 10.2 One Step Forward Two Steps Back: The Situation of eHealth in Germany -- 10.3 Case Background -- 10.3.1 Medication Management for Polypharmacy Patients -- 10.3.2 Automatic Dose Dispensing (ADD) as a Key Component for Medication Management -- 10.3.3 Attempted Infrastructure Innovation -- 10.4 Case Presentation -- 10.4.1 From Semi-automated Packaging to Industrial Scale ADD -- 10.4.2 The Design of the ADD Pilot Infrastructure -- 10.4.3 Debates About ADD in Germany -- 10.4.4 Status in 2016: Slow Diffusion and Persistent Opposition -- 10.5 Analysis ---

Strategies for Addressing Heterogeneity in Technical Components -- Strategies of Addressing Uncertainty by Organising Responsiveness to Evolving Needs -- Strategies Towards Transformation -- 4.4 Working with the Installed Base for Building eHealth Infrastructures -- Part II: E-Prescription Infrastructures -- 5: Maintaining the Pharmacy Model: The Catalan Electronic Prescription Infrastructure -- 5.1 Introduction -- 5.2 Site: The Catalan Model of Community Pharmacies -- 5.2.1 The Installed Base of Pharmacies -- 5.3 Case Narrative -- 5.3.1 Phase 1: Genesis of the e-Prescription Infrastructure in Catalonia (2000-Mid-2004) -- 5.3.2 Phase 2: Mobilizing the Pharmacists’ Installed Base (Mid-2004-Mid-2006) -- 5.3.3 Phase 3: Pilot and Rollout of EPI (Mid-2006-2010) -- 5.3.4 Phase 4: Adaptation and Innovation on the Side of Pharmacists (2011-2013) ---

10.5.1 Deficiencies in Installed Base -- 10.5.2 An "Installed Base of Opposition" -- 10.6 Discussion -- 10.7 Appendix: List of Acronyms -- References -- Part III: Governmental Patient-Oriented eHealth Infrastructures -- 11: Navigating Towards Self-Care: The Catalan Public Patient Portal -- 11.1 Introduction -- 11.2 The Catalan Healthcare Model -- 11.3 The Installed Base of IT Systems -- 11.3.1 The Shared Electronic Medical Record of Catalonia -- 11.4 Case Narrative -- 11.4.1 Phase 1: Genesis and Pilot (2008-2011) -- 11.4.2 Phase 2: Opening the CPS (2012-2013) -- 11.4.3 Phase 3: Scaling the CPS (2014-2015) -- 11.5 Analysis and Discussion -- References -- 12: The Norwegian eHealth Platform: Development Through Cultivation Strategies and Incremental Changes -- 12.1 Introduction -- 12.2 Norwegian Healthcare -- 12.2.1 Overview of the Norwegian Healthcare Model ---

12.2.2 The Digital Infrastructure for Healthcare in Norway -- 12.3 Case Narrative.

13.4.2 Repurpose and Enhance Current Data Sources in the Health Sector -- 13.4.3 Engage Multiple Stakeholders -- 13.5 Discussion: Moving Forward -- References -- 14: The Swedish Patient Portal and Its Relation to the National Reference Architecture and the Overall eHealth Infrastructure -- 14.1 Introduction -- 14.2 Swedish Healthcare -- 14.2.1 Overview of the Swedish Healthcare Model -- 14.2.2 Rationale for Developing the Swedish eHealth Architecture -- 14.2.3 Core Components in the Swedish eHealth Architecture -- 14.2.4 Core Components Developed by Stockholm County Council -- 14.3 The Development and Evolution of the Swedish Patient Directed Infrastructure -- 14.3.1 Phase 1: Development of My Healthcare Contacts and Public Web -- 14.3.2 Phase 2: Establishing and Developing the Patient Directed Connectivity Platform ---

14.4 Discussion: Cultivation of the Patient Portal and the Overall Installed eHealth Ecosystem -- References.

5.4 Analysis and Discussion -- References -- 6: The ePrescription Initiative and Information Infrastructure in Norway -- 6.1 Introduction -- 6.2 The Norwegian Health Care Sector -- 6.3 Case Narrative -- 6.3.1 Establishment and Diffusion of a Solution for GPs -- 6.3.2 The Hospital Sector -- 6.3.3 Adding Multi-dose Dispensing -- 6.3.4 Other Developments -- 6.3.5 Operations and Governance -- 6.4 Concluding Discussion: Installed Base Strategy -- References -- 7: Cultivating the Installed Base: The Introduction of e-Prescription in Greece -- 7.1 Introduction -- 7.2 Healthcare in Greece -- 7.2.1 Overview of the Greek Healthcare System -- 7.2.2 Information Systems in Greek Healthcare -- 7.3 The Introduction of E-Prescription -- 7.3.1 Rationale for E-Prescription and Key Milestones -- 7.3.2 Information Handling Before the Introduction of E-Prescription ---

7.3.3 Information Handling After the Introduction of E-Prescription -- 7.3.4 System Evolution -- Connections and Extensions.

8.4 Assembling EPS as Past, Present and Future -- 8.4.1 The Physical and Material in a Digital World -- 8.4.2 The Reinvention of Services -- 8.4.3 Ruthless Standardization -- 8.5 What Can the Electronic Prescription Service Teach Us? -- References -- 9: The Challenges of Implementing Packaged Hospital Electronic Prescribing and Medicine Administration Systems in UK Hospitals: Premature Purchase of Immature Solutions? -- 9.1 Introduction -- 9.1.1 The UK Context for Hospital Electronic Infrastructures -- 9.2 Understanding the Uneven Success of HEPMA -- 9.2.1 How HEPMA Systems Are Constituted: Extension of Non-­clinical Systems -- 9.2.2 Adoption of Systems That Had Been Developed Outside England -- 9.2.3 Suppliers’ Configuration and Customization Strategies -- 9.2.4 Localized Adopter Practices Versus Generic Systems -- 9.2.5 ’Untamed’ Adopter Demands? -- 9.3 Discussion ---

9.3.1 Analysing the Long-Term Evolution of Information Infrastructure.

12.3.1 Phase 1: Rationale for the Development of HealthNorway and Launch -- 12.3.2 Phase 2: Strategy Beyond the Initial Launch -- 12.3.3 Access to Personal Health Information -- Digital Support for Reimbursing Health Related Travel Costs -- Digital Communication Between Patients and Healthcare Providers -- 12.3.4 Phase 3: Mature Services and Further Development Through Alliances -- 12.4 Analysis -- 12.5 Discussion and Conclusion -- References -- 13: Building National Healthcare Infrastructure: The Case of the Danish e-Health Portal -- 13.1 Introduction -- 13.2 The Danish Healthcare Sector -- 13.3 Case Narrative: Sundhed.dk -- 13.3.1 Purpose of Sundhed.dk -- 13.3.2 Timeline of Sundhed.dk -- 13.3.3 Sundhed.dk Organization -- 13.4 Analysis: Three Modes of Capitalizing on the Installed Base -- 13.4.1 Collate and Assemble Existing Data Resources ---

15: The Origins of a Healthcare e-Booking System in the Municipality of Bologna.

9.3.2 Analysing the State of the Technology Market/Technology Field -- 9.3.3 Is the HEPMA Market Replicating the Path of ERP? -- 9.3.4 The English HEPMA Market Is Still in an Emergence Stage -- 9.3.5 Conclusions -- References -- 10: Medication Infrastructure Development in Germany -- 10.1 Introduction -- 10.2 One Step Forward Two Steps Back: The Situation of eHealth in Germany -- 10.3 Case Background -- 10.3.1 Medication Management for Polypharmacy Patients -- 10.3.2 Automatic Dose Dispensing (ADD) as a Key Component for Medication Management -- 10.3.3 Attempted Infrastructure Innovation -- 10.4 Case Presentation -- 10.4.1 From Semi-automated Packaging to Industrial Scale ADD -- 10.4.2 The Design of the ADD Pilot Infrastructure -- 10.4.3 Debates About ADD in Germany -- 10.4.4 Status in 2016: Slow Diffusion and Persistent Opposition -- 10.5 Analysis ---

Inscriptions of Administrative Rules and Clinical Knowledge -- Working Around Complications in National Plans -- 7.4 Discussion: Relationship to the Installed Base -- 7.4.1 Building Upon an Installed Base That Is "Good Enough" Without Perpetuating All Weaknesses -- 7.4.2 Handling Continuous Exogenous Shifts in the Installed Base -- 7.4.3 Installed Base Cultivation vs. Specifications-Driven Development -- 7.5 Concluding Remarks -- References -- 8: England’s Electronic Prescription Service -- 8.1 Introduction -- 8.2 Primary Care and Health Informatics in England -- 8.2.1 Prescribing, Dispensing and Reimbursing Primary Care Drugs -- 8.2.2 Computers in English Primary Care -- 8.2.3 Early ETP Experiments and Pilots -- 8.3 Assembling the Electronic Prescription Service -- 8.3.1 Transforming the Prescription -- 8.3.2 Architecture -- 8.3.3 Release Strategy and Deployment ---

Strategies for Addressing Heterogeneity in Technical Components -- Strategies of Addressing Uncertainty by Organising Responsiveness to Evolving Needs -- Strategies Towards Transformation -- 4.4 Working with the Installed Base for Building eHealth Infrastructures -- Part II: E-Prescription Infrastructures -- 5: Maintaining the Pharmacy Model: The Catalan Electronic Prescription Infrastructure -- 5.1 Introduction -- 5.2 Site: The Catalan Model of Community Pharmacies -- 5.2.1 The Installed Base of Pharmacies -- 5.3 Case Narrative -- 5.3.1 Phase 1: Genesis of the e-Prescription Infrastructure in Catalonia (2000-Mid-2004) -- 5.3.2 Phase 2: Mobilizing the Pharmacists’ Installed Base (Mid-2004-Mid-2006) -- 5.3.3 Phase 3: Pilot and Rollout of EPI (Mid-2006-2010) -- 5.3.4 Phase 4: Adaptation and Innovation on the Side of Pharmacists (2011-2013) ---

001895191

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(Au-PeEL)EBL6422771

(MiAaPQ)EBC6422771

(OCoLC)987616634