Information Infrastructures Within European Health Care : Working with the Installed Base.

Bibliographic Details
Main Author: Aanestad, Margunn.
Other Authors: Grisot, Miria., Hanseth, Ole., Vassilakopoulou, Polyxeni.
Format: eBook
Language:English
Published: Cham : Springer International Publishing AG, 2017.
Edition:1st ed.
Series:Health Informatics Series
Subjects:
Online Access:Click to View
Table of Contents:
  • 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
  • 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.
  • 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)
  • 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.
  • 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
  • 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.
  • 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
  • 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.
  • 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
  • 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.
  • 15: The Origins of a Healthcare e-Booking System in the Municipality of Bologna.