IT Governance through Regulatory Modalities. Health Care Information Infrastructure and the 'Blue Fox' Project

摘要

The purpose of this paper is to discuss a framework for governance of information infrastructures. While most research in IT governance suggests top-down governance frameworks, we argue that a more viable approach is to explore a broader set of more indirect measures of control.rnOne excellent area in which to study this is IT in health, because the high political expectations to health information systems exert an immense pressure on the health sector and the IT solution vendors. Our case evidence is a project called the "Blue Fox".rnBuilding on Lessig's four modalities of regulation, we suggest an alternative set of governance principles for information infrastructures. Our conclusion is: in certain contexts it is possible to extend national information infrastructures by a regulatory approach, a deliberate combination of legal, technical, social and economic measures, which reinforce each other. We argue that this approach also may lead to simpler projects.