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The Politics of Establishing ICT Governance for Large-Scale Healthcare Information Infrastructures

机译:建立用于大型医疗信息基础设施的ICT治理的政治

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摘要

In Norway, the focus on interoperability and communication across healthcare practices has increased the need to connect ICT portfolios at different levels of healthcare, into large-scale information infrastructures (Ⅱ). Governing healthcare practices is exceptionally complex, due to the diverging goals and policies of the heterogeneous actors involved. Establish well-functioning ICT governance organizations to handle these large infrastructures is therefore important. Using information infrastructure theory, and governance literature from the IS field, this paper contributes with empirical insight to the longitudinal and political process of establishing ICT governance in a healthcare context, reporting from one of Norway's largest health ICT projects, situated in the North Norway Regional Health Authority in 2012-2016. Our focus was on the following research questions: How does organizational politics shape the process of establishing an ICT governance organization in a heterogeneous healthcare environment, and what does it take to establish such ICT governance organization?
机译:在挪威,对跨医疗保健实践的互操作性和通信的关注增加了将不同医疗保健级别的ICT产品组合连接到大规模信息基础架构的需求(Ⅱ)。由于涉及的不同参与者的目标和政策各不相同,因此,医疗保健实践的治理异常复杂。因此,建立运作良好的ICT治理组织来处理这些大型基础设施非常重要。本文利用信息基础设施理论和IS领域的治理文献,对建立医疗卫生环境中ICT治理的纵向和政治过程进行了实证研究,其报告来自位于挪威北部地区的挪威最大的卫生ICT项目之一卫生局2012-2016年。我们的重点是以下研究问题:组织政治如何塑造在异构医疗环境中建立ICT治理组织的过程,以及建立这样的ICT治理组织需要做什么?

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