Persuasion tactics in the implementation of large-scale EHR suites in public healthcare
Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › fagfællebedømt
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Persuasion tactics in the implementation of large-scale EHR suites in public healthcare. / Ellingsen, Gunnar; Christensen, Bente; Hertzum, Morten.
Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics: Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics. IOS Press, 2021. s. 33-37 (Studies in Health Technology and Informatics, Bind 286).Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › fagfællebedømt
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TY - GEN
T1 - Persuasion tactics in the implementation of large-scale EHR suites in public healthcare
AU - Ellingsen, Gunnar
AU - Christensen, Bente
AU - Hertzum, Morten
PY - 2021
Y1 - 2021
N2 - Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-technical literature.
AB - Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-technical literature.
KW - Faculty of Humanities
KW - EHR suites
KW - Epic
KW - persuasion tactics
KW - pressure
KW - sociotechnical
U2 - 10.3233/SHTI210632
DO - 10.3233/SHTI210632
M3 - Article in proceedings
C2 - 34755686
SN - 9781643682303
T3 - Studies in Health Technology and Informatics
SP - 33
EP - 37
BT - Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics
PB - IOS Press
ER -
ID: 279327366