Podcast
Questions and Answers
What is seen as key to the success of the Norwegian ePrescription initiative?
What is seen as key to the success of the Norwegian ePrescription initiative?
- A rapid deployment of the national e-prescription service
- Strong incentive structures and abundant resources
- A flexible development approach and loose coupling between EPR systems and the prescribing module (correct)
- A well-planned approach from the start
What was a key factor in the swift deployment of the national e-prescription service in Greece?
What was a key factor in the swift deployment of the national e-prescription service in Greece?
- A series of pragmatic decisions building upon a 'good-enough' installed base (correct)
- A well-established installed base
- Advanced technological capabilities
- Strong government support and funding
What is a key feature of the Electronic Prescription Service (EPS) in England?
What is a key feature of the Electronic Prescription Service (EPS) in England?
- A flexible and adaptive approach to assembly (correct)
- A top-down approach to implementation
- A reliance on strong incentive structures
- A focus on standardized technological capabilities
What is a key challenge faced by the Hospital Electronic Prescribing and Medicine Administration (HEPMA) systems in the UK?
What is a key challenge faced by the Hospital Electronic Prescribing and Medicine Administration (HEPMA) systems in the UK?
What is a key characteristic of the Norwegian ePrescription initiative?
What is a key characteristic of the Norwegian ePrescription initiative?
What facilitated the swift deployment of the national e-prescription service in Greece?
What facilitated the swift deployment of the national e-prescription service in Greece?
What is a key aspect of the Electronic Prescription Service (EPS) in England?
What is a key aspect of the Electronic Prescription Service (EPS) in England?
What is a common challenge faced by e-prescription initiatives?
What is a common challenge faced by e-prescription initiatives?
What is a key aspect of eHealth services that enables the fusion of privately collected information with medical records?
What is a key aspect of eHealth services that enables the fusion of privately collected information with medical records?
What is a potential benefit of peer networks in eHealth services?
What is a potential benefit of peer networks in eHealth services?
What is a key difference between e-prescription and patient-oriented eHealth services?
What is a key difference between e-prescription and patient-oriented eHealth services?
What is an emerging trend in healthcare enabled by eHealth services?
What is an emerging trend in healthcare enabled by eHealth services?
What is a potential outcome of integrating data from 'third-party' or non-health related solutions?
What is a potential outcome of integrating data from 'third-party' or non-health related solutions?
What is a benefit of patient-oriented eHealth services?
What is a benefit of patient-oriented eHealth services?
What is a potential outcome of peer-to-peer patient networks in eHealth services?
What is a potential outcome of peer-to-peer patient networks in eHealth services?
What is a common goal of e-prescription and patient-oriented eHealth services?
What is a common goal of e-prescription and patient-oriented eHealth services?
What type of initiatives are the focus of the book?
What type of initiatives are the focus of the book?
What is required to go beyond universal best practices?
What is required to go beyond universal best practices?
What is the aim of the book in terms of decision-making?
What is the aim of the book in terms of decision-making?
What is the title of the book by Ciborra et al.?
What is the title of the book by Ciborra et al.?
Who is the author of the article 'Clio and the Economics of QWERTY'?
Who is the author of the article 'Clio and the Economics of QWERTY'?
What is the topic of the report by Edwards et al.?
What is the topic of the report by Edwards et al.?
What is the title of the article by Berg and Goorman?
What is the title of the article by Berg and Goorman?
What is the focus of the article by Berg?
What is the focus of the article by Berg?
What is the primary concern in the extant literature on health informatics regarding the relationship between novel systems and pre-existing infrastructural resources?
What is the primary concern in the extant literature on health informatics regarding the relationship between novel systems and pre-existing infrastructural resources?
What is the main theme of the book, as described in the passage?
What is the main theme of the book, as described in the passage?
What is the purpose of the case studies in the book?
What is the purpose of the case studies in the book?
What is unique about the two types of systems covered in the book?
What is unique about the two types of systems covered in the book?
What is the significance of the two types of systems studied in the book?
What is the significance of the two types of systems studied in the book?
What is the focus of the case descriptions in the book?
What is the focus of the case descriptions in the book?
What is the aim of the book regarding the role of existing elements in new development?
What is the aim of the book regarding the role of existing elements in new development?
What is the scope of the case studies in the book?
What is the scope of the case studies in the book?
What is a key concept in the social construction of technological systems?
What is a key concept in the social construction of technological systems?
Which author has written about the essential dynamics of information infrastructures?
Which author has written about the essential dynamics of information infrastructures?
What is a key theme in the work of Huy and Mintzberg on organizational change?
What is a key theme in the work of Huy and Mintzberg on organizational change?
Which author has written about the design of information infrastructures and the role of prosumers?
Which author has written about the design of information infrastructures and the role of prosumers?
What is a key concept in the work of Leonardi on the relationship between technology and human agency?
What is a key concept in the work of Leonardi on the relationship between technology and human agency?
Which author has written about the principles of systems-of-systems engineering?
Which author has written about the principles of systems-of-systems engineering?
What is a key concept in the work of Karasti and others on collaborative development?
What is a key concept in the work of Karasti and others on collaborative development?
Which author has written about the social shaping of information infrastructure?
Which author has written about the social shaping of information infrastructure?
Study Notes
E-Prescription and Patient-Oriented E-Health Services
- E-prescription and patient-oriented e-health services respond to different needs of citizens and healthcare providers, and have different roles within European health systems.
- E-prescription is more well-defined than patient-oriented services in terms of functionality, and is often deeply embedded within pre-existing applications and prescribing tools.
Case Studies
- The Norwegian e-prescription initiative succeeded due to loose coupling and flexibility in integration between EPR systems and the prescribing module, a prototyping/evolutionary development approach, and adaptive organizing and governance structures.
- The deployment of a national e-prescription service in Greece was swift due to pragmatic decisions that built upon the existing installed base, exploiting its latent potential while being responsive to exogenous shifts.
- The development of the Electronic Prescription Service (EPS) in the English NHS for primary care involved assembling the system within a rich institutional and organizational context, including causal pasts, contemporary practices, and policy visions.
Implementation Challenges
- The implementation of Hospital Electronic Prescribing and Medicine Administration (HEPMA) systems in the UK was difficult due to the complexities of integrating privately collected information with medical records.
- The spread of medical surveillance and wellness-related technologies produce new data streams, requiring new infrastructures to receive and integrate this data.
E-Health Services and Patient Networks
- E-health services may support peer-to-peer patient networks or flexibly organized health communities, enabling patients to cope with disease management, navigate the health system, and contribute to awareness and advocacy efforts.
- Patient networks can also facilitate new types of research, sometimes organized and coordinated by patient collectives themselves.
Conclusion
- E-prescription and patient-oriented e-health services have the potential to transform healthcare delivery, but require an awareness of the installed base and sensitivity to the specific context of each initiative.
- The book aims to provide insights on how strategies can be adapted to each context, moving beyond universal best practices to develop an "installed base sensitivity" in decision-making.
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Description
This quiz explores the relationship between novel systems and pre-existing infrastructural resources in health informatics, moving beyond traditional views of connectivity and technology acceptance.
