Health Informatics: Novel Systems Integration

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Questions and Answers

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?

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?

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?

Difficult implementation processes Signup and view all the answers

What is a key characteristic of the Norwegian ePrescription initiative?

A flexible development approach and loose coupling between EPR systems and the prescribing module Signup and view all the answers

What facilitated the swift deployment of the national e-prescription service in Greece?

A series of pragmatic decisions building upon a 'good-enough' installed base Signup and view all the answers

What is a key aspect of the Electronic Prescription Service (EPS) in England?

A flexible and adaptive approach to assembly Signup and view all the answers

What is a common challenge faced by e-prescription initiatives?

Limited resources and weak incentive structures Signup and view all the answers

What is a key aspect of eHealth services that enables the fusion of privately collected information with medical records?

Integration of data from 'third-party' or non-health related solutions Signup and view all the answers

What is a potential benefit of peer networks in eHealth services?

Increased patient empowerment and self-management Signup and view all the answers

What is a key difference between e-prescription and patient-oriented eHealth services?

Functionality and scope Signup and view all the answers

What is an emerging trend in healthcare enabled by eHealth services?

Globalization of health service provision Signup and view all the answers

What is a potential outcome of integrating data from 'third-party' or non-health related solutions?

New potentials for analysis and use Signup and view all the answers

What is a benefit of patient-oriented eHealth services?

Enhanced patient empowerment and self-management Signup and view all the answers

What is a potential outcome of peer-to-peer patient networks in eHealth services?

New types of research becoming feasible Signup and view all the answers

What is a common goal of e-prescription and patient-oriented eHealth services?

Transforming healthcare delivery Signup and view all the answers

What type of initiatives are the focus of the book?

Large-scale planned and professionally managed initiatives Signup and view all the answers

What is required to go beyond universal best practices?

Developing an awareness of the installed base Signup and view all the answers

What is the aim of the book in terms of decision-making?

To help create an 'installed base sensitivity' in decision-making Signup and view all the answers

What is the title of the book by Ciborra et al.?

From Control to Drift: The Dynamics of Corporate Information Infrastructures Signup and view all the answers

Who is the author of the article 'Clio and the Economics of QWERTY'?

D. David Signup and view all the answers

What is the topic of the report by Edwards et al.?

History & Theory of Infrastructure: Lessons for New Scientific Cyberinfrastructures Signup and view all the answers

What is the title of the article by Berg and Goorman?

The Contextual Nature of Medical Information Signup and view all the answers

What is the focus of the article by Berg?

Accumulating and coordinating information technologies in medical work Signup and view all the answers

What is the primary concern in the extant literature on health informatics regarding the relationship between novel systems and pre-existing infrastructural resources?

How to integrate new technology with existing infrastructure Signup and view all the answers

What is the main theme of the book, as described in the passage?

The challenges of implementing change initiatives in healthcare Signup and view all the answers

What is the purpose of the case studies in the book?

To analyze the design and implementation of systems that span organizational boundaries Signup and view all the answers

What is unique about the two types of systems covered in the book?

They are both exemplary of two different types of grand aims Signup and view all the answers

What is the significance of the two types of systems studied in the book?

They are widespread around Europe and allow comparisons Signup and view all the answers

What is the focus of the case descriptions in the book?

The experiences of reworking and reconfiguration during and after deployment Signup and view all the answers

What is the aim of the book regarding the role of existing elements in new development?

To provide insights on the role of existing elements as resources for new development Signup and view all the answers

What is the scope of the case studies in the book?

They cover different healthcare settings across Europe Signup and view all the answers

What is a key concept in the social construction of technological systems?

The evolution of large technological systems Signup and view all the answers

Which author has written about the essential dynamics of information infrastructures?

Henningsson S Signup and view all the answers

What is a key theme in the work of Huy and Mintzberg on organizational change?

The rhythm of change Signup and view all the answers

Which author has written about the design of information infrastructures and the role of prosumers?

Johnson M Signup and view all the answers

What is a key concept in the work of Leonardi on the relationship between technology and human agency?

Affordance Signup and view all the answers

Which author has written about the principles of systems-of-systems engineering?

Maier MW Signup and view all the answers

What is a key concept in the work of Karasti and others on collaborative development?

Infrastructure time Signup and view all the answers

Which author has written about the social shaping of information infrastructure?

Monteiro E Signup and view all the answers

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.