Challenges in institutionalising electronic platforms for patient-healthcare provider communication

Grisot, M; Vassilakopoulou, P

dc.contributor.author	Grisot, M	en
dc.contributor.author	Vassilakopoulou, P	en
dc.date.accessioned	2014-03-01T02:01:47Z
dc.date.available	2014-03-01T02:01:47Z
dc.date.issued	2011	en
dc.identifier.issn	17418453	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/29257
dc.subject	Boundaries	en
dc.subject	Durability	en
dc.subject	Electronic patient-provider communication	en
dc.subject	Electronic platform	en
dc.subject	Generativity	en
dc.subject	Healthcare	en
dc.subject	Information infrastructures	en
dc.subject	Stability	en
dc.subject.other	access to information	en
dc.subject.other	article	en
dc.subject.other	computer interface	en
dc.subject.other	electronic medical record	en
dc.subject.other	human	en
dc.subject.other	human relation	en
dc.subject.other	information system	en
dc.subject.other	Internet	en
dc.subject.other	interpersonal communication	en
dc.subject.other	organization and management	en
dc.subject.other	Access to Information	en
dc.subject.other	Communication	en
dc.subject.other	Humans	en
dc.subject.other	Information Systems	en
dc.subject.other	Internet	en
dc.subject.other	Medical Records Systems, Computerized	en
dc.subject.other	Professional-Patient Relations	en
dc.subject.other	User-Computer Interface	en
dc.title	Challenges in institutionalising electronic platforms for patient-healthcare provider communication	en
heal.type	journalArticle	en
heal.identifier.primary	10.1504/IJEH.2011.044346	en
heal.identifier.secondary	http://dx.doi.org/10.1504/IJEH.2011.044346	en
heal.publicationDate	2011	en
heal.abstract	Electronic platforms for patient-healthcare provider communication are instrumental for enabling a new, more active patient role supporting efficient and effective healthcare delivery. However, benefit realisation from implementing such communication platforms comes after they get established as parts of healthcare information infrastructures. In this paper, drawing from information infrastructure theory, we analyse the process of establishing a durable solution and identify the socio-technical challenges it entails. Based on a case study in the Norwegian healthcare context, the focus of the paper is on the ongoing institutionalising practices of the project management team. Three major challenges are identified. The first challenge is related to the constitution of identity for the new artefact. The second and third challenges are related to the difficulties in building a platform that is stable enough to allow the exploitation of technological potential, and at the same time flexible enough to provide exploration and adaptation possibilities. © 2011 Inderscience Enterprises Ltd.	en
heal.journalName	International Journal of Electronic Healthcare	en
dc.identifier.doi	10.1504/IJEH.2011.044346	en
dc.identifier.volume	6	en
dc.identifier.issue	2-4	en
dc.identifier.spage	138	en
dc.identifier.epage	152	en