Seamless integration: Standardisation across multiple local settings

被引：40

作者：

Ellingsen G. ^{[1
]}

Monteiro E. ^{[2
]}

机构：

[1] University of Tromsø (UiT), Tromso

[2] Norwegian University of Science and Technology (NTNU), Trondheim

来源：

Computer Supported Cooperative Work (CSCW) | 2006年 / 15卷 / 5-6期

关键词：

Integration; Standardisation; Unintended consequences; Work practices;

D O I：

10.1007/s10606-006-9033-0

中图分类号：

学科分类号：

摘要：

The pressure towards tighter or "seamless" integration of health information systems is a recurring issue with both practical and analytical relevance. It taps into a discourse in the IS literature in general and organisation and management science in particular. Unfortunately, the prevailing perception of integration in the IS literature is as a predominantly technical issue. The CSCW literature, however, is attentive to the socio-technical aspects of integration. Building on this - but supplemented with recent elaborations in science studies - we aim at exploring the unintended consequences of information systems integration. A user-led perspective implies emphasising the tailoring to local needs based on in-depth studies of the micro practices. We argue, however, that the condition for such an approach is radically undermined by politically motivated, regional changes towards integration with implicated standardisation. Enforcing order in the form of standards across multiple local settings, seemingly a prerequisite for tight integration, simultaneously produces disorder or additional work in other locations for other users. Empirically, our study is based on a large, ongoing integration effort at the University hospital of Northern Norway, specifically studying work practices and perceptions across multiple laboratories. © Springer Science+Business Media B.V. 2007.

引用

页码：443 / 466

页数：23

共 36 条

[11]

Friedman B.A., The Total Laboratory Solution: A New Laboratory E-Business Model Based on a Vertical Laboratory Meta-Network, Clinical Chemistry, 47, 8, pp. 1526-1535, (2001)

[12]

Ginneken A.M., The Computerized Patient Record: Balancing Effort and Benefit, International Journal of Medical Informatics, 65, pp. 97-119, (2002)

[13]

Golden-Biddle K., Locke K., Appealing Work: An Investigation of How Ethnographic Texts Convince, Organization Science, 4, 4, pp. 595-616, (1993)

[14]

Grimson J.W., Berry D., Stephenn G., Felton E., Kalra D., Toussaint P., Weier O.W., A CORBA-based Integration of Distributed Electronic Healthcare Records Using the Synapses Approach, IEEE Transactions on Information Technology in Biomedicine, 2, 3, pp. 124-138, (1998)

[15]

Grimson J., Grimson W., Hasselbring W., The SI Challenge in Health Care, Communications of the ACM, 43, pp. 48-55, (2000)

[16]

Hartswood M., Procter R., Rouncefield M., Slack R., Making a Case in Medical Work: Implications for the Electronic Medical Record, Computer Supported Cooperative Work (CSCW), 12, 3, pp. 241-266, (2003)

[17]

Heath C., Svensson M.S., Hindmarsh J., Luff P., Lehnvom D., Configuring Awareness, Computer Supported Cooperative Work, 11, pp. 317-347, (2002)

[18]

Klein H., Myers M., A Set of Principles for Conducting and Evaluating Interpretive Field Studies in Information Systems, MIS Quarterly, 23, 1, pp. 67-94, (1999)

[19]

Kuhn K.A., Giuse D.A., From Hospital Information Systems to Health Information Systems: Problems, Challenges, Perspectives, Methods of Information in Medicine, 40, pp. 275-287, (2001)

[20]

Latour B., Pandora's Hope, Essays on the Reality of Science Studies, (1999)

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