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eHealth initiatives; the relationship between project work and institutional practice
Line Lundvoll Warth1,2, Kari Dyb3
1Norwegian Centre for E-health Research, P.O. Box 35, N-9038, Tromsø, Norway. line.lundvoll.warth@ehealthresearch.no.
BMC Health Services Research
|July 26, 2019
Summary
Implementing national eHealth services like summary care records (SCR) and electronic prescriptions requires aligning project goals with actual healthcare practices. Successful adoption depends on addressing the gap between intended use and real-world application by professionals.
Area of Science:
- Health Informatics
- Digital Health Implementation
- Healthcare Management
Background:
- National eHealth initiatives, including summary care records (SCR) and electronic prescriptions (e-prescriptions), are key Norwegian health authority projects.
- Limited research exists on the large-scale implementation of these eHealth services and their impact on healthcare practices.
- This study addresses the need to understand project work and its relationship with institutional practices in large-scale eHealth initiatives.
Purpose of the Study:
- To explore the implementation of SCR and e-prescriptions from the perspective of project managers.
- To investigate how project managers' implementation work relates to institutional practices in large-scale eHealth initiatives.
- To identify tensions between project objectives and daily healthcare practices.
Main Methods:
- Conducted 22 semi-structured interviews with project managers in 2016 and 2018.
- Recorded, transcribed, and coded interview data.
- Utilized analytical concepts of "project" and "practice" to examine time dimensions and social practices.
Main Results:
- eHealth initiatives were implemented as part of a national strategy in collaboration with the Norwegian Directorate of eHealth (NDE).
- Tensions emerged between task-oriented project actions and subsequent daily management.
- Project managers focused on tool dissemination, while actual professional use highlighted practical application gaps.
Conclusions:
- Project managers' objectives for eHealth implementation are temporary; long-term focus should be on tool utilization.
- Future national eHealth success hinges on identifying factors affecting uptake, such as the gap between intended and actual use.
- The social dynamics of institutional practice significantly influence the successful implementation of eHealth projects.
Keywords:
E-prescriptionImplementationInstitutional practiceNorwayProject managersProject workQualitative analysisSummary care recordMore Related Videos
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