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Methods Inf Med 2003; 42(04): 428-432
DOI: 10.1055/s-0038-1634241
Original article
Schattauer GmbH

Integrating Health Information Systems: A Critical Appraisal

E. Monteiro
1   Dept. of Computer and Information Science, Norwegian University of Science and Technology, Trondheim, Norway
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
08. Februar 2018 (online)

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Summary

Objectives: The aim of this paper is to critically assess some of the underlying assumptions behind these initiatives and analyze the dominant expressions, forms and mechanisms of integration.

Methods: This paper employs a discourse analysis to elicit the notion of integration of information systems and its consequences for electronic patient record systems.

Results and Conclusions: An alternative strategy is outlined, encouraging a more decentralized, multi-vocal approach acknowledging the productive role of related and duplicated information and preserving the existing variety of information systems.

Keywords

Health information systems - integration - electronic patient records systems - business process re-engineering (BPR)
 

  • References

  • 1 Hartswood M, Procter R, Rouncefield M, Sharpe M. Making a case in medical work, implications for the electronic medical record. Comp Supp Coop Work; forthcoming.:
    Google Scholar
  • 2 Safran C, Perreault LE. Management of information in integrated delivery networks. In: Shortliffe EH, Perreault LE. editors. Medical informatics, computer applications in health care and biomedicine. New York: Springer; 2001. pp. 359-96.
    Google Scholar
  • 3 De Moor G. Standardisation in health care informatics and telematics in Europe: CEN 251 activities. In: De Moor G, McDonald C, Noothoven van Goor J. editors. Progress in standardization in health care informatics. Amsterdam: IOS Press; 1993. pp. 1-13.
    Google Scholar
  • 4 Latour B. Pandora’s hope, essays on the reality of science studies. Cambridge (MA): Harvard University Press; 1999
    Google Scholar
  • 5 Law J. Notes on the theory of actor-network: ordering, strategy and heterogeneity. Systems Practice 1992; 5 (Suppl. 04) 379-93.
    CrossrefPubMedGoogle Scholar
  • 6 Ellingsen G, Monteiro E. Big is beautiful: electronic patient records in large hospitals in Norway 1980s-2001. Proc. 24th Information Systems Research Seminar in Scandinavia (IRIS24), Univ. of Bergen, Norway, 2001a. (revised version appears in Methods Inf Med 2003; 42: 366-70.
    PubMedGoogle Scholar
  • 7 Ellingsen G, Monteiro E. Patchwork planet. Integration and cooperation in hospitals. Computer Supp Coop Work; forthcoming.:
    Google Scholar
  • 8 Douglas M. Purity and danger. London and New York: Ark paperbacks, edition 1984; 1966
    Google Scholar
  • 9 Allen BR, Boynton AC. Information architecture: in search of efficient flexibility. MIS Quarterly 1991; 15: 435-45.
    CrossrefPubMedGoogle Scholar
  • 10 Hammer M. Beyond reengineering: how the process-centered organization is changing our work and our lives. London: HarperCollins; 1996
    Google Scholar
  • 11 Knights D, Willmot H. editors. The Reengineering revolution?. Critical studies of corporate change. London: Sage; 2000
    Google Scholar
  • 12 Grimson J, Grimson W, Hasselbring W. The SI challenge in health care. Communications of the ACM 2000; 43 (Suppl. 06) 48-55.
    PubMedGoogle Scholar
  • 13 Dick R, Steen EB, Detmer DE. editors. The computer-based patient record: an essential technology for health care. Revised edition. Washington, D.C.: National Academy Press; 1997
    Google Scholar
  • 14 Berg M. Medical work and the computer based patient record: a sociological perspective. Methods Inf Med 1998; 38: 294-301.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 15 Szolovits P. Multiplatform Internet Access to Multimedia EMRS: Excerpts from the original collaborative proposal to the National Library of Medicine. The W3 EMRS project. 1995 Available from URL: www.emrs.org/publications
    PubMedGoogle Scholar
  • 16 Hasselbring W. Information system integration. Communications of the ACM 2000; 43 (Suppl. 06) 32-8.
    PubMedGoogle Scholar
  • 17 Davenport T. Putting the enterprise into the enterprise system. Harvard Business Review 1998; July-August: 120-31.
    PubMedGoogle Scholar
  • 18 McNurlin BC, Sprague RH. editors. Information systems management in practice. New York: Prentice Hall; 1997
    Google Scholar
  • 19 Kumar K, van Hillegersberg J. ERP Experiences and evolution. Communications of the ACM 2000; 43 (Suppl. 04) 23-6.
    PubMedGoogle Scholar
  • 20 Ciborra C. (editor). From drift to control. The dynamics of global, corporate infrastructures. London: Oxford University Press; 2000
    Google Scholar
  • 21 Hanseth O, Monteiro E. Inscribing behaviour in information infrastructure. Accounting, Management and Information Technologies 1997; 7: 183-211.
    CrossrefPubMedGoogle Scholar
  • 22 prENV13606 1-4 CEN/TC 251 prENV 13606 1-4: Health informatics – electronic healthcare record communication. 1999
    PubMedGoogle Scholar
  • 23 Hanseth O, Braa K. Technology as traitor: Emergent SAP infrastructure in a global organization. In: Hirschheim R, Newman M, De-Gross JI. editors. Proceedings of the 19th International conference on information systems. ACM: Baltimore; 1999
    Google Scholar