The Tension between National and Local Concerns in Preparing for Large-Scale Generic Systems in Healthcare

• DOI: 10.1007/s10606-022-09424-9
• Publication Date: 2022-03-16T18:05:30Z
• Authors: Gunnar Ellingsen; Morten Hertzum; Line Melby
• Keywords: Healthcare system

Abstract Large-scale generic systems are typically adapted to local practice through configuration. This is especially important in healthcare, which involves a plurality of institutions and users. However, the decision acquire system public healthcare founded on regional national health policy goals, often translated into various forms standardization. As result, interests may stand contrast level. Therefore, we analyze how concerns weighed against each other preparations for implementing large-scale healthcare. We explore what role configuration plays prospects long-term development. contribute with insight organizational consequences formed already preparation phase point easily results standardization, thereby basically privileging goals at expense needs. Empirically, focus Epic electronic record Central Norway.