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Title: Re-Infrastructuring for eHealth: Dealing with Turns in Infrastructure Development
Authors: Grisot, Miria
Vassilakopoulou, Polyxeni
Keywords: Design;eHealth;Embeddedness;Information infrastructure;Infrastructuring
Issue Date: 2017
Publisher: Springer
metadata.dc.relation.ispartof: Computer Supported Cooperative Work (CSCW): Vol. 26, No. 0
metadata.mci.reference.pages: 7-31
Series/Report no.: Computer Supported Cooperative Work (CSCW)
Abstract: In this paper, we examine infrastructuring in the context of developing national, public eHealth services in Norway. Specifically, we analyze the work of a project team engaged in the design and development of new web-based capabilities for communication between citizens and primary healthcare practitioners. We frame the case as a study of re-infrastructuring to signify a particular occasion of infrastructuring that entails facilitating a new logic within established social and technological networks. To make sense of the particularities of re-infrastructuring, we draw from research in infrastructure studies which considers embeddedness as a resource in infrastructure evolution. We analyze how actors worked to re-infrastructure through adapting primary care information systems, information flows and representations of patient data. Our findings show how the work of re-infrastructuring revolves around addressing two key design concerns: a) bringing novelty without being trapped in the existing arrangements or harming what is in place, b) bringing changes that are within a specific direction although they happen through distributed decision taking.
metadata.dc.identifier.doi: 10.1007/s10606-017-9264-2
ISSN: 1573-7551
Appears in Collections:JCSCW Vol. 26 (2017)

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