Re-Infrastructuring for eHealth: Dealing with Turns in Infrastructure Development

dc.contributor.authorGrisot, Miria
dc.contributor.authorVassilakopoulou, Polyxeni
dc.date.accessioned2020-06-06T13:06:22Z
dc.date.available2020-06-06T13:06:22Z
dc.date.issued42826
dc.description.abstractIn 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.de
dc.identifier.doi10.1007/s10606-017-9264-2
dc.identifier.pissn1573-7551
dc.identifier.urihttp://dx.doi.org/10.1007/s10606-017-9264-2
dc.identifier.urihttps://dl.eusset.eu/handle/20.500.12015/3805
dc.publisherSpringer
dc.relation.ispartofComputer Supported Cooperative Work (CSCW): Vol. 26, No. 0
dc.relation.ispartofseriesComputer Supported Cooperative Work (CSCW)
dc.subjectDesign
dc.subjecteHealth
dc.subjectEmbeddedness
dc.subjectInformation infrastructure
dc.subjectInfrastructuring
dc.titleRe-Infrastructuring for eHealth: Dealing with Turns in Infrastructure Developmentde
dc.typeText/Journal Article
gi.citation.endPage31
gi.citation.startPage7

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