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Maneuvering a Pilot Implementation to Align Agendas Across Sectors
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2017
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Abstract
A prerequisite for pilot implementations in complex organizational settings is
that the agendas of the stakeholders of the system are maneuvered into alignment. In
this paper we present a study of the pilot implementation of the IT-supported, preventive
intervention TOF (Tidlig Opsporing og Forebyggelse). A core element of TOF is an IT
system that stratifies citizens into risk groups on the basis of self-reported lifestyle
information and data retrieved from the medical records of the general practitioners
(GPs). In addition, the system facilitates cross-sectoral coordination between preventive
offers at the GP and at municipal health centers. We find that TOF succeeded in
maneuvering the agendas of the involved stakeholders by gaining the foothold,
legitimacy, and GP motivation required to carry out the pilot implementation.