Integrating Health Information Systems: A Critical Appraisal
Abstract
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.
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An important finding from the Norwegian group's work is that networked EPR systems are not unproblematically scalable.
“An important finding from these authors' work is that networked EPR systems are not unproblematically scalable.”
From Tensions and Paradoxes in Electronic Patient Record Research: A Systematic Literature Review Using the Meta‐narrative Method (2009) · cites this paper as Monteiro 2003
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GREENHALGH, T., POTTS, H. W. W., WONG, G., BARK, P., & SWINGLEHURST, D. (2009) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2009.00578.x · Cited by 541 · see citing works
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- Authors
- Monteiro, E.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Monteiro, E.
- ORCID
- Monteiro, E.
- Venue
- Methods of Information in Medicine
- Publisher
- Georg Thieme Verlag KG
- Published
- 2003
- Volume
- 42
- Issue
- 04
- Pages
- 428-432
- ISSN
- 0026-1270 (ISSN-L)
- 2511-705X
- OpenAlex
- W1601843949
- Cited by
- 48
- References
- 19
- Citations by year
- 2022: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 4
- FWCI
- 5.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Methods of Information in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- health information systems integration, electronic health records, information systems integration
- MeSH terms
- Hospital Information Systems, Humans, Ergonomics, Norway, Medical Records Systems, Computerized, Program Development, Systems Integration
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