The Politics of Establishing ICT Governance for Large-Scale Healthcare Information Infrastructures

Author:

Ulriksen Gro-Hilde1,Pedersen Rune1,Ellingsen Gunnar2

Affiliation:

1. University Hospital North Norway, Norway

2. Arctic University of Norway, Norway

Abstract

In Norway, the focus on interoperability and communication across healthcare practices has increased the need to connect ICT portfolios at different levels of healthcare, into large-scale information infrastructures (II). Governing healthcare practices is exceptionally complex, due to the diverging goals and policies of the heterogeneous actors involved. Establish well-functioning ICT governance organizations to handle these large infrastructures is therefore important. Using information infrastructure theory, and governance literature from the IS field, this paper contributes with empirical insight to the longitudinal and political process of establishing ICT governance in a healthcare context, reporting from one of Norway's largest health ICT projects, situated in the North Norway Regional Health Authority in 2012–2016. Our focus was on the following research questions: How does organizational politics shape the process of establishing an ICT governance organization in a heterogeneous healthcare environment, and what does it take to establish such ICT governance organization?

Publisher

IGI Global

Reference46 articles.

1. Beratarbide, E., & Kelsey, T. (2009). eHealth Governance, a Key Factor for Better HealthcareE: Implementation of IT Governance to ensure better care through better eHealth. In Ethical Issues and security monitoring trends in global healthcare: Technological advancements.

2. Bowker, G. C., & Star, S. L. (2000). Sorting things out: Classification and its consequences. Cambridge: The MIT press.

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