Ellingsen G, Monteiro E
University Hospital of Northern Norway, 9038 Breivika, Norway.
Methods Inf Med. 2003;42(4):366-70.
This paper aims to describe and analyze the prolonged efforts - spanning close to two decades - of developing and using electronic patient records in the large, university-based hospitals in Norway.
This study belongs to an interpretative approach to the development and use of information systems.
The increase in organizational, institutional, political and technological complexity has been seriously underestimated. This paper describes and analyses the prolonged efforts - spanning close to two decades - of developing and using EPRs in the large, university-based hospitals in Norway. The investments involved were considerable, implying that a crucial aspect of these efforts has been the way alliances have been forged with public institutions and agendas.
The conditions for small-scale, bottom-up and evolutionary approaches never succeeded in constructing themselves as a viable alternative to the larger, more sweeping electronic patient record initiative, reiterating a more general tendency to privilege the more comprehensive and daring projects.
本文旨在描述和分析挪威大型大学附属医院在近二十年时间里开发和使用电子病历的长期努力。
本研究属于对信息系统开发和使用的解释性方法。
组织、机构、政治和技术复杂性的增加被严重低估了。本文描述并分析了挪威大型大学附属医院在近二十年时间里开发和使用电子病历的长期努力。所涉及的投资相当可观，这意味着这些努力的一个关键方面是与公共机构和议程建立联盟的方式。
小规模、自下而上和渐进式方法的条件从未成功构建起一种可行的替代方案，以取代规模更大、范围更广的电子病历计划，这再次凸显了一种更普遍的倾向，即更倾向于选择更全面、更大胆的项目。
