Grisot Miria, Van Der Velden Maja, Vassilakopoulou Polyxeni
University of Oslo, Department of Informatics, Greece.
Stud Health Technol Inform. 2011;169:68-72.
This paper takes a socio-technical perspective to analyze the ongoing practices of making an eHealth infrastructure, namely a web-based communication platform, which aims to improve healthcare delivery in Norway. The platform is planned to support interaction between patients and healthcare providers, patient access to personal health information, and dissemination of health knowledge to the public. The analysis is based on the 'scales of infrastructure' concept found in Information Systems research, which shows the complexity of the design, development and implementation process across three scales of activities for achieving durability: institutionalization, organizing work, and technology enactment. The case analysis brings the non-linearity of the ongoing practices to the foreground, enabling a more in-depth understanding of the relationship between technology design and infrastructural work.
本文从社会技术视角分析了构建电子健康基础设施（即一个基于网络的通信平台）的现行做法，该平台旨在改善挪威的医疗服务提供情况。该平台计划支持患者与医疗服务提供者之间的互动、患者获取个人健康信息以及向公众传播健康知识。分析基于信息系统研究中的“基础设施规模”概念，该概念表明了在实现耐久性的三个活动规模（制度化、组织工作和技术实施）上设计、开发和实施过程的复杂性。案例分析突出了现行做法的非线性，从而能够更深入地理解技术设计与基础设施工作之间的关系。
