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dc.date.accessioned2018-10-02T06:25:23Z
dc.date.available2018-10-02T06:25:23Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/10852/65026
dc.description.abstractDigitalization of the health sector is surrounded by major challenges and frequent turbulence also triggered by the collective ownership attached to public sector campaigns. The main reasons for the extensive challenges in eHealth programmes are that these structures are (i) much larger than single organization systems, (ii) technically more heterogeneous and (iii) organizationally more complex because of many stakeholders. Often, no single actor is in control, leading to long processes of power struggles, compromises and complex co-ordination. The results of these endeavours are sometimes dramatic failures but often time consuming, and very expensive projects with slow progress, and that do not deliver according to its promises. Modern innovative technology labelled “lightweight IT” holds the promise of more rapid implementation cycles, less expensive projects and more user friendly technology that allows user driven innovation. Lightweight IT is also modularized and commercialized in a way that makes it easier to acquire and implement in relation with the existing system portfolio. The thesis empirical evidence comes from three cases within eHealth in Norway that chose an alternative strategy in their efforts to facilitate implementation and use of innovative technology. The Medicloud case was trying to establish a boundary resource between clinical systems and 3rd party apps, despite of the courageous discourse they were unable to deliver a proper technology to fulfil the promises. The ambitious Aker case was able to implement a lightweight IT infrastructure that operated apart from the established infrastructure, and successfully improved some of their processes. The innovative project at the new Kalnes hospital in Østfold was the most successful since they were able to implement a lightweight IT system operating together with the established infrastructure leading to a transformed digital infrastructure The cases are analysed using discourse analysis from Michel Foucault and the context-mechanism-outcome configuration from Pawson and Tilley in order to investigate the relation between technological discourse and digital infrastructure. The findings from the case suggest that technological discourse is an important phenomenon within digital innovation, but that these discourses needs to connect to a concrete technology in order to enable a strategic shift. The findings also give indications that lightweight IT makes it easier to change the digital infrastructure. The thesis thus describes an alternative way of obtaining strategic shifts in digital infrastructures.en_US
dc.language.isoenen_US
dc.relation.haspartPaper 1: Øvrelid, E., Bygstad, B. (2016) “Extending e-Health Infrastructures with Lightweight IT” Scandinavian Conference on Information Systems SCIS 2016: Nordic Contributions in IS Research pp 43-56. DOI: 10.1007/978-3-319-43597-8_4. The article is included in the thesis. Also available at https://doi.org/10.1007/978-3-319-43597-8_4
dc.relation.haspartPaper 2: Øvrelid, E., Bygstad, B., Hanseth, O. (2017) “Discursive formations and shifting strategies in e-Health programmes” Proceedings of the 25th European Conference on Information Systems (ECIS), Guimarães, Portugal, June 5-10, 2017 (pp. 873-886). The article is included in the thesis.
dc.relation.haspartPaper 3: Bygstad, B., Hanseth, O., Siebenherz, A., Øvrelid, E. (2017) “Process innovation meets digital infrastructure in a high-tech hospital.” Proceedings of the 25th European Conference on Information Systems (ECIS), Guimarães, Portugal, June 5-10, 2017 (pp. 801-814). The article is included in the thesis.
dc.relation.haspartPaper 4: Øvrelid, E., Halvorsen, M., (2018) “Process innovation with lightweight IT at an emergency unit” Proceedings of the 51st Hawaiian Conference on System Sciences (HICSS 2018). The article is included in the thesis. Also available at http://hdl.handle.net/10125/50280
dc.relation.haspartPaper 5: Øvrelid, E., Sanner, T., Siebenherz, A., (2018) “Creating Coordinative Paths from admission to discharge: The role of lightweight IT in hospital digital process innovation” Proceedings of the 51st Hawaiian Conference on System Sciences (HICSS 2018). The article is included in the thesis. Also available at http://hdl.handle.net/10125/50287
dc.relation.haspartPaper 6: Øvrelid, E., Bygstad, B. (2017) “Strategic shifts in Digital Infrastructures - The role of Discursive Formations” In review in International Journal (submitted 2. November 2017). The paper is not available in DUO awaiting publishing.
dc.relation.urihttps://doi.org/10.1007/978-3-319-43597-8_4
dc.relation.urihttp://hdl.handle.net/10125/50280
dc.relation.urihttp://hdl.handle.net/10125/50287
dc.titleStrategic shifts in digital infrastructures: Connecting discursive formations and lightweight ITen_US
dc.typeDoctoral thesisen_US
dc.creator.authorØvrelid, Egil
dc.identifier.urnURN:NBN:no-67557
dc.type.documentDoktoravhandlingen_US
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/65026/1/PhD-Ovrelid-2018.pdf


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