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dc.date.accessioned2019-12-18T19:20:50Z
dc.date.available2019-12-18T19:20:50Z
dc.date.created2018-08-10T08:40:07Z
dc.date.issued2018
dc.identifier.citationSahay, Sundeep Nielsen, Petter Aanestad, Margunn . Institutionalizing Information Systems for Universal Health Coverage in Primary Health Care and the Need for New Forms of Institutional Work. Communications of the Association for Information Systems. 2018
dc.identifier.urihttp://hdl.handle.net/10852/71695
dc.description.abstractToday, many countries around the world focus on ensuring that all people can access health services of sufficient quality without experiencing financial hardship (i.e., universal health coverage). To measure progress towards this goal, countries need to build robust health information systems. Because countries need to root universal health coverage in primary healthcare, they also needs to sensitively anchor health information systems that support universal health coverage in existing routine health information systems. However, doing so involves significant challenges, which we study via empirically analyzing an Indian state's effort to implement a universal health coverage health information system in primary healthcare. Using a theoretical lens informed by institutional theory, we seek to answer the question: “What is required to develop institutions that support the use of new technologies and associated work processes that universal health coverage entails?”. We identify the contradictions that emerge when new systems clash with existing ones, and we discuss what implications such contradictions have in terms of system design, work processes, and institutions. We contribute to the literature by explaining inherent complexities in universal health coverage health information system design and implementation and providing system design guidelines.
dc.languageEN
dc.publisherAssociation for Information Systems
dc.titleInstitutionalizing Information Systems for Universal Health Coverage in Primary Health Care and the Need for New Forms of Institutional Work
dc.typeJournal article
dc.creator.authorSahay, Sundeep
dc.creator.authorNielsen, Petter
dc.creator.authorAanestad, Margunn
cristin.unitcode185,15,5,61
cristin.unitnameForskningsgruppen for informasjonssystemer
cristin.ispublishedfalse
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1600882
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Communications of the Association for Information Systems&rft.volume=&rft.spage=&rft.date=2018
dc.identifier.jtitleCommunications of the Association for Information Systems
dc.identifier.doihttps://doi.org/10.17705/1CAIS.04403
dc.identifier.urnURN:NBN:no-74810
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn1529-3181
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/71695/2/SahayEtal_Institutionalizing%2BInformation%2BSystems%2Bfor%2BUniversal%2BHealth%2BCoverage_CAIS2018.pdf
dc.type.versionPublishedVersion
dc.relation.projectNFR/249875


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