Data Platforms and Ecosystems in Healthcare

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    Exploring the Emergence of Open Platforms in Healthcare: Design Considerations and Experiences from an Initial Case in Norwegian Primary Care
    ( 2023-01-03) Malm-Nicolaisen, Kristian ; Johansen Fagerlund, Asbjørn ; Pedersen, Rune
    Despite significant efforts on improving interoperability of health information and lowering socio-technical cost of replacing clinical applications, healthcare organizations and professionals struggle with fragmented and non-interoperable Health Information Technologies. This paper describes the emergence of open platforms, which may alleviate challenges related to interoperability issues, weak integrations, siloed data repositories, and numerous legacy systems within healthcare. Using a proposed platform initiative in Norway, we explore the open platform phenomenon with a socio-technical lens, and highlights four key topics that have produced tension and merits consideration from the involved stakeholders: i) Procurement strategy and vendor neutrality, ii) Ability to facilitate flexible use, iii) The use of standards and separation of data and application, and iv) Strategies for development and governance of standards. We further discuss the related implications and design considerations necessary to support complex patient pathways and provide clinicians more flexible and effective systems.
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    Introduction to the Minitrack on Data Platforms and Ecosystems in Healthcare
    ( 2023-01-03) Fürstenau, Daniel ; Witte, Anne-Katrin ; Thiebes, Scott ; Sunyaev, Ali
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    On the Economic Nature of Medical Information: Implications for the Development of Information Infrastructures in the Healthcare Sector
    ( 2023-01-03) Reimers, Kai ; Luo, Yumei
    IT adoption in the healthcare sector still lags behind expectations. The literature has extensively studied IT adoption in the healthcare sector as a problem of information infrastructure development. We extend that literature by adding a supply chain perspective which treats information infrastructures as assemblies of information components. This allows us to apply the theory of collective action to these individual components rather than to the information infrastructure as a whole, as is characteristic of the information infrastructure literature. We find that some information components have the character of common resource pool goods, which require specialized and local institutional arrangements to overcome the implied free-rider problem. This sheds a new light on the current problems of slow IT adoption in the healthcare sector.