Table of contents

  1. Front Matter
    Pages i-vi
  2. Margunn Aanestad, Miria Grisot, Ole Hanseth, Polyxeni Vassilakopoulou
    Pages 1-7 Open Access
  3. Information Infrastructures in Healthcare

    1. Front Matter
      Pages 9-9
    2. Margunn Aanestad, Miria Grisot, Ole Hanseth, Polyxeni Vassilakopoulou
      Pages 11-23 Open Access
    3. Margunn Aanestad, Miria Grisot, Ole Hanseth, Polyxeni Vassilakopoulou
      Pages 25-33 Open Access
    4. Margunn Aanestad, Miria Grisot, Ole Hanseth, Polyxeni Vassilakopoulou
      Pages 35-51 Open Access
  4. E-Prescription Infrastructures

    1. Front Matter
      Pages 53-53
    2. Ole Hanseth, Bendik Bygstad
      Pages 73-87 Open Access
    3. Polyxeni Vassilakopoulou, Nicolas Marmaras
      Pages 89-108 Open Access
    4. Ralph Hibberd, Tony Cornford, Valentina Lichtner, Will Venters, Nick Barber
      Pages 109-128 Open Access
    5. Hajar Mozaffar, Robin Williams, Kathrin M. Cresswell, Neil Pollock, Zoe Morrison, Aziz Sheikh
      Pages 129-149 Open Access
    6. Stefan Klein, Stefan Schellhammer
      Pages 151-170 Open Access
  5. Governmental Patient-Oriented eHealth Infrastructures

    1. Front Matter
      Pages 171-171
    2. Joan Rodon Modol
      Pages 173-192 Open Access
    3. Miria Grisot, Polyxeni Vassilakopoulou, Margunn Aanestad
      Pages 193-208 Open Access
    4. Tina Blegind Jensen, Anne Asmyr Thorseng
      Pages 209-224 Open Access
    5. Andrea Resca, Mauro Moruzzi
      Pages 245-260 Open Access
  6. Back Matter
    Pages 261-263

About this book


This book is open access under a CC BY-NC 2.5 license.

This book consolidates experiences from across Europe on the design, development, implementation and evolution of inter-organisational information infrastructures for healthcare. It provides insights with practical relevance for those involved or interested in the planning and implementation of such infrastructures and includes 11 empirical cases on the introduction of core infrastructural arrangements in different national settings: six cases investigate the use of e-prescriptions and five the public platforms for patient-oriented eHealth services. Both are linked to different types of aims.

E-prescription initiatives are usually seen as opportunities to improve healthcare delivery by systematic change (controlling medication costs, improving patient safety and providing rich information for policy making and performance management). Public platforms for patient-oriented eHealth services are seen as opportunities for change and innovation, aiming to strengthen the patients’ role and facilitate a shift from provider-centered healthcare towards patient-centeredness. For both types of initiatives, there is a requirement to mix novelty with pre-existing infrastructural components. The cases are analysed by leading experts in health information systems through a common theoretical framework, exploring the role of the pre-existing sociotechnical basis, i.e. the installed base, and how it fundamentally impacts the evolution of information infrastructures. The book advances an “installed base sensitivity” in decision-making both at the policy/strategy level and at the concrete eHealth design level and shows how practitioners and policy-makers can address the complexity of infrastructures that facilitate information flows across organisational boundaries.


e-prescription health care information systems design inter-organizational information systems national European information infrastructures public patient- oriented web platforms Open Access

Editors and affiliations

  • Margunn Aanestad
    • 1
  • Miria Grisot
    • 2
  • Ole Hanseth
    • 3
  • Polyxeni Vassilakopoulou
    • 4
  1. 1.University of Oslo OsloNorway
  2. 2.University of Oslo OsloNorway
  3. 3.University of Oslo OsloNorway
  4. 4.University of Oslo OsloNorway

Bibliographic information

  • DOI
  • Copyright Information The Editor(s) (if applicable) and The Author(s) 2017
  • License CC BY-NC
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-3-319-51018-7
  • Online ISBN 978-3-319-51020-0
  • Series Print ISSN 1431-1917
  • Series Online ISSN 2197-3741
  • Buy this book on publisher's site