The Work of Infrastructuring: A Study of a National eHealth Project
In this paper we examine a national initiative to further develop the Norwegian healthcare information infrastructure. Specifically, we analyse the work of a project team engaged in the design and development of new web-based capabilities for communication between citizens and primary healthcare practitioners. We foreground the work of infrastructuring which entails conceptualising new technological capabilities not as standalone objects, but as elements in larger arrangements that are sociotechnical in nature. Our findings show how the work within the project was shaped by concerns for embeddedness and durability that led to certain design decisions. Furthermore, we find that these decisions had significant repercussions on the development process and created a complex situation where the cooperation of an evolving constellation of multiple actors was required. Our research contributes an initial understanding of how an infrastructural project is different to projects aimed to the development of specific software artefacts.
KeywordsProject Team Project Work Healthcare Practitioner Project Participant Infrastructural Development
- Bjorn, P., Bardram, J., Avram, G., Bannon, L., Boden, A., Redmiles, D., de Souza, C., & Wulf, V. (2014). Global software development in a CSCW perspective. In Proceedings of the Companion Publication of the 17th ACM Conference on Computer Supported Cooperative Work and Social Computing.Google Scholar
- Bowker, G. (1994). Science on the run: Information management and industrial geophysics at Schlumberger, 1920–1940. Cambridge: MIT press.Google Scholar
- Bowker, G., Baker, K. S., Millerand, F., & Ribes, D. (2010). Toward information infrastructure studies: ways of knowing in a networked environment. In J. Hunsinger, L. Klastrup & M. Allen (Eds.), International handbook of internet research (pp. 97–117). Berlin: Springer.Google Scholar
- Bowker, G., & Star, S. L. (1999). Sorting things out: Classification and its consequences. Cambridge: MIT Press.Google Scholar
- DIFI. (2009). Overarching ICT architecture principles for the public sector.Google Scholar
- Hughes, T. P. (1979). The electrification of America: The system builders. Technology and Culture 124–161.Google Scholar
- Karasti, H., & Baker, K. S. (2004). Infrastructuring for the long-term: Ecological information management. In Proceedings of the 37th Annual Hawaii International Conference on System Sciences, 2004.Google Scholar
- Norsk Helsenett. (2014). About us. URL https://www.nhn.no/english/Pages/about.aspx.
- Pipek, V., & Wulf, V. (2009). Infrastructuring: Towards an integrated perspective on the design and use of information technology. Journal of the Association for Information Systems, 10(5), 447–473.Google Scholar
- Pollock, N., & Williams, R. (2010). e-Infrastructures: How do we know and understand them? Strategic ethnography and the biography of artefacts. Computer Supported Cooperative Work (CSCW), 19, 521–556.Google Scholar
- Ribes, D., & Finholt, T. A. (2009). The long now of technology infrastructure: Articulating tensions in development. Journal of the Association for Information Systems, 10(5), 375–398.Google Scholar
- Star, S. L., & Bowker, G. (2002). How to infrastructure. In L. Lievrouw & S. Livingstone (Eds.), Handbook of new media: Social shaping and social consequences (pp. 151–162). London: Sage.Google Scholar
- Steinhardt, S., & Jackson, S. (2015). Anticipation work: Cultivating vision in collective practice. In CSCW’15, Vancouver, BC, Canada.Google Scholar