Dealing with Tensions in Technology Enabled Healthcare Innovation: Two Cases from the Norwegian Healthcare Sector

  • Miria Grisot
  • Polyxeni Vassilakopoulou
  • Margunn Aanestad


In Chapter 5, Grisot, Vassilakopoulou and Aanestad examine patient-focused ICT applications, which extend traditional health information infrastructures and have the potential to transform the relation between patients and doctors, allowing for a more active patient role. However, new design challenges emerge because it is unclear how existing infrastructures can accommodate novel usage areas, and how they should be modified or even substituted. In this chapter, the authors’ research aim is to examine such challenges, framed as ‘design tensions’ in the context of ICT-enabled innovation processes in healthcare. Building on Information Infrastructure theory, the authors examine how such design tensions are dealt within practice, and the approaches used in two Norwegian initiatives where web-based technologies are implemented to enable new types of communication between patients and health providers.


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Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Miria Grisot
    • 1
  • Polyxeni Vassilakopoulou
    • 2
  • Margunn Aanestad
    • 1
  1. 1.Department of InformaticsUniversity of OsloOsloNorway
  2. 2.Department of Information SystemsUniversity of AgderKristiansandNorway

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