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Title:
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ELECTRONIC INTERACTION IN HEALTH SERVICES AND ORGANIZATIONAL CHANGE LESSONS FROM THE NORWEGIAN COUNTY OF SOGN & FJORDANE |
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Author(s):
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Øyvind Heimset Larsen, Ingjerd Skogseid |
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ISBN:
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978-972-8939-49-6 |
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Editors:
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Mário Macedo |
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Year:
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2011 |
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Edition:
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Single |
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Keywords:
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Medical informatics, Electronic Messaging, Community e-Health Services, e-Health Infrastructure |
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Type:
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Full Paper |
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First Page:
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145 |
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Last Page:
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152 |
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Language:
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English |
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Cover:
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Full Contents:
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click to dowload 
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Paper Abstract:
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In the large, sparsely populated, but resourceful Norwegian county of Sogn & Fjordane, there is need for electronic messaging between the primary care service and hospitals. Several years and significant resources have been spent setting up this initiative which attempts to take the paper out of paperwork. A consortium of local organisations established in 2006 is still working to this aim. The question remains though as to why this desired transition to a paperless form of communication has not taken place? Barriers initially appear technological in nature, but this paper argues that local initiatives in the health sector can easily be hampered by stakeholders, both large and small, whose influence greatly shapes how and when actions are implemented. The electronic messaging project has had success in key areas, with impacts both at regional and national level. Due to modest national regulations and standards open to interpretation the obstacles have been harder to overcome than our many high mountains and deep fjords. This article discusses the challenges faced and the strategies chosen by using the four components of Leavitts Diamond. |
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