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Title:
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EXPLORING THE INTERPLAY OF DISCOURSE AND INFRASTRUCTURE IN E-HEALTH PROGRAMMES |
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Author(s):
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Egil Øvrelid, Bendik Bygstad, Ole Hanseth |
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ISBN:
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978-989-8533-53-1 |
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Editors:
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Mário Macedo |
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Year:
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2016 |
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Edition:
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Single |
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Keywords:
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Discourse, discursive formations, eHealth, infrastructure |
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Type:
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Full Paper |
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First Page:
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131 |
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Last Page:
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138 |
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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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Research has shown that large IT programmes in e-government and e-health are challenging not only in terms of project failures and high costs, but also that the public and sectorial discourses greatly influences the trajectories and outcomes of mega-programmes. However, few IS studies have investigated this phenomenon in much depth, and the aim of this contribution is to shed more light on the relationship of discourse and mega-programmes. We build loosely on Foucaults discourse concept and on Swanson term of organising vision, but frame our investigation in information infrastructure theory. Our empirical evidence is a 15-year study of the growth of the national e-health infrastructure in Norway, which we investigate at three levels, where we analyse the interplay of the eHealth discourse and the various programme initiatives. We identify and discuss a pattern where windows of opportunity open and narrow in waves of discourse and action. We also contribute to the information infrastructure research by highlighting the role of discourse in infrastructure evolution. |
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