|dc.description.abstract||Integrated digital healthcare systems promise improved quality public healthcare and patient
continued care among others. However, these have been hampered by various challenges
including limited data exchanges between health information systems (HIS) and inadequate
collaboration among healthcare centers and healthcare professionals. The devastating
healthcare interoperability state has been made evident by the COVID-19 global pandemic data
sharing challenges. Nonetheless, such challenges can be overcome through collaborative digital
healthcare initiatives that aim at integrating digital healthcare systems. Hitherto, a number of
HIS are designed with no collective vision of sharing and exchanging information, and again,
there is limited knowledge about the HIS interoperability implementation process.
To enhance HIS interoperability implementation, previous scholars have reiterated the salience
of context and managerial capabilities in the design process. Against this backdrop, the overall
purpose of the thesis is to elucidate how health information systems (HIS) interoperability
implementation can be enhanced through contextual understanding and managing as designing
(MaD) perspectives. Using an interpretive case study approach, two cases of HIS
implementation have been studied, one in Sweden and the other in Uganda. The empirical
investigation shows that the combined perspectives contribute to our understanding of HIS
interoperability implementation, through the proposed MaD approach to IS interoperability
implementation. In addition, the contextual understanding perspective led to the discovery of
four critical factors and two guiding principles. The critical factors include having a collective
interoperability design goal, managing the interoperability implementation process, analysing
the context of interaction and determining an appropriate interoperability principle. The
discovered two principles; include the minimum requirements principle and the informatics
focus vs technology focus principle, these can guide implementers to delineate a context appropriate interoperability solution.
The theoretical contribution consists of a new stance on how HIS interoperability
implementation can be enhanced through embracing a MaD perspective. Thus, the proposed
approach emphasizes a design attitude that supports implementers to take into consideration the
context of interaction; which includes information systems as well as actors working together.
The approach seeks to motivate healthcare managers to collaborate with HIS designers to
improve healthcare interoperability. Again, through the design attitude implementers can
analyse the context of interaction and appropriate an interoperability solution during moments
of sense-making and decision-making. The proposal of a design attitude is intended to inspire
implementers into a more reflective problem-solving attitude as opposed to relying on a rational
decision-making model. Taken together, the thesis contributes knowledge on how IS
interoperability implementation can be enhanced through contextual understanding and
managing as designing perspectives not only in healthcare but also in similar complex contexts.||sv
|dc.relation.ispartofseries||Gothenburg Studies in Informatics||sv
|dc.relation.haspart||Paper I. Kobusinge, G., Mugwanya, R., Pessi, K., & Koutsikouri, D. (2018, November). The (Missing?) Role of Health Information Systems (HIS) in Patient Care Coordination and Continuity (PCCC): The Case of Uganda. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 275, pp 142-151, Springer, Cham. https://doi.org/10.1007/978-3-030-16042-5_14.
Paper II. Kobusinge, G., Pessi, K., Koutskouri, D., & Mugwanya, R. (2018). An Implementation Process of Interoperability: A Case-Study of Health Information Systems (HIS). (ISD2018 Proceedings). Lund, Sweden: Lund University. http://aisel.aisnet.org/isd2014/proceedings2018/eHealth/1.
Paper III. Kobusinge, G. (2020). Contextual Factors influencing the Design and Management of Health Information Systems Interoperability. In Proceedings of the 9th International Conference on Information Technology Convergence and Services. David C. Wyld et al. (Eds): ITCSE, NLCA, ICAIT, CAIML, ICDIPV, CRYPIS, WiMo - 2020 pp. 15-27, 2020. CS & IT - CSCP 2020. https://aircconline.com/csit/papers/vol10/csit100502.pdf.
Paper IV. Kobusinge, G. (2020, January). Putting Interoperability on Health-information-systems’ Implementation Agenda. In Proceedings of the 53rd Hawaii International Conference on System Sciences. DOI: 10.24251/HICSS.2020.443.
Paper V. Kobusinge, G. (2020). "Managing as Designing: Transforming Digital Healthcare Interoperability". AMCIS 2020 Proceedings. 2. https://aisel.aisnet.org/amcis2020/healthcare_it/healthcare_it/2/.||sv
|dc.subject||Health Information Systems (HIS)||sv
|dc.subject||Managing as Designing (MaD)||sv
|dc.subject||Context of Interaction||sv
|dc.title||Health Information Systems Interoperability: Towards a Managing as Designing Approach||sv
|dc.type.degree||Doctor of Philosophy||sv
|dc.gup.origin||University of Gothenburg. IT Faculty||sv
|dc.gup.department||Department of Applied Information Technology ; Institutionen för tillämpad informationsteknologi||sv
|dc.gup.defenceplace||10:00am, in Torg Grön (4th floor), Patricia Building, Department of Applied Information Technology, Forskningsgången 6, Göteborg.||sv