Infrastructures for healthcare: from synergy to reverse synergy

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Standard

Infrastructures for healthcare : from synergy to reverse synergy. / Langhoff, Tue Odd; Amstrup, Mikkel Hvid; Mørck, Peter; Bjørn, Pernille.

I: Health Informatics Journal, Bind 24, Nr. 1, 2018, s. 43-53.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Langhoff, TO, Amstrup, MH, Mørck, P & Bjørn, P 2018, 'Infrastructures for healthcare: from synergy to reverse synergy', Health Informatics Journal, bind 24, nr. 1, s. 43-53. https://doi.org/10.1177/1460458216654288

APA

Langhoff, T. O., Amstrup, M. H., Mørck, P., & Bjørn, P. (2018). Infrastructures for healthcare: from synergy to reverse synergy. Health Informatics Journal, 24(1), 43-53. https://doi.org/10.1177/1460458216654288

Vancouver

Langhoff TO, Amstrup MH, Mørck P, Bjørn P. Infrastructures for healthcare: from synergy to reverse synergy. Health Informatics Journal. 2018;24(1):43-53. https://doi.org/10.1177/1460458216654288

Author

Langhoff, Tue Odd ; Amstrup, Mikkel Hvid ; Mørck, Peter ; Bjørn, Pernille. / Infrastructures for healthcare : from synergy to reverse synergy. I: Health Informatics Journal. 2018 ; Bind 24, Nr. 1. s. 43-53.

Bibtex

@article{5e6e9bd4040b489fab6f082936c96696,
title = "Infrastructures for healthcare: from synergy to reverse synergy",
abstract = "The Danish General Practitioners Database has over more than a decade developed into a large-scale successful information infrastructure supporting medical research in Denmark. Danish general practitioners produce the data, by coding all patient consultations according to a certain set of classifications, on the entire Danish population. However, in the Autumn of 2014, the system was temporarily shut down due to a lawsuit filed by two general practitioners. In this article, we ask why and identify a political struggle concerning authority, control, and autonomy related to a transformation of the fundamental ontology of the information infrastructure. We explore how the transformed ontology created cracks in the inertia of the information infrastructure damaging the long-term sustainability. We propose the concept of reverse synergy as the awareness of negative impacts occurring when uncritically adding new actors or purposes to a system without due consideration to the nature of the infrastructure. We argue that while long-term information infrastructures are dynamic by nature and constantly impacted by actors joining or leaving the project, each activity of adding new actors must take reverse synergy into account, if not to risk breaking down the fragile nature of otherwise successful information infrastructures supporting research on healthcare.",
keywords = "data security and confidentiality, databases and data mining, electronic health records, information and knowledge management, information infrastructures, primary care, quality control, sustainability, synergy",
author = "Langhoff, {Tue Odd} and Amstrup, {Mikkel Hvid} and Peter M{\o}rck and Pernille Bj{\o}rn",
note = "{\textcopyright} The Author(s) 2016.",
year = "2018",
doi = "10.1177/1460458216654288",
language = "English",
volume = "24",
pages = "43--53",
journal = "Health Informatics Journal",
issn = "1460-4582",
publisher = "SAGE Publications",
number = "1",

}

RIS

TY - JOUR

T1 - Infrastructures for healthcare

T2 - from synergy to reverse synergy

AU - Langhoff, Tue Odd

AU - Amstrup, Mikkel Hvid

AU - Mørck, Peter

AU - Bjørn, Pernille

N1 - © The Author(s) 2016.

PY - 2018

Y1 - 2018

N2 - The Danish General Practitioners Database has over more than a decade developed into a large-scale successful information infrastructure supporting medical research in Denmark. Danish general practitioners produce the data, by coding all patient consultations according to a certain set of classifications, on the entire Danish population. However, in the Autumn of 2014, the system was temporarily shut down due to a lawsuit filed by two general practitioners. In this article, we ask why and identify a political struggle concerning authority, control, and autonomy related to a transformation of the fundamental ontology of the information infrastructure. We explore how the transformed ontology created cracks in the inertia of the information infrastructure damaging the long-term sustainability. We propose the concept of reverse synergy as the awareness of negative impacts occurring when uncritically adding new actors or purposes to a system without due consideration to the nature of the infrastructure. We argue that while long-term information infrastructures are dynamic by nature and constantly impacted by actors joining or leaving the project, each activity of adding new actors must take reverse synergy into account, if not to risk breaking down the fragile nature of otherwise successful information infrastructures supporting research on healthcare.

AB - The Danish General Practitioners Database has over more than a decade developed into a large-scale successful information infrastructure supporting medical research in Denmark. Danish general practitioners produce the data, by coding all patient consultations according to a certain set of classifications, on the entire Danish population. However, in the Autumn of 2014, the system was temporarily shut down due to a lawsuit filed by two general practitioners. In this article, we ask why and identify a political struggle concerning authority, control, and autonomy related to a transformation of the fundamental ontology of the information infrastructure. We explore how the transformed ontology created cracks in the inertia of the information infrastructure damaging the long-term sustainability. We propose the concept of reverse synergy as the awareness of negative impacts occurring when uncritically adding new actors or purposes to a system without due consideration to the nature of the infrastructure. We argue that while long-term information infrastructures are dynamic by nature and constantly impacted by actors joining or leaving the project, each activity of adding new actors must take reverse synergy into account, if not to risk breaking down the fragile nature of otherwise successful information infrastructures supporting research on healthcare.

KW - data security and confidentiality

KW - databases and data mining

KW - electronic health records

KW - information and knowledge management

KW - information infrastructures

KW - primary care

KW - quality control

KW - sustainability

KW - synergy

UR - http://www.scopus.com/inward/record.url?scp=85041596485&partnerID=8YFLogxK

U2 - 10.1177/1460458216654288

DO - 10.1177/1460458216654288

M3 - Journal article

C2 - 27389866

VL - 24

SP - 43

EP - 53

JO - Health Informatics Journal

JF - Health Informatics Journal

SN - 1460-4582

IS - 1

ER -

ID: 168055971