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Health Care Integration in Practice: An Institutionalized Dilemma

  • Conference paper
Electronic Government and the Information Systems Perspective (EGOVIS 2011)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 6866))

Abstract

Integration in health care is a normative goal, but the legal regulation of government operations across sectors is complex. Many values must be safeguarded and they are therefore legally protected. Interoperability can, however, create value conflicts and there is little empirical research into the constructive attempts to resolve such deep-rooted conflicts. This paper addresses this gap by an in-depth study of how values are institutionalized in laws and government organizations. Data was collected by means of participant observation and narrative interviews. The study showed that value conflicts constitute barriers to integration that were difficult to resolve. One major problem was that the necessary discussion about how the conflicts should be handled could not be held because there was no such arena. Different authorities were governed by different values that were deeply institutionalized; while services were to be integrated, the legal regulating bodies were not.

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Author information

Authors and Affiliations

  1. Informatics/Swedish Business School, Örebro University, Sweden

    Ann-Sofie Hellberg & Åke Grönlund

Authors
  1. Ann-Sofie Hellberg
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  2. Åke Grönlund
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Editor information

Editors and Affiliations

  1. Center for Applied ICT (CAICT) and Copenhagen Business School (CBS), Howitzvej 60, 2000, Frederiksberg, Denmark

    Kim Normann Andersen

  2. Institute of Legal Information, Theory and Techniques, ITTIG-CNR, Italian National Reserach Council, Via de’ Barucci 20, 50127, Florence, Italy

    Enrico Francesconi

  3. ESI/Informatics, Örebro University, 701 82, Örebro, Sweden

    Åke Grönlund

  4. Faculty of Law, Leibniz Center for Law, University of Amsterdam, Kloveniersburgwal 48, 1000BA, Amsterdam, The Netherlands

    Tom M. van Engers

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© 2011 Springer-Verlag Berlin Heidelberg

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Hellberg, AS., Grönlund, Å. (2011). Health Care Integration in Practice: An Institutionalized Dilemma. In: Andersen, K.N., Francesconi, E., Grönlund, Å., van Engers, T.M. (eds) Electronic Government and the Information Systems Perspective. EGOVIS 2011. Lecture Notes in Computer Science, vol 6866. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22961-9_1

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  • DOI: https://doi.org/10.1007/978-3-642-22961-9_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-22960-2

  • Online ISBN: 978-3-642-22961-9

  • eBook Packages: Computer ScienceComputer Science (R0)

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