A media analysis approach to evaluating national health information infrastructure development

Cockcroft, Sophie ORCID: https://orcid.org/0000-0002-6033-0947 (2009) A media analysis approach to evaluating national health information infrastructure development. Journal of Systems and Information Technology, 11 (3). pp. 208-229. ISSN 1328-7265


Abstract

Purpose
The purpose of this paper is to evaluate electronic health record (EHR) initiatives at the national/external level. Governments are investing large amounts of money in national EHR systems. These systems are socially and politically complex and a variety of stakeholders (e.g. at the individual, organisational or national level) have an interest in evaluating such systems from technical, economic or patient outcome perspectives. In cognisance of academic research in the area, this paper presents an approach which uses the perspective of one particular type of professional critic, the media, to identify issues and evaluate their impact at a national level.

Design/methodology/approach
The work is conducted using an established evaluation framework and formal content analysis of selected relevant articles from the quality press of three selected countries.

Findings
Different issues take prominence in centralised vs decentralised EHR approaches. In countries with a decentralised approach issues of standards and interoperability take the fore. Where there is a more centralised approach the media focus is more on project management, budgetary and financial aspects. In all coverage political and economic aspects are emphasised over technical or patient outcome issues.

Originality/value
The paper represents the application of the content‐context‐process framework. It contributes to the information systems evaluation literature at the national/external level.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 11 Oct 2021 02:16
Last Modified: 11 Oct 2021 02:16
Uncontrolled Keywords: health services, records management
Fields of Research (2008): 15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150301 Business Information Management (incl. Records, Knowledge and Information Management, and Intelligence)
08 Information and Computing Sciences > 0806 Information Systems > 080604 Database Management
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150302 Business Information Systems
Fields of Research (2020): 42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified
Socio-Economic Objectives (2008): C Society > 92 Health > 9299 Other Health > 929999 Health not elsewhere classified
Socio-Economic Objectives (2020): 22 INFORMATION AND COMMUNICATION SERVICES > 2204 Information systems, technologies and services > 220408 Information systems
20 HEALTH > 2099 Other health > 209999 Other health not elsewhere classified
22 INFORMATION AND COMMUNICATION SERVICES > 2299 Other information and communication services > 229999 Other information and communication services not elsewhere classified
Identification Number or DOI: https://doi.org/10.1108/13287260910983605
URI: http://eprints.usq.edu.au/id/eprint/43799

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