• Procurement of artificial intelligence for radiology practice 

      Silsand, Line; Severinsen, Gro-Hilde; Linstad, Line Helen; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-22)
      The development of artificial intelligence (AI) technology for radiology has accelerated in the past decade, but its deployment in radiology practices has been slow. We take a sociotechnical approach and suggest that the limited use of AI in radiology practices can be attributed to a recurring tension between planned and emergent change. The paper contributes with a conceptualization and understanding ...
    • The Rising Importance of e-Health in Norway 

      Wynn, Rolf; Ellingsen, Gunnar; Traver Salcedo, Vincente (Chapter; Bokkapittel, 2022)
      Drawing on three central sources of data on the development in e-health use in Norway (studies from the Norwegian Centre for e-Health Research, studies from Statistics Norway, and the Tromsø 7 Study), we describe the rising importance of e-health. Originally restricted to a limited use within the health services, in recent years the use of e-health has gained momentum both in the general population ...
    • Scaling AI Projects for Radiology– Causes and Consequences 

      Ellingsen, Gunnar; Silsand, Line; Severinsen, Gro-Hilde; Linstad, Line Helen (Journal article; Tidsskriftartikkel; Peer reviewed, 2022)
      Artificial intelligence (AI) for radiology has the potential to handle an ever-increasing volume of imaging examinations. However, the implementation of AI for clinical practice has not lived up to expectations. We suggest that a key problem with AI projects in radiology is that high expectations associated with new and unproven AI technology tend to scale the projects in ways that challenge their ...
    • Suppliers of Existing Systems in Municipal Healthcare Facing the Arrival of Large-Scale EHR Suites 

      Ellingsen, Gunnar; Christensen, Bente; Hertzum, Morten (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09)
      With backing from national health authorities, large-scale electronic health record (EHR) suites have increasingly entered the European healthcare market. The overall goal for these systems is to fulfill the needs of healthcare workers in hospitals, nursing homes, home-care service, and general practitioner (GP) clinics. The EHR suites will replace existing EHRs in their targeted area. However, ...
    • The Tension between National and Local Concerns in Preparing for Large-Scale Generic Systems in Healthcare 

      Ellingsen, Gunnar; Hertzum, Morten; Melby, Line (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-16)
      Large-scale generic systems are typically adapted to local practice through confguration. This is especially important in healthcare, which involves a plurality of institutions and users. However, the decision to acquire a generic system in public healthcare is typically founded on regional and national health policy goals, which often are translated into various forms of standardization. As a ...
    • User requirements meet large-scale EHR suites: Norwegian preparations for Epic 

      Ellingsen, Gunnar; Hertzum, Morten (Journal article; Tidsskriftartikkel; Peer reviewed, 2020)
      Electronic health records (EHRs) are becoming the norm in healthcare. Typically, these EHRs are large-scale suite systems. The up-front presence of ready-for-use EHR suites changes the role of user requirements and the conditions for deciding which requirements to include in the final contract. In this paper, we investigate how user requirements are negotiated in the ongoing preparations for the ...