A media analysis approach to evaluating national health information infrastructure development

Cockcroft, S. (2009) A media analysis approach to evaluating national health information infrastructure development. Journal of Systems and Information Technology, 11 3: 208-229. doi:10.1108/13287260910983605

Author Cockcroft, S.
Title A media analysis approach to evaluating national health information infrastructure development
Journal name Journal of Systems and Information Technology   Check publisher's open access policy
ISSN 1328-7265
Publication date 2009-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1108/13287260910983605
Open Access Status Not yet assessed
Volume 11
Issue 3
Start page 208
End page 229
Total pages 22
Editor Stockdale, R.
Day, K.
Place of publication United Kingdom
Publisher Emerald Group Publishing
Language eng
Subject C1
080702 Health Informatics
899999 Information and Communication Services not elsewhere classified
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.
Keyword Health services
Records management
Mass media
United Kingdom
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
UQ Business School Publications
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Citation counts: Scopus Citation Count Cited 1 times in Scopus Article | Citations
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Created: Thu, 03 Dec 2009, 02:28:21 EST by Karen Morgan on behalf of UQ Business School