Collective action in national e-health initiatives: findings from a cross-analysis of the Norwegian and Greek e-prescription initiatives

Polyxeni Vassilakopoulou
Department of Information Systems, University of Agder, Kristiansand, Norway

Aleksandra Pesaljevic
Department of Informatics, University of Oslo, Oslo, Norway

Nicolas Marmaras
National Technical University of Athens, Athens, Greece

Margunn Aanestad
Department of Informatics, University of Oslo, Oslo, Norway

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Ingår i: Proceedings from The 15th Scandinavian Conference on Health Informatics 2017 Kristiansand, Norway, August 29–30, 2017

Linköping Electronic Conference Proceedings 145:6, s. 36-42

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Publicerad: 2018-01-04

ISBN: 978-91-7685-364-1

ISSN: 1650-3686 (tryckt), 1650-3740 (online)


In this study we examine the introduction of e-prescription in Norway and Greece as a process towards achieving embeddedness within the existing information systems´ landscape of healthcare. This requires action taking by public sector actors at different government levels and also, by private actors. We used the lens of collective action for informing our investigation. Our analysis brings to focus the mechanisms of making initiatives happen when participants have the freedom to make individual decisions on their contributions, structuring their work in the best way they consider fit. Specifically, we identified how the solutions evolved through voluntary cooperation, strategic interaction and selective incentives. Our findings contribute to to the extant literature on national e-health solutions shifting the focus from the important technical issues of standardisation and integration to the equally important issue of creating the conditions for collective action


Electronic prescribing, digitalisation, collective action


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