Interpretation of the Concepts of Enterprise-wide and Best of Breed IT within the New Zealand eHealth Community
2013 (English)In: Health Care and Informatics Review Online, ISSN 1176-4201, Vol. 17, no 1, 11-17 p.Article in journal (Refereed) Published
Purpose The New Zealand eHealth landscape is diverse with hundreds of systems ‘wired together’ in a complex puzzle. The purpose of this paper is to explore the current debate about selecting and using Best of Breed (BoB) or Enterprise-wide (EW) eHealth systems.
Method Strategic eHealth documents were analysed and 14 senior IS executives from health and IT organisations were interviewed.
Findings There appears to be agreement about: (1) what the concepts mean; (2) the problems caused by the mix of BoB and EW, e.g., the strong influence of clinicians on IT decision making; and (3) a possible solution to the complex puzzle lies in changing the mix to emphasise patient-centric eHealth. However, when discussing to what degree IT systems should be customised and/or centralised disagreements become visible.
Discussion and conclusions There is a trend among decision-makers towards patients’ needs rather than the physical context in deciding system use and design, with an emphasis on what is considered to be ‘best practice’. In this process the preferred systems are EW, however it is important to remember that it is not the only option. There is a risk that if the IT system is too generic (centralised) it might be an unsupportive tool for clinicians and undermine its purpose.
Place, publisher, year, edition, pages
2013. Vol. 17, no 1, 11-17 p.
eHealth, enterprise-wide systems, Best of Breed systems, procurement, development, system usage
Human Computer Interaction
Research subject Medical Informatics; Human-Computer Interaction
IdentifiersURN: urn:nbn:se:uu:diva-196505OAI: oai:DiVA.org:uu-196505DiVA: diva2:610291