Medication Infrastructure Development in Germany

Improved patient care and more efficient collaboration between pharmacies and nursing services through machine-based medication blistering and the MediMan linking platform: a case study

“…Dies könnte auch für die maschinelle Verblisterung von Relevanz sein, weil neben der Zeiteinsparung die automatische Übertragung des Medikationsplans in maschinell hergestellte Blister auch weniger Übertragungsfehler aufweist als das manuelle Stellen (BPAV 2021 ). Insbesondere der Ausbau der Telematikinfrastruktur (TI), in unserem Anwendungsfall die Einführung des E‑Rezeptes, des Kommunikationsdienstes KIM sowie des elektronischen Medikationsplans, erleichtert die Möglichkeiten zur Ausweitung des Angebots, da digitale Lösungen die Kommunikation zwischen und zu den Gesundheitsdienstleistern vereinfachen können und automatisierte Lösungen potenziell mehr Aufschwung erhalten können (Klein und Schellhammer 2017 ). Apotheken mit mindestens 4,65 Mio.…”

Extending e-Health Infrastructures with Lightweight IT

“…The multitude of challenges may paradoxically sometimes lead to staunch belief in the existing programme logics, with long-term strategic goals and roadmaps guiding the way to a possible future solution. Put shortly, eHealth infrastructures embedded in large eHealth programs are exposed to major challenges and significant public turbulence (Greenhalq et al 2010, Klein and Schellhammer 2017. In relation to this, several studies have demonstrated the difficulties of organizational transformation with the use of IT within the health sector (Agarwal et al 2010, Best et al 2012 partly caused by the non-adoption and sometimes abandonment of IT, as well as difficulties related to scaling and (lack of) sustainability (Greenhalq et al 2017).…”

“…Strategic shifts in large IT programmes are unusual, but they do occur, usually as a consequence of problems or misalignment. Examples are the termination of the British eHealth mega-program in 2011 (Greenhalq et al 2010), and the demise of the German e-prescription initiative (Klein and Schellhammer 2017). In the private sector, an increasing number of disruptive digitalisation initiatives emerge, such as the case of the DBS Bank (Sia et al 2016).…”

“…This thesis has as its central aim to investigate strategic shifts in eHealth digital infrastructures. eHealth infrastructures embedded in large eHealth programs are exposed to major challenges (Greenhalq et al 2010, Klein and Schellhammer 2017. The main reasons for the extensive challenges in eHealth programmes are that these structures are (i) much larger than single organization systems, (ii) technically more heterogeneous and (iii) organizationally more complex because of many stakeholders.…”

The role of discourse in transforming digital infrastructures

“…Such shifts are unusual, but they do occur. Examples include the termination of the British eHealth mega-programme in 2011 (Greenhalgh et al, 2010) and the demise of the German e-prescription initiative (Klein and Schellhammer, 2017). In the private sector, there is an increasing number of disruptive digitalisation initiatives, such as the case of the DBS Bank (Sia et al, 2016).…”