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      Exploring adaptive mirroring in healthcare IT architectures

      research-article
      Health Systems
      Taylor & Francis
      IT architecture, adaptive mirroring, healthcare, IT silo problem

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          ABSTRACT

          Digital transformation is demanding for incumbent organizations such as healthcare, where legacy-based IT architectures challenge the establishment of effective digital services. We refer to this as the IT silo problem, where multiple non-consolidated IT systems are implemented to support expert practices. In this paper, we analyze this challenge using a mirroring lens. Our research question is, how can we create efficient digital services, utilizing the existing legacy systems in healthcare IT architectures? Our empirical evidence comes from a Norwegian case and contributes to the literature on IT architecture within Healthcare. First, we demonstrate how strict mirroring leading to sub-optimization and silofication is a major cause for the presence of IT silos. Second, we describe a process towards adaptive mirroring, and the resulting adaptive mirroring architecture. Adaptive mirroring is an architectural combinatory device that facilitates the design and use of efficient services, while also improving the flexibility of IT architectures.

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          Most cited references54

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          Differentiation and Integration in Complex Organizations

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            Research Commentary—The New Organizing Logic of Digital Innovation: An Agenda for Information Systems Research

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              Architectural Innovation: The Reconfiguration of Existing Product Technologies and the Failure of Established Firms

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                Author and article information

                Journal
                Health Syst (Basingstoke)
                Health Syst (Basingstoke)
                Health Systems
                Taylor & Francis
                2047-6965
                2047-6973
                24 February 2023
                2024
                24 February 2023
                : 13
                : 2
                : 109-120
                Affiliations
                [0001]Department of Informatics, University of Oslo; , Oslo, Norway
                Author notes
                CONTACT Egil Øvrelid egilov@ 123456ifi.uio.no Department of Informatics, University of Oslo; , Gaustadalléen 23B, 0373, Oslo, Norway
                Article
                2182238
                10.1080/20476965.2023.2182238
                11123499
                38800600
                32a2f1dd-0750-4ab6-9ebf-e8ae6b5d70ed
                © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License ( http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

                History
                Page count
                Figures: 1, Tables: 4, References: 55, Pages: 12
                Categories
                Research Article
                Research Article

                it architecture,adaptive mirroring,healthcare,it silo problem

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