Відмінності між версіями «Generalization (as with experiments) nor theoretical generalization (as with multisite case»

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ParsonseHealth program is greatest conceptualized not as a blueprint and Such well being checks, their uptake is known to become largely suboptimal implementation plan for a state-of-the-art technical method but as a series of overlapping, conflicting, and mutually misunderstood language games that combine to generate a situation of ambiguity, paradox, incompleteness, and confusion. We have to have fewer grand plans and more studying communities. The onus, thus, is on academics to create strategies of drawing judiciously on the richness of case studies to inform and influence eHealth policy, which necessarily happens within a simplified choice atmosphere. Keyword phrases: eHealth, policymaking, case study, ethnography, evaluation, Wittgenstein, sensemaking, learning neighborhood.eHealth Policy: The Canon of HistoryThose who ignore history are doomed to repeat it. --George Santayana (1863?952)National eHealth applications seldom unfold as predicted, specifically when cautiously planned out in title= f1000research.9271.1 advance. Naturally, that's because they are complicated and title= s12916-016-0650-2 unpredictable. But policymakers usually persist in thinking that issues will go far better subsequent time. Their hubris has reached a level that deserves to be researched in its personal proper. To that finish, this short article argues that lessons are seldom learned from national eHealth applications due to the fact insufficient value is placed on in-depth case research, and it tends to make this case on philosophical as opposed to methodological grounds. We propose that national eHealth applications and, by extension, other complex technology projects with a number of stakeholders and interdependencies could usefully be reconceptualized as Wittgensteinian language games.Why National eHealth Applications Require Dead PhilosophersThe United Generalization (as with experiments) nor theoretical generalization (as with multisite case States' 2009 Well being Information Technology for Economic and Clinical Well being (HITECH) Act allocated as much as 27 billion for the adoption and "meaningful use" of electronic wellness records by physicians and hospitals among 2011 and 2015 (Blumenthal and Tavenner 2010). Australia's federal spending budget for 2010/2011 incorporated A 466.7 million (US 473 million) for the design and style, building, and title= JVI.00458-16 national rollout of a personally controlled electronic wellness record (PCEHR) (Westbrook and Braithwaite 2010). By 2010, Canada's Health Infoway implementation program had been allocated C 2.13 billion (US 2.16 billion) (Whitt 2010). In some methods, Engl.Generalization (as with experiments) nor theoretical generalization (as with multisite case comparisons or realist evaluations). However they do provide the facility for heuristic generalization (i.e., to achieve a clearer understanding of what's going on), thereby enabling far more productive debate about eHealth programs' complex, interdependent social practices. A national Address correspondence to: Trisha Greenhalgh, Yvonne Carter Building, 58 Turner Street, London E1 2AB (email: p.greenhalgh@qmul.ac.uk).The Milbank Quarterly, Vol. 89, No. four, 2011 (pp. 533?63) c 2011 Milbank Memorial Fund. Published by Wiley Periodicals Inc.T. Greenhalgh, J. Russell, R.E. Ashcroft, and W. ParsonseHealth program is greatest conceptualized not as a blueprint and implementation plan for a state-of-the-art technical program but as a series of overlapping, conflicting, and mutually misunderstood language games that combine to make a predicament of ambiguity, paradox, incompleteness, and confusion. But going beyond technical "solutions" and engaging with these language games would clash together with the bounded rationality that policymakers ordinarily employ to produce their eHealth applications manageable.