Abstract：
OBJECTIVE: Norway, like other welfare states, seeks to leverage data to transform its pressured public healthcare system. While managers will be central to doing so, we lack knowledge about how specifically they would do so and what constraints and expectations they operate under. Public sources, like the Norwegian policy documents investigated here, provide important backdrops against which such managerial work emerges. This article therefore aims to analyze how key Norwegian policy documents construe data use in health management.
METHODS: We analyzed five notable policy documents using a \"practice-oriented\" framework, considering these as arenas for \"organizing visions\" (OVs) about managerial use of data in healthcare organizations. This framework considers documents as not just texts that comment on a topic but as discursive tools that formulate, negotiate and shape issues of national importance, such as expectations about data use in health management.
RESULTS: The OVs we identify anticipate a bold future for health management, where data use is supported through interconnected information systems that provide relevant information on demand. These OVs are similar to discourse on \"evidence-based management,\" but differ in important ways. Managers are consistently framed as key stakeholders that can benefit from using secondary data, but this requires better data integration across the health system. Despite forward-looking OVs, we find considerable ambiguity regarding the practical, social and epistemic dimensions of data use in health management. Our analysis calls for a reframing, by moving away from the hype of \"data-driven\" health management toward an empirically-oriented, \"data-centric\" approach that recognizes the situated and relational nature of managerial work on secondary data.
CONCLUSIONS: By exploring OVs in the Norwegian health policy landscape, this study adds to our growing understanding of expectations towards healthcare managers\' use of data. Given Norway\'s highly digitized health system, our analysis has relevance for health services in other countries.
METHODS: We analyzed five notable policy documents using a \"practice-oriented\" framework, considering these as arenas for \"organizing visions\" (OVs) about managerial use of data in healthcare organizations. This framework considers documents as not just texts that comment on a topic but as discursive tools that formulate, negotiate and shape issues of national importance, such as expectations about data use in health management.
RESULTS: The OVs we identify anticipate a bold future for health management, where data use is supported through interconnected information systems that provide relevant information on demand. These OVs are similar to discourse on \"evidence-based management,\" but differ in important ways. Managers are consistently framed as key stakeholders that can benefit from using secondary data, but this requires better data integration across the health system. Despite forward-looking OVs, we find considerable ambiguity regarding the practical, social and epistemic dimensions of data use in health management. Our analysis calls for a reframing, by moving away from the hype of \"data-driven\" health management toward an empirically-oriented, \"data-centric\" approach that recognizes the situated and relational nature of managerial work on secondary data.
CONCLUSIONS: By exploring OVs in the Norwegian health policy landscape, this study adds to our growing understanding of expectations towards healthcare managers\' use of data. Given Norway\'s highly digitized health system, our analysis has relevance for health services in other countries.
摘要：
目标：挪威，像其他福利国家一样，寻求利用数据来改变其压力很大的公共医疗系统。虽然管理者将是这样做的核心，我们缺乏了解他们将如何具体这样做，以及他们在什么约束和期望下运作。公共来源,就像这里调查的挪威政策文件一样，为这种管理工作的出现提供重要的背景。因此，本文旨在分析挪威关键政策文件如何在健康管理中解释数据使用。
方法：我们使用“面向实践”的框架分析了五个值得注意的政策文件，将这些视为关于医疗机构管理使用数据的“组织愿景”(OVs)的竞技场。这个框架认为文件不仅是评论一个主题的文本，而且是制定的话语工具，谈判和塑造具有国家重要性的问题，例如对健康管理中数据使用的期望。
结果：我们确定的OVs预示着健康管理的大胆未来，通过互连的信息系统支持数据使用，这些系统可按需提供相关信息。这些OVs类似于“基于证据的管理”的论述，“但在重要方面有所不同。经理始终被视为可以从使用二级数据中受益的关键利益相关者，但这需要整个卫生系统更好的数据集成。尽管具有前瞻性，我们发现在实际方面存在相当大的歧义，健康管理中数据使用的社会和认知维度。我们的分析要求重新定义，通过摆脱“数据驱动”健康管理的炒作，转向以经验为导向的健康管理，“以数据为中心”的方法，认识到二级数据管理工作的定位和关系性质。
结论：通过在挪威卫生政策环境中探索OVs，这项研究增加了我们对医疗保健管理者使用数据的期望的理解。鉴于挪威高度数字化的卫生系统，我们的分析与其他国家的卫生服务有关。
方法：我们使用“面向实践”的框架分析了五个值得注意的政策文件，将这些视为关于医疗机构管理使用数据的“组织愿景”(OVs)的竞技场。这个框架认为文件不仅是评论一个主题的文本，而且是制定的话语工具，谈判和塑造具有国家重要性的问题，例如对健康管理中数据使用的期望。
结果：我们确定的OVs预示着健康管理的大胆未来，通过互连的信息系统支持数据使用，这些系统可按需提供相关信息。这些OVs类似于“基于证据的管理”的论述，“但在重要方面有所不同。经理始终被视为可以从使用二级数据中受益的关键利益相关者，但这需要整个卫生系统更好的数据集成。尽管具有前瞻性，我们发现在实际方面存在相当大的歧义，健康管理中数据使用的社会和认知维度。我们的分析要求重新定义，通过摆脱“数据驱动”健康管理的炒作，转向以经验为导向的健康管理，“以数据为中心”的方法，认识到二级数据管理工作的定位和关系性质。
结论：通过在挪威卫生政策环境中探索OVs，这项研究增加了我们对医疗保健管理者使用数据的期望的理解。鉴于挪威高度数字化的卫生系统，我们的分析与其他国家的卫生服务有关。
