Abstract：
More patients are being discharged early from hospital and increasing numbers of patients have complex health care needs and receive care in the primary health care sector. To ensure efficient coordination and continuity of care, access to relevant information is crucial. We report from two Norwegian municipalities that, during an innovation project, transferred their information system from a paper-based to a digital coordination system. Workshops and interviews were conducted to address the considerations, reflections and dilemmas of the actors involved during the innovation process. The analysis provided three main themes which were: 1) transition from paper-based to digital overviews; 2) transition from individual patient information to a digital overview of groups of patients; and 3) transition from use of telephone to digital exchange of information. The actors had to overcome several challenges. Nevertheless, the outcome was that they were provided with contextualised information enabling efficiency and patient safety in their coordination work.
摘要：
越来越多的患者提前出院，越来越多的患者有复杂的医疗保健需求，并在初级医疗保健部门接受护理。为了确保护理的有效协调和连续性，获取相关信息至关重要。我们从两个挪威城市报告说，在一个创新项目中，将他们的信息系统从纸质系统转移到数字协调系统。举办了讲习班和访谈，以解决这些考虑因素，创新过程中参与者的反思和困境。分析提供了三个主要主题，分别是：1）从纸质到数字概述的过渡；2）从单个患者信息过渡到患者群体的数字概述；3）从使用电话过渡到信息的数字交换。演员们必须克服几个挑战。然而，结果是,他们获得了符合情境的信息,从而提高了协调工作的效率和患者安全.
