Title: Stakeholder participation in eHealth policy : a Swiss case study on the incorporation of stakeholder preferences
Authors : Mertes, Alexander
Brüesch, Caroline
Pages : 1
Pages to: 23
Conference details: IRSPM 22nd Annual Conference, Edinburgh, 11.-13. April 2018
Publisher / Ed. Institution : International Research Society for Public Management
Issue Date: 2018
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Abstract)
Language : English
Subject (DDC) : 362: Health and social services
Abstract: Swiss politics is known for a strong involvement of society in its legislative process. In addition to the elected legislative and executive authorities, it is possible for parties, associations, and unions of citizens to share their thoughts and concerns about concrete laws and regulations. These comments find their way into the final laws and regulations to a varying extent. The implementation of eHealth services in Europe is set by basic democratic rules. Their introduction involves complex project management, including several public and nonpublic stakeholders. This case study discusses the influence of stakeholders on the legislative process through the example of the Swiss electronic health record and analyzes the influence of stakeholder groups by means of a quantitative and qualitative analysis. Precisely, 137 comments about the central decree on the introduction of electronic health records were studied during the political hearing procedure in 2016. The relevance of the paper shows that stakeholder options influence the legislative process. The Advocacy Coalition Framework (Sabatier 1987, 1993, 2007) provides the theoretical framework for this case study. The hypotheses are deduced based on this approach (group differences, influence). First results show that public stakeholders at the federal level tend to have more influence on the development of eHealth legislation than other groups (Health, IT). General practitioners have the ability to decline a legal decree. As "veto players," they might not implement a lawful requirement in their daily practice. The federal states (cantons) have tested the functions of the electronic health records in advance and are able to give well-founded inputs. This explains their rather significant influence.
Departement: School of Management and Law
Organisational Unit: Institute of Public Management (IVM)
Publication type: Conference Paper
URI: http://programme.exordo.com/irspm2018/delegates/presentation/339/
https://digitalcollection.zhaw.ch/handle/11475/14955
Appears in Collections:Publikationen School of Management and Law

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