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Infrastructures of coordination : Conceptualising coordination in digital health ecosystems

Saenyi, Betty Nekesa LU ; Keller, Christina LU and Kajtazi, Miranda LU orcid (2025)
Abstract
This review examines how coordination is infrastructured in digital health ecosystems where technologies, institutions, and practices intersect across organisational and professional boundaries. Drawing on a systematic analysis of the literature, we identify three interdependent infrastructural layers: technological, informational, and institutional, and four recurring processes through which coordination is enacted: building coordination capacity, standardising information, aligning work practices, and enabling boundary-spanning. Our analysis shows that these processes are shaped by persistent tensions that must be continually navigated rather than resolved. By integrating insights from coordination and infrastructuring research, we... (More)
This review examines how coordination is infrastructured in digital health ecosystems where technologies, institutions, and practices intersect across organisational and professional boundaries. Drawing on a systematic analysis of the literature, we identify three interdependent infrastructural layers: technological, informational, and institutional, and four recurring processes through which coordination is enacted: building coordination capacity, standardising information, aligning work practices, and enabling boundary-spanning. Our analysis shows that these processes are shaped by persistent tensions that must be continually navigated rather than resolved. By integrating insights from coordination and infrastructuring research, we develop a conceptual framework that positions coordination as emergent and sustained through the infrastructuring work of tension navigation. The findings move beyond narrow interpretations of interoperability or organisational alignment, calling for greater attention to the sociotechnical work that sustains coordination over time. (Less)
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author
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publishing date
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Chapter in Book/Report/Conference proceeding
publication status
published
subject
host publication
ICIS 2025 Proceedings
language
English
LU publication?
yes
id
10efb698-4608-4b36-b8b9-278278d2457c
alternative location
https://aisel.aisnet.org/icis2025/is_health/ishealthcare/17/
date added to LUP
2026-02-16 14:06:17
date last changed
2026-02-16 16:21:34
@inproceedings{10efb698-4608-4b36-b8b9-278278d2457c,
  abstract     = {{This review examines how coordination is infrastructured in digital health ecosystems where technologies, institutions, and practices intersect across organisational and professional boundaries. Drawing on a systematic analysis of the literature, we identify three interdependent infrastructural layers: technological, informational, and institutional, and four recurring processes through which coordination is enacted: building coordination capacity, standardising information, aligning work practices, and enabling boundary-spanning. Our analysis shows that these processes are shaped by persistent tensions that must be continually navigated rather than resolved. By integrating insights from coordination and infrastructuring research, we develop a conceptual framework that positions coordination as emergent and sustained through the infrastructuring work of tension navigation. The findings move beyond narrow interpretations of interoperability or organisational alignment, calling for greater attention to the sociotechnical work that sustains coordination over time.}},
  author       = {{Saenyi, Betty Nekesa and Keller, Christina and Kajtazi, Miranda}},
  booktitle    = {{ICIS 2025 Proceedings}},
  language     = {{eng}},
  month        = {{12}},
  title        = {{Infrastructures of coordination : Conceptualising coordination in digital health ecosystems}},
  url          = {{https://aisel.aisnet.org/icis2025/is_health/ishealthcare/17/}},
  year         = {{2025}},
}