Government capacities and stakeholders: what facilitates ehealth legislation?
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Auteurs : Achim Lang [Allemagne]Source :
- Globalization and Health [ 1744-8603 ] ; 2014.
Abstract
Newly established high-technology areas such as eHealth require regulations regarding the interoperability of health information infrastructures and data protection. It is argued that government capacities as well as the extent to which public and private organizations participate in policy-making determine the level of eHealth legislation. Both explanatory factors are influenced by international organizations that provide knowledge transfer and encourage private actor participation.
Data analysis is based on the
The analysis reveals that the participation of private organizations such as donors has negative effects on the level of eHealth legislation. The impact of public-private partnerships (PPPs) depends on the degree of government capacities already available and on democratic regimes. Democracies are more responsive to these new regulatory demands than autocracies. Democracies find it easier to transfer knowledge out of PPPs than autocracies. Government capacities increase the knowledge transfer effect of PPPs, thus leading to more eHealth legislation.
All international regimes – the WHO, the EU, and the OECD – promote PPPs in order to ensure the construction of a national eHealth infrastructure. This paper shows that the development of government capacities in the eHealth domain has to be given a higher priority than the establishment of PPPs, since the existence of some (initial) capacities is the
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DOI: 10.1186/1744-8603-10-4
PubMed: 24410989
PubMed Central: 3925445
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Government capacities and stakeholders: what facilitates ehealth legislation?</title><author><name sortKey="Lang, Achim" sort="Lang, Achim" uniqKey="Lang A" first="Achim" last="Lang">Achim Lang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Politics and Public Administration, University of Konstanz, Postbox 5560, D81, Konstanz 78457, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Politics and Public Administration, University of Konstanz, Postbox 5560, D81, Konstanz 78457</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24410989</idno><idno type="pmc">3925445</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3925445</idno><idno type="RBID">PMC:3925445</idno><idno type="doi">10.1186/1744-8603-10-4</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000346</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000346</idno><idno type="wicri:Area/Pmc/Curation">000346</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000346</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Government capacities and stakeholders: what facilitates ehealth legislation?</title><author><name sortKey="Lang, Achim" sort="Lang, Achim" uniqKey="Lang A" first="Achim" last="Lang">Achim Lang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Politics and Public Administration, University of Konstanz, Postbox 5560, D81, Konstanz 78457, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Politics and Public Administration, University of Konstanz, Postbox 5560, D81, Konstanz 78457</wicri:regionArea></affiliation></author></analytic><series><title level="j">Globalization and Health</title><idno type="eISSN">1744-8603</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Newly established high-technology areas such as eHealth require regulations regarding the interoperability of health information infrastructures and data protection. It is argued that government capacities as well as the extent to which public and private organizations participate in policy-making determine the level of eHealth legislation. Both explanatory factors are influenced by international organizations that provide knowledge transfer and encourage private actor participation.</p></sec><sec><title>Methods</title><p>Data analysis is based on the <italic>Global Observatory for eHealth - ATLAS eHealth country profiles</italic> which summarizes eHealth policies in 114 countries. Data analysis was carried out using two-component hurdle models with a truncated Poisson model for positive counts and a hurdle component model with a binomial distribution for zero or greater counts.</p></sec><sec><title>Results</title><p>The analysis reveals that the participation of private organizations such as donors has negative effects on the level of eHealth legislation. The impact of public-private partnerships (PPPs) depends on the degree of government capacities already available and on democratic regimes. Democracies are more responsive to these new regulatory demands than autocracies. Democracies find it easier to transfer knowledge out of PPPs than autocracies. Government capacities increase the knowledge transfer effect of PPPs, thus leading to more eHealth legislation.</p></sec><sec><title>Conclusions</title><p>All international regimes – the WHO, the EU, and the OECD – promote PPPs in order to ensure the construction of a national eHealth infrastructure. This paper shows that the development of government capacities in the eHealth domain has to be given a higher priority than the establishment of PPPs, since the existence of some (initial) capacities is the <italic>sine qua non</italic> of further capacity building.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Buse, K" uniqKey="Buse K">K Buse</name></author><author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buse, K" uniqKey="Buse K">K Buse</name></author><author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buse, K" uniqKey="Buse K">K Buse</name></author><author><name sortKey="Waxman, A" uniqKey="Waxman A">A Waxman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richter, J" uniqKey="Richter J">J 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Global Health</journal-id><journal-id journal-id-type="iso-abbrev">Global Health</journal-id><journal-title-group><journal-title>Globalization and Health</journal-title></journal-title-group><issn pub-type="epub">1744-8603</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24410989</article-id><article-id pub-id-type="pmc">3925445</article-id><article-id pub-id-type="publisher-id">1744-8603-10-4</article-id><article-id pub-id-type="doi">10.1186/1744-8603-10-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Government capacities and stakeholders: what facilitates ehealth legislation?</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Lang</surname><given-names>Achim</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>achim.lang@uni-konstanz.de</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Politics and Public Administration, University of Konstanz, Postbox 5560, D81, Konstanz 78457, Germany</aff><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>13</day><month>1</month><year>2014</year></pub-date><volume>10</volume><fpage>4</fpage><lpage>4</lpage><history><date date-type="received"><day>23</day><month>4</month><year>2013</year></date><date date-type="accepted"><day>11</day><month>11</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2014 Lang; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Lang; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.globalizationandhealth.com/content/10/1/4"></self-uri><abstract><sec><title>Background</title><p>Newly established high-technology areas such as eHealth require regulations regarding the interoperability of health information infrastructures and data protection. It is argued that government capacities as well as the extent to which public and private organizations participate in policy-making determine the level of eHealth legislation. Both explanatory factors are influenced by international organizations that provide knowledge transfer and encourage private actor participation.</p></sec><sec><title>Methods</title><p>Data analysis is based on the <italic>Global Observatory for eHealth - ATLAS eHealth country profiles</italic> which summarizes eHealth policies in 114 countries. Data analysis was carried out using two-component hurdle models with a truncated Poisson model for positive counts and a hurdle component model with a binomial distribution for zero or greater counts.</p></sec><sec><title>Results</title><p>The analysis reveals that the participation of private organizations such as donors has negative effects on the level of eHealth legislation. The impact of public-private partnerships (PPPs) depends on the degree of government capacities already available and on democratic regimes. Democracies are more responsive to these new regulatory demands than autocracies. Democracies find it easier to transfer knowledge out of PPPs than autocracies. Government capacities increase the knowledge transfer effect of PPPs, thus leading to more eHealth legislation.</p></sec><sec><title>Conclusions</title><p>All international regimes – the WHO, the EU, and the OECD – promote PPPs in order to ensure the construction of a national eHealth infrastructure. This paper shows that the development of government capacities in the eHealth domain has to be given a higher priority than the establishment of PPPs, since the existence of some (initial) capacities is the <italic>sine qua non</italic> of further capacity building.</p></sec></abstract><kwd-group><kwd>EHealth</kwd><kwd>Regulation</kwd><kwd>World Health Organization</kwd><kwd>European Union</kwd><kwd>OECD</kwd><kwd>Public-private partnerships</kwd><kwd>Donors</kwd><kwd>Capacity development</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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