Organizing visions for data-centric management: how Norwegian policy documents construe the use of data in health organizations

• Published in: Journal of health organization and management 2024-06, Vol.38 (4), p.494-511
• Main Authors: Solberg, Mads, Kirchhoff, Ralf, Oksavik, Jannike Dyb, Wessel, Lauri
• Format: Article
• Language: English
• Subjects: Ambiguity; Data Management; Digitization; Disease management; Health care industry; Health care management; Health Policy; Health services; Hospitals; Humans; Information systems; Innovations; Institutionalization; Line managers; Norway; Planning; Primary care; Public health; Technological change; Welfare
• ISSN: 1477-7266; 1758-7247
• DOI: 10.1108/JHOM-12-2023-0378

PurposeNorway, 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.Design/methodology/approachWe 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.FindingsThe 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.Originality/valueBy 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.