Nationell datajournal
- Strategier inom IT-politik
In the society of information that we live in the knowledge of computers and computer system will have a greater influence than we may think. Discrimination is no longer exclusively a term that indicates lesser understanding of different cultures, the discrimina-tion that is at hand will be between ?the have and the have-nots?.This study is about the strategic methods and considerations that is of importance for planning, organizing and finally implement the work with national computer based patient documentation. The strategic planning has been done over a period of time where different actors all had their share of influence. The cost seems to be endless since it has increased after the actual program, in this case, Cosmic from Cambio Healthcare, entered the scene of healthcare. Politicians wanted to cut the cost and increase security for patients but the scene was somewhat different from the planning. When 33 people lost their job in Uppsala and the program needed to be profiled by the users to fit each section ? the protest came in a never ending flood.The company that launched Cosmic has contract with seven districts and increasing ? already looking for the European market. Politicians plan for a society with greater computer knowledge amongst the people and hope that lesser people can do the same work as today, or even more. Somehow forgetting that not everyone is used to computers, not everyone will have the chance to learn all the details in this new tool and therefore loosing the benefits from it and will be ?the have-nots?. The other half of society that welcome a computerized life with high speed access to information at all time will enjoy a more controlled life, since every step of the way is watched. But at the same time they will get all the information that they want ? and even more, they will explore the world if not in real ? from the computer screen. They will participate in network that will help in educa-tion, knowledge, work offerings and so on. They will be ?the have?.This is a new paradigm we fly into with a strong need for new discrimination laws, the knowledge discrimination, the social discrimination and the elite way of separating worlds. It may come as a reaction to this that a concentrated centre for discrimination in Sweden are being planned for ? not separate as it used to be. Since no matter what we want ? the differences between knowing and not knowing will draw a new type of border between people, a border that goes straight through the united Europe, dividing people in a very unethical way ? "the have" and "the have-nots".Berit Edvinsson, Stockholm, 11th of June, 2006kincaid@hotmail.comKey words: strategic-organisation-implements-medical report- paradigm-discrimination