Dragana Paparova

• Paparova, Dragana (2023). Exploring the ontological status of data: A process-oriented approach, Proceedings of the European Conference on Information Systems ECIS 2023. Association for Information Systems (AIS). ISSN 978-1-958200-08-7.
• Paparova, Dragana; Aanestad, Margunn; Vassilakopoulou, Polyxeni & Bahus, Marianne (2023). Data governance spaces: The case of a national digital service for personal health data. Information and organization. ISSN 1471-7727. 33(1). doi: 10.1016/j.infoandorg.2023.100451. Full text in Research Archive Show summary

  This paper investigates data governance empirically by conducting a retrospective study of the ten-year evolution of a national digital service for personal health data in Norway. We show how data governance unfolds over time as data become shared and itinerant across multiple actors. Building on our findings, we introduce the concept of data governance spaces to refer to the authorized relationships among multiple actors, which specify the boundaries of decision-making authority, rights, roles, and responsibilities around data processing. We contribute to the literature on data governance by distinguishing between a) authority multiplication, where data are handed over to other actors to serve diverse purposes triggering horizontal dynamics, and b) actor subordination, where authorities delegate data handling for uniform purposes triggering vertical dynamics. Overall, the paper extends prior research by showing how data governance unfolds beyond intra-, or inter-organizational boundaries and shifts attention to data’s pivotal role, and the purposes for which data are collected, shared or used across multiple actors

• Essén, Anna; Stern, Ariel Dora; Haase, Christoffer Bjerre; Car, Josip; Greaves, Felix & Paparova, Dragana [Show all 9 contributors for this article] (2022). Health app policy: international comparison of nine countries’ approaches. npj Digital Medicine. 5. doi: 10.1038/s41746-022-00573-1. Full text in Research Archive Show summary

  An abundant and growing supply of digital health applications (apps) exists in the commercial tech-sector, which can be bewildering for clinicians, patients, and payers. A growing challenge for the health care system is therefore to facilitate the identification of safe and effective apps for health care practitioners and patients to generate the most health benefit as well as guide payer coverage decisions. Nearly all developed countries are attempting to define policy frameworks to improve decision-making, patient care, and health outcomes in this context. This study compares the national policy approaches currently in development/use for health apps in nine countries. We used secondary data, combined with a detailed review of policy and regulatory documents, and interviews with key individuals and experts in the field of digital health policy to collect data about implemented and planned policies and initiatives. We found that most approaches aim for centralized pipelines for health app approvals, although some countries are adding decentralized elements. While the countries studied are taking diverse paths, there is nevertheless broad, international convergence in terms of requirements in the areas of transparency, health content, interoperability, and privacy and security. The sheer number of apps on the market in most countries represents a challenge for clinicians and patients. Our analyses of the relevant policies identified challenges in areas such as reimbursement, safety, and privacy and suggest that more regulatory work is needed in the areas of operationalization, implementation and international transferability of approvals. Cross-national efforts are needed around regulation and for countries to realize the benefits of these technologies.

• Paparova, Dragana (2021). Opening-up digital platforms to accommodate patient-generated healthcare data. Reports of the European Society for Socially Embedded Technologies. ISSN 2510-2591. 5(4).
• Paparova, Dragana & Aanestad, Margunn (2020). Governing Innovation in E-Health Platform Ecosystems – Key Concepts and Future Directions. In Aaen, Jon & Hochwarter, Stefan (Ed.), Selected Papers of the IRIS, Issue Nr 11. Association for Information Systems (AIS). ISSN 0000000000000. Show summary

  This paper conceptualizes knowledge in the IS literature on governing innovation in platform ecosystems using boundary resources. Platform innovation arises when platform owners realize the need to expand the functionalities and invite external actors with specialized knowledge to do so. We conduct a literature review to identify the relevant concepts on governing innovation in platform ecosystems in IS and adapt them to the specific settings of the eHealth context. As most relevant concepts, we identify: 1) boundary resources as governance mechanisms: openness vs. control; 2) co-creating platform innovation across heterogeneous actors: accommodation vs. resistance; and 3) platform innovation within the underlying architecture: stability vs. flexibility. We then derive areas that should be prone to further research in eHealth, defined as: 1) patient data as a resource for eHealth platform innovation; 2) the role of institutions in eHealth platform innovation; and 3) innovating within platform-oriented eHealth information infrastructures. This paper contributes by expanding the understanding of the current state of knowledge in IS on governing innovation in platform ecosystems and provides basis for further research adapted to the eHealth context settings.

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• Paparova, Dragana (2024). Data spaces and the (trans)formations of data innovation and governance. Univeristet i Agder. ISSN 978-82-8427-172-9. Full text in Research Archive

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