Designing an interoperability framework with benefits, barriers and challenges for healthcare ecosystems: A case study in an elderly care ecosystem

  • W Keus

Student thesis: Master's Thesis


Sharing medical information between practitioners has been a challenge for healthcare organizations for a long time. Semantic, syntactic, technical and pragmatic interoperability standards, if present, can be different per healthcare sector. For the quality of healthcare it is essential that healthcare practitioners have access to accurate and up to date information.
Interoperability can provide a more longitudinal medical record of patients health and delivering the promise of Electronic Medical Records (EMR). Developing interoperability is however slow due to its complexity and uncertainty for decision makers over the results, initial and running cost and long-term investments needed.
This research was conducted by designing an interoperability framework with benefits, barriers and challenges for a healthcare ecosystems in elderly care. From a systematic literature review (SLR) an initial framework was designed and then empirically tested in an elderly care ecosystem.
The results show a framework with 8 interoperability levels and 22 sublevels with aspect descriptions that could help decision-makers in healthcare ecosystems making more substantiated decisions. We found that the aspects concerning policies, health processes, information and cost are most relevant and promising for the success of interoperability. The role for governance and government in this development remained open.
Date of Award12 Jul 2022
Original languageEnglish
SupervisorSamaneh Bagheri (Supervisor) & Irene Vanderfeesten (Examiner)


  • Interoperability
  • Healthcare ecosystem
  • Benefits
  • Barriers
  • Challenges
  • Elderly care

Master's Degree

  • Master Business Process management & IT (BPMIT)

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