University of Oulu

Jormanainen, V., & Reponen, J. (2020). CAF and CAMM analyses on the first 10 years of national Kanta services in Finland. Finnish Journal of EHealth and EWelfare, 12(4), 302–315.

CAF and CAMM analyses on the first 10 years of national Kanta services in Finland

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Author: Jormanainen, Vesa1; Reponen, Jarmo2
Organizations: 1Finnish Institute for Health and Welfare (THL), Helsinki, Finland
2Research Group of Medical Imaging, Physics and Technology (MIPT), University of Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
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Language: English
Published: Finnish Social and Health Informatics Association, 2020
Publish Date: 2021-02-12


We report the large-scale deployment, implementation and adoption of the nationwide centralized integrated and shared Kanta health information services by using the Clinical Adoption Framework (CAF). The meso and macro level dimensions of the CAF were incorporated early into our e-health evaluation framework to assess Health Information System (HIS) implementation at the national level. We found strong support for the CAF macro level model concepts in Finland. Typically, development programs were followed by government policy commitments, appropriate legislation and state budget funding before the CAF meso level implementation activities. Our quantitative data point to the fact that implementing large-scale health information technology (HIT) systems in practice is a rather long process. For HIT systems success in particular citizens’ and professionals’ acceptance are essential. When implementation of the national health information systems was evaluated against Clinical Adoption Meta-Model (CAMM), the results show that Finland has already passed many milestones in CAMM archetypes. According to our study results, Finland seems to be a good laboratory entity to study practical execution of HIT systems, CAF and CAMM theoretical constructs can be used for national level HIS implementation evaluation.

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Series: Finnish Journal of eHealth and eWelfare
ISSN: 1798-0798
ISSN-E: 1798-0798
ISSN-L: 1798-0798
Volume: 12
Issue: 4
Pages: 302 - 315
DOI: 10.23996/fjhw.98548
Type of Publication: A1 Journal article – refereed
Field of Science: 113 Computer and information sciences
Copyright information: © 2020 Finnish Journal of eHealth and eWelfare. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.