Potential of low-code in the healthcare sector : an exploratory study of the potential of low-code development in the healthcare sector in Norway
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- Master Thesis 
The Norwegian healthcare sector is currently facing significant challenges regarding electronic health records (EHRs) and information exchange. Several of today’s EHR systems are outdated, and there is a lack of information exchange between different healthcare services. There is an ongoing planning project, termed Akson, which assigns these issues. Several technologies can be suited in the Akson project. A relatively new an unexplored technology in Norway, is low-code. The goal of this master thesis is to understand how low-code can be suited to develop an EHR for primary healthcare services and an interaction platform for all healthcare services in Norway. The study addressed two areas that helped increase our understanding. First, we examined the challenges in the Akson project. Second, we investigated the possible benefits of using low-code to develop the new solution. The data for our analysis were collected using semi-structured interviews with twelve representatives from ten different organizations, with regards to either the Akson project or low-code development. When answering the overall research problem, we examined how the advantages of lowcode can contribute to solving some of the main challenges in the Akson project. Our findings showed that the advantages of speed and innovation in low-code can help to solve the challenges related to the time horizon and flexibility of the Akson solution. Low-code can reduce the time horizon because low-code developers can build faster, and thus deliver a new solution in a shorter time. Not only is development quicker, but also the adaptation of a low-code solution takes less time than with traditional coding. Being able to adapt the solution to keep it up to date is an advantage of low-code that can reduce the risk of planning a solution for the future based on today’s technology. Further, the innovation opportunities in low-code can contribute to solving the challenge of flexibility in Akson. By using lowcode, it will be possible to adapt the solution to the actual needs of each healthcare service and municipality while maintaining a minimum of functionality for all. Finally, Sapphire Hospital Management System (HMS) served as an excellent example of a solution built on a low-code development platform (LCDP). In Sapphire HMS, they have managed to ensure privacy and information exchange across different healthcare services. We will argue that low-code can be a suited technology for the Akson project. However, we are aware that technology cannot solve all challenges, like for instance organizing and financing.