Abstract
More patients are being discharged early from hospital and increasing numbers of patients have complex health care needs and receive care in the primary health care sector. To ensure efficient coordination and continuity of care, access to relevant information is crucial. We report from two Norwegian municipalities that, during an innovation project, transferred their information system from a paper-based to a digital coordination system. Workshops and interviews were conducted to address the considerations, reflections and dilemmas of the actors involved during the innovation process. The analysis provided three main themes which were: 1) transition from paper-based to digital overviews; 2) transition from individual patient information to a digital overview of groups of patients; and 3) transition from use of telephone to digital exchange of information. The actors had to overcome several challenges. Nevertheless, the outcome was that they were provided with contextualised information enabling efficiency and patient safety in their coordination work.