HTM680

LaBarge, M. C., Walker, K. L., Azzari, C. N., Bourassa, M., Catlin, J., Finkelstein, S., Gloukhovtsev, A., Leonhardt, J., Martin, K., Rejowicz-Quaid, M., & Reshadi, M. (2022). Digital exchange compromises: Teetering priorities of consumers and organizations at the iron triangle. Journal of Consumer Affairs, 56(3), 1220-1243.
This article provides a comprehensive framework for understanding the trade-offs and regulatory tensions in digital health exchanges, highlighting how competing priorities between consumers, organizations, and policymakers shape the feasibility and ethics of health informatics solutions.

Williams, C. Y., Miao, B. Y., Kornblith, A. E., & Butte, A. J. (2024). Evaluating the use of large language models to provide clinical recommendations in the Emergency Department. Nature Communications, 15(1), 8236.
A great example of where the idea of a breakthrough health informatics technology meets the real world. This is an excellent opportunity to reflect on risks and appropriate uptake curves of healthcare innovation.

Yakusheva, O., Bouvier, M. J., & Hagopian, C. O. (2025). How Artificial Intelligence is altering the nursing workforce. Nursing Outlook, 73(1), 102300.
Sometimes change is disruptive, and every successful health informatics solution must meet people where they are. This article explores nurse workforce perceptions of AI-integration in the care process, suggesting steps whereby such technologies can be properly developed and incorporated into day-to-day healthcare.

Uscher-Pines, L., & Mehrotra, A. (2024). The effect of telehealth on spending—reframing the debate. JAMA, 332(18), 1513-1514.
This Viewpoint article in the Journal of the American Medical Association (JAMA) considers telehealth in context of the Iron Triangle of Healthcare—access, costs, and quality—and considers whether it is appropriate to frame telehealth as an opportunity to save money.

Närvä, J., Kärri, T., & Metso, L. (2023). Missing Skills Destroy Iron Triangle of IS Purchasing. Procedia Computer Science, 219, 554-562.
This article highlights how missing technical and social skills can disrupt the balance of cost, quality, and schedule in complex information system (IS) purchasing, offering key insights into the competencies required for successful health informatics procurement and implementation.