Abstract
The main contribution of the paper is to present challenges relating to the use of new healthcare technology, the eDiary, which seeks to create a better integration between home and hospital. To minimise risks of malformations and other complications, pregnant women with diabetes are enrolled in an extensive treatment regime, which requires frequent visits to an outpatient clinic as well as a high degree of self-care. The eDiary is designed to assist the women in this work, primarily by allowing the women to register their glucose values, record video consultations, and support video-tele-consultations. This paper reports on a pilot study during which pregnant women with diabetes and their healthcare providers make use of the eDiary. The pilot study indicates that such healthcare technology not only allows the women to achieve a better integration of the management of their diabetes into their everyday life, but may also challenge existing power relations between patients and healthcare providers.
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References
AccuCheck: (Accessed on March 1st 2009) http://www.accu-chek.com/us/rewrite/content/en_US/2.4:40/article/ACCM_general_article_2549.htm
Alonzo, A. (1979): ‘Everyday Illness Behavior: A Situational Approach to Health Status Deviations’. Social Science and Medicine, 13A, 4, June 1979, p. 397–404
Ballegaard, S., Aa., Aarhus, R. (forthcoming 2009): ‘Teknologiers mellemkomst i ambulant behandling og egenomsorg’ [The intervention of technologies in ambulant treatment and self-care: the case of pregnant women with diabetes], in Tidsskrift for Forskning i Sygdom og Samfund [Journal for research in sickness and society].
Ballegaard, S. Aa., Hansen, T. R., and Kyng, M. (2008): Healthcare in everyday life: designing healthcare services for daily life. In Proceeding of the Twenty-Sixth Annual SIGCHI Conference on Human Factors in Computing Systems. CHI ′08. ACM, New York, NY, 1807–1816.
Bardram, J., Bossen, C., and Thomsen, A. (2005): Designing for transformations in collaboration: a study of the deployment of homecare technology. Proceedings of the 2005 international ACM SIGGROUP conference on Supporting group work, pages 294–303, New York, NY
Clausen, T.D., Mathiesen, E., Ekbom, P., Hellmuth, E., Mandrup-Poulsen, T., Damm, P. (2005): ‘Poor pregnancy outcome in women with type 2 diabetes’, Diabetes Care 28(2), Feb. 2005, pp. 323–328.
Danholt, P. (2008): Interacting Bodies: Posthuman Enactments of the Problem of Diabetes, Roskilde Universitetscenter, Roskilde
Diabetes Logbook: (Accessed on March 1st 2009) http://www.nesfield.co.uk/diabeteslogbookx/Diabetes pilot: (Accessed on March 1st 2009) http://www.diabetespilot.com
Dinesen, B. (2007): Implementation of telehomecare technology: impact on chronically ill patients, healthcare professionals and the healthcare system, International Journal of Integrated Care. 2007; vol. 7.
Dourish, P. (2004): What we talk about when we talk about context. Personal Ubiquitous Comput. 8, 1, Feb. 2004, pp. 19–30.
Grudin, J. (1989): ‘Why groupware applications fail: problems in design and evaluation’, Office: Technology and People 4 (3), pp. 245–264.
Grøn L., Meinert, L., Mattingly, C. (2008): ‘Kronisk hjemmearbejde. Sociale håb, dilemmaer og konflikter i et hjemmearbejdsnarrativ i Uganda, Danmark og USA’ [Chronic homework. Social hope, dilemmas and conflicts in a homework narrative in Uganda, Denmark and USA], in Tidsskrift for Forskning i Sygdom og Samfund 1Journal for research in sickness and society], Nr. 9, pp. 71–95.
Heath, C, Luff, P. (1996): Documents and Professional Practice: “bad” organisational reasons for “good” clinical records. Proceedings of the Conference on Computer Supported Cooperative Work, 1996, p. 354–363
Jensen, D.M., Damm, P., Moelsted-Pedersen, L., Ovesen, P., Westergaard, J.G., Moeller, M., (2004): ‘Outcomes in type 1 diabetic pregnancies: a nationwide, population-based study’. Diabetes Care, 27(12), Dec 2004, pp. 2819–2823.
Lauenborg, J., Mathiesen, E., Ovesen, P., Westergaard, J.G., Ekbom, P., Molsted-Pedersen, L., (2003): ‘Audit on stillbirths in women with pregestational type 1 diabetes’. Diabetes Care, 26(5), May 2003, pp.1385–1389.
Mamykina, L., Mynatt, E. D., and Kaufman, D. R. (2006): ‘Investigating health management practices of individuals with diabetes’, in Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. CHI’06, ACM, New York, NY, pp. 927–936
Mamykina, L., Mynatt, E., Davidson, P., and Greenblatt, D. (2008): ‘MAHI: investigation of social scaffolding for reflective thinking in diabetes management’, in Proceeding of the Twenty-Sixth Annual SIGCHI Conference on Human Factors in Computing Systems CHI ′08. ACM, New York, NY, pp. 477–486.
Mendosa: (Accessed on March 1st 2009) http://www.mendosa.com/software.htm
Ministry of the Interiour and Health (2003) Handlingsplan for diabetes [Strategic plan on diabetes]. (Accessed Oct. 31st 2008) www.sum.dk/publikationer/diabetesbeh/handlingsplan.pdf
MyNetDiary: (Accessed on March 1st 2009) http://www.mynetdiary.com/
OneTouch: (Accessed on March 1st 2009) http://www.onetouchdiabetes.com/ultrasmart/index.html
Robinson, C. A. (1993) Managing Life with a Chronic Condition: The story of Normalization. Qulitative Health Research, vol. 3, no. 1, Feb. 1993, 6–28
SiDiary: (Accessed on March 1st 2009) http://www.sidiary.org/
Sokoler, T., Löwgren, J., Eriksen, M. A., Linde, P., and Olofsson, S. (2007): Explicit interaction for surgical rehabilitation. In Proceedings of the 1st international Conference on Tangible and Embedded interaction. TEI ′07. ACM, New York, NY, 117–124.
Smith, B. K., Frost, J., Albayrak, M., and Sudhakar, R. (2007): ‘Integrating glucometers and digital photography as experience capture tools to enhance patient understanding and communication of diabetes self-management practices’, in Personal Ubiquitous Comput. 11, 4 (Apr. 2007), pp. 273–286.
Star, S., L. & Griesemer, J. R. (1989): ‘Institutional Ecology, ‘Translations’ and Boundary Objects: Amateurs and Professionals in Berkeley's Museum of Vertebrate Zoology, 1907–39’, in Social Studies of Science, 19, pp. 387–420.
Strauss, A., Fagerhaugh, S., Suczek, B., Wiener, C. (1997): Social organization of medical work. Transaction Publishers: New Brunswick, New Jersey, USA
Verhoeven, F., Gemert van, L., Dijkstra, K., Nijland, N., Seydel, E., and Steehouder, M. (2007): The Contribution of Teleconsultation and Videoconferencing to Diabetes Care: A Systematic Literature Review. Journal of Medical Internet Research, 9 (5). e37.
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Aarhus, R., Ballegaard, S.A., Hansen, T.R. (2009). The eDiary: Bridging home and hospital through healthcare technology. In: Wagner, I., Tellioğlu, H., Balka, E., Simone, C., Ciolfi, L. (eds) ECSCW 2009. Springer, London. https://doi.org/10.1007/978-1-84882-854-4_4
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DOI: https://doi.org/10.1007/978-1-84882-854-4_4
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