Kristoffer Røed
ABSTRACT
Designing sustainable information systems in healthcare organizations is difficult. Despite large efforts, many systems do not meet their expectations during implementation. While it is widely assumed that information systems are "tools" made to improve organizational outcomes, this paper suggests that successful implementations only are obtained when technology are able to juxtapose with existing organizational structures. The aim of the paper is to contribute with insight about how mutuality between technology and organizations can be realized. Empirically, the study is based upon electronic laboratory requests in healthcare.
- Ackerman, M. S. The Intellectual Challenge of CSCW: The Gap Between Social Requirements and Technical Feasibility. Human-Computer Interaction, Volume 15, Issue 2 & 3, (2000), 179--203. Google Scholar
Digital Library
- Akrich, M. The de-scription of technical objects. In Biiker and Law (eds.). Shaping technology/Building Society. MIT Press, Cambridge, (1992), 205--224.Google Scholar
- Ash, J. S., Berg, M. and Coiera, E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc. Mar-Apr;11(2), (2004), 104--12.Google Scholar
- Berg, M. Health Information Management, Integrating information technology in health care work. Routledge Health Management Series, London, (2004).Google Scholar
- Braverman, H. Labor and Monopoly Capital: The Degradation of Work in the Twentieth Century, Monthly Review Press, New York, (1974).Google Scholar
- Bødker, K., F. Kensing, and Simonsen, J. Participatory IT design: Designing for business and workplace realities. Cambridge, MA, USA: MIT Press, (2004). Google ScholarDigital Library
- Chantler, C., Clarke, T. and Granger, R. Information Technology in the English National Health Service. JAMA 2006;296(18) (2006), 2255--2258.Google Scholar
- Christensen, M. C. and Remler, D. Information and Communication Technology in U. S. Health Care: Why is Adoption So Slow and Is Slower Better? Journal of Health Politics, policy and Law 34 (6): (2009), 1011--1034.Google Scholar
- Cross M. and MacGregor, J: Cutting the wires: mobile IT and the transformation of local services and governance. London: National Local Government Network; (2006).Google Scholar
- Ellingsen G. and Monteiro, E. Seamless Integration: Standardisation across Multiple Local Settings, Computer Supported Cooperative Work, Volume 15, Numbers 5--6 December, (2006). Google ScholarDigital Library
- Forsythe, D. E. It's Just a Matter of Common Sense: Ethnography as Invisible Work, Journal of Computer Supported Cooperative Work, vol. 8, (1999), 127--145. Google ScholarDigital Library
- Gasser L. The integration of computing and routine work. ACM Transactions on Information Systems, Volume 4, Issue 3, (July 1986). Google ScholarDigital Library
- Grimson, J, Grimson, W. and Hasselbring W. The SI Challenge in health care. Communication of the ASM, Vol. 43, Issue 6, (2000), 48--55. Google ScholarDigital Library
- Hanseth, O. And Ciborra, C. Risk, Complexities and ICT. Edward Elgar Publishing, Massachusetts, USA, (2007). Google ScholarDigital Library
- Harper, R. H. R.: The Organisation in Ethnography: A Discussion of Ethnographic Fieldwork Programs in CSCW. Journal of Computer Supported Cooperative Work, vol. 9, no. 2, (2000), 239--264. Google ScholarDigital Library
- Hasselbring, W. Information system integration. Communication of the ACM, vol 43, No 6 (2000), 32--38. Google ScholarDigital Library
- Heathfield, H., Pitty, D. and Hanka, R. Information in practice Evaluating information technology in health care: barriers and challenges, BMJ, 316, 27, (1998), 1959--1961.Google ScholarCross Ref
- Heeks, R. Health information systems: Failure, success and improvisation", International Journal of Medical Informatics, 75, (2006), 125--137.Google ScholarCross Ref
- Hollingworth, W., Devine, E. B., Hansen, R. N., Lawless, N. M., Comstock, B. A., Wilson-Norton, J. L., Tharp, K. L. and Sullivan, S. D. "The impact of e-prescribing on Prescriber and Staff Time in Ambulatory Care Clinics: A Time Motion Study. J Am Med Inform Assoc. 14, (2007), 722--730.Google ScholarCross Ref
- Huges, T. P. The Evolution of Large Technical Systems. In Wiebe E. Bijker, Thomas P. Huges and Trevor Pinch (Eds.). The Social Construction of Technological Systems. The MIT Press, (1987).Google Scholar
- Jones, T., Dobrev, A., Stroetmann, K., A., Cameron, J. and Morris, L. Report on the socio-economic impact of NHS Scotland's Emergency Care Summary- Final Draft, Version 10, November 2008. Europeian Commision Information Society and Media, (2008), 1--53.Google Scholar
- Klein, M. K. and Myers, M. D. A set of principles for conducting and evaluating interpretive field studies in information systems, MIS Quarterly, vol. 23, no. 1, (1999), 67--94. Google ScholarDigital Library
- Latour, B. Science in Action. Harward University Press, Cambridge, Massachusetts, USA, (1987).Google Scholar
- Latour, B. Reassembling the social, an introduction to Actor Network Theory. Oxford University Press, Gosport, Hampshire, (2005).Google Scholar
- Law, J. Technology and Heterogeneous Engineering: The Case of Portuguese Expansion, in W. E. Bijker, T. P. Hughes and T. Pinch (eds.), The Social Construction of Technological Systems, The MIT Press, (1987).Google Scholar
- Littlejohns, P., Wyatt J. C., and Garvican, L. Information in practice. Evaluating computerised health information systems: hard lessons still to be learnt. BMJ, Volume 326, (2003), 860--863.Google ScholarCross Ref
- March, J.G. Footnotes to organizational change. Administrative Science Querterly 26, (1981), 563--577.Google ScholarCross Ref
- Markus M. L. and Robey, D. Information Technology and Organizational Change: Causal Structure in Theory and Research. Management Science, Vol. 34, No. 5, (1988), 583--598. Google ScholarDigital Library
- Orlikowski, W.J. The duality of technology: Rethinking the concept of technology in organizations. Organization Science, Vol 3, No 3, (1992a) 398--427.Google ScholarDigital Library
- Orlikowski, W.J. Learning from Notes: Organizational issues in groupware implementation. Computer Supported Cooperative Work Proceedings of the 1992 conference on Computer Supported Cooperative Work (1992b) Google ScholarDigital Library
- Robey, D., Sahay, S. Transforming Work through Information Technology: A Comparative Case Study of Geographic Information Systems in County Government. Information System Research, vol. 7, no. 1, (1996), 93--110.Google ScholarDigital Library
- Scandurra, I, Hægglund, M. and Koch, S. "From user needs to system specifications: Multi-disciplinary thematic seminars as a collaborative design method for development of health information systems. Journal of Biomedical Informatics 41 (2008), 557--569. Google ScholarDigital Library
- Schuler, D. and A. Namioka, Participatory design, Principles and Practices. Lawrence Erlbaum Associates, Inc., New Jersey, 1993. Google ScholarDigital Library
- SSD, Swedish Social Departement. National ICT strategy (2009).Google Scholar
- Suchman, L. A. "Practice-Based Design of Information Systems: Notes from the Hyperdeveloped World", The Information Society, 18, (2002), 139--144.Google ScholarCross Ref
- Suomi, R. Streamlining Operation in Health Care with ICT. In Stegwee and Spil, Strategies for health care information systems (2001), Idea Group Publishing. Google ScholarDigital Library
- Te@mwork, Norwegian Ministries of Health Social Affairs: Te@mwork (2007) - Implementation Plan.Google Scholar
- Varshney, U., "Pervasive Healthcare Computing: EMR/EHR, WIRELESS and HEALTH MONITORING, Springer Science +Business Media, LLC (2009), chapter 2. Google ScholarDigital Library
- Walsham, G. Interpretive Case Studies in IS research: nature and method. European Journal of Information Systems 4, (1995), 74--81.Google ScholarCross Ref
- Winthereik, B. R. and Bansler, J. P. Special issue: Connecting practices: ICT infrastructures to support integrated care. International Journal of Integrated Care, Vol 7, 16 May, (2007).Google Scholar
Index Terms
- Heterogeneities and complexities in IS design: still a need to juxtapose organizational elements and design related ideas?
Recommendations
SPA: a smart phone assisted chronic illness self-management system with participatory sensing
HealthNet '08: Proceedings of the 2nd International Workshop on Systems and Networking Support for Health Care and Assisted Living EnvironmentsThe medical system has not been able to effectively adapt to the dramatic transformation in public health challenges; from acute to chronic and lifestyle-related illnesses. Although acute illnesses can be treated successfully in an office or hospital, ...
Designing for complex innovations in health care: design theory and realist evaluation combined
DESRIST '09: Proceedings of the 4th International Conference on Design Science Research in Information Systems and TechnologyInnovations in health care are often characterized by complexity and fuzzy boundaries, involving both the elements of the innovation and the organizational structure required for a full implementation. Evaluation in health care is traditionally based on ...
Informing EMR System Design through Investigation of Paper-Based Work Practices in a Non-profit Clinic Serving a Vulnerable Population
CBMS '15: Proceedings of the 2015 IEEE 28th International Symposium on Computer-Based Medical SystemsWe conducted a field study in a non-profit resource-scarce primary care clinic to investigate its current paper-based practices. The goal is to inform the design and deployment of an impending Electronic Medical Record (EMR) system at the clinic. The ...
Comments