Int J Med Inform - Cooperation and communication challenges in small-scale eHealth development projects.

Tópicos

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{ group(2977) signific(1463) compar(1072) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

M: In eHealth development there is an increasing focus on user participation inspired by the information systems field of practice and research. There are, however, many other challenges in developing information systems that fit healthcare practices. One of these is the challenge of cooperation and communication in development projects that are initiated and managed by clinicians e.g. cooperating with IT professionals in 'bottom up' health informatics projects that have been initiated and are managed by healthcare professional project managers.METHOD: The analysis and results are drawn from a qualitative case study on a systems development project that was managed by a local, non-technical, healthcare professional and the complex blend and interactions with the IT professionals in the phases of ideas, design, development, implementation, maintenance and distribution.RESULTS: We analyze the challenges of cooperation and communication using perspectives from information systems research and the concepts of 'language-games' and 'shared design spaces', and thereby exploring the boundaries between the different communication, practice and culture of the IT professionals and the healthcare professionals.CONCLUSION: There is a need to (a) develop a better understanding of the development process from the point of view of the 'user' and (b) tools for making technical knowledge explicit in the development process. Cooperative and communicative methods are needed that support and develop the shared design spaces between IT professionals and the clinical context in order to strengthen small-scale health information systems projects.

Resumo Limpo

m ehealth develop increas focus user particip inspir inform system field practic research howev mani challeng develop inform system fit healthcar practic one challeng cooper communic develop project initi manag clinician eg cooper profession bottom health informat project initi manag healthcar profession project managersmethod analysi result drawn qualit case studi system develop project manag local nontechn healthcar profession complex blend interact profession phase idea design develop implement mainten distributionresult analyz challeng cooper communic use perspect inform system research concept languagegam share design space therebi explor boundari differ communic practic cultur profession healthcar professionalsconclus need develop better understand develop process point view user b tool make technic knowledg explicit develop process cooper communic method need support develop share design space profession clinic context order strengthen smallscal health inform system project

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