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Koch, S., Hägglund, M. & Scandurra, I. (2014). Informatics and socio-technical challenges when designing for integrated eCare. In: Ingo Meye, Sonja Muller, Lutz Kubitschke (Ed.), Achieving effective integrated e-care beyond the silos: (pp. 108-134). Hershey PA: IGI Global
Open this publication in new window or tab >>Informatics and socio-technical challenges when designing for integrated eCare
2014 (English)In: Achieving effective integrated e-care beyond the silos / [ed] Ingo Meye, Sonja Muller, Lutz Kubitschke, Hershey PA: IGI Global, 2014, p. 108-134Chapter in book (Refereed)
Abstract [en]

The central role of eHealth to enable the successful implementation of integrated care is commonly acknowledged today. This is easier said than done. To provide correct, understandable, and timely information at the point of need and to facilitate communication and decision support for a network of actors with different prerequisites and needs are some of the big challenges of integrated care. This book chapter focuses on the specific challenges related to informatics and socio-technical issues when designing solutions for integrated eCare. Methods for requirements elicitation, evaluation, and system development using user-centred design in collaborative environments involving a variety of stakeholders are presented. Case studies in homecare of older patients, in the care of stroke patients, and regarding citizen eHealth services in general illustrate the application of these methods. Possible solutions and pitfalls are discussed based on the experiences drawn from the case studies. To address the main infor-matics and socio-technical challenges in integrated eCare, namely informatics-supported collaborative work and to provide coordinated continuity for the patient, top-down activities such as health informatics standardization, and bottom-up activities resulting in the definition of concrete patient journey descrip-tions, interaction points, information needs (that can be transformed into standardized data sets), as well as visualization and interaction patterns need to go hand in hand.

Place, publisher, year, edition, pages
Hershey PA: IGI Global, 2014
National Category
Health Sciences
Identifiers
urn:nbn:se:oru:diva-41903 (URN)10.4018/978-1-4666-6138-7.ch006 (DOI)2-s2.0-84949561962 (Scopus ID)9781466661394 (ISBN)9781466661387 (ISBN)
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2018-06-15Bibliographically approved
Department of Computer and Information Science (IDA) Linköpings Universitet, SE - 581 83 Linköping, Sweden, V., Olve, N.-G., Scandurra, I. & Koch, S. (2008). Organizational effects of the use of information and communication technology (ICT) in elderly homecare: a case study. Health Informatics Journal, 14(3), 195-209
Open this publication in new window or tab >>Organizational effects of the use of information and communication technology (ICT) in elderly homecare: a case study
2008 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 14, no 3, p. 195-209Article in journal (Refereed) Published
Abstract [en]

The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming more established. In particular, ICT can enable information exchange, knowledge sharing and documentation at the point-of-care (POC). The aim of this study was to explore these effects using the Old@Home prototype. Old@Home was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency. The prototype was further seen to reduce professional isolation by providing a holistic overview of the care process. User centred design and implementation of Old@Home was considered key to facilitating acceptance of organizational changes. Participation of care professionals not only led to a better understanding of the needs of involved organizations, but also increased end-users' involvement and commitment, stimulating them to test and improve the prototype until the final version.

Place, publisher, year, edition, pages
Sage Publications, 2008
Keywords
elderly homecare, organizational effects, participatory design
National Category
Computer Sciences
Identifiers
urn:nbn:se:oru:diva-41901 (URN)10.1177/1081180X08092830 (DOI)See note below ()18775826 (PubMedID)2-s2.0-49949096843 (Scopus ID)
Note

Exists in web of science but hasn't got a WOS ID. Searching on DOI works.

Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2018-01-11Bibliographically approved
Scandurra, I., Hägglund, M., Engström, M. & Koch, S. (2007). Heuristic Evaluation Performed by Usability-educated Clinicians: Education and Attitudes. In: E. Coiera, J.I. Westbrook, J.L. Callen, and Jos Aarts (Ed.), Westbrook JI, et al (Ed.), Information Technology in Health Care 2007: Proceedings of the 3rd International Conference on Information Technology in Health Care: Socio-technical Approaches. Paper presented at Information Technology in Health Care 2007, Proceedings of the 3rd Int. Conf. on Information Technology in Health Care: Socio-technical Approaches (pp. 205-216). Paper presented at Information Technology in Health Care 2007, Proceedings of the 3rd Int. Conf. on Information Technology in Health Care: Socio-technical Approaches. IOS Press
Open this publication in new window or tab >>Heuristic Evaluation Performed by Usability-educated Clinicians: Education and Attitudes
2007 (English)In: Information Technology in Health Care 2007: Proceedings of the 3rd International Conference on Information Technology in Health Care: Socio-technical Approaches / [ed] E. Coiera, J.I. Westbrook, J.L. Callen, and Jos Aarts, IOS Press, 2007, p. 205-216Chapter in book (Refereed)
Abstract [en]

Heuristic evaluation is a usability testing method aiming to improve the user interface design. Traditionally, a panel of experts in usability and human factor issues evaluate and judge the compliance of computer software according to recognized usability principles, the heuristics. In this paper, we investigate clinicians' attitudes towards learning and performing a heuristic evaluation and present the procedure of educating the healthcare staff and their accomplishment of the evaluation. 18 clinicians were recruited for a 2-hours education and filled in a post-education questionnaire regarding their opinions of the evaluation method when applied by clinicians. Six of the clinicians participated later in a heuristic evaluation of a web-based virtual health record,Their time spent for evaluation and analysis of results was approximately four hours each. Opinions from the six "clinical evaluators" were gathered in an post-evaluation form and compared to the post-education questionnaire. The results of 18 clinicians indicate that there is an interest in learning and participating in such evaluations. Our interpretation is that it is feasible to educate healthcare staff to perform rapid usability inspections to locate usability defects and additionally emphasize the domain specific problems residing in health information systems.

Place, publisher, year, edition, pages
IOS Press, 2007
Series
Studies in Health Technology and Informatics ; 130
Keywords
Evaluation; Educational activities; Questionnaire; Usability Inspection Method; Design Heuristics
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63912 (URN)000272958900020 ()17917194 (PubMedID)2-s2.0-77956268112 (Scopus ID)9781586037772 (ISBN)9781607502685 (ISBN)
Conference
Information Technology in Health Care 2007, Proceedings of the 3rd Int. Conf. on Information Technology in Health Care: Socio-technical Approaches
Available from: 2018-01-08 Created: 2018-01-08 Last updated: 2018-01-11Bibliographically approved
Hägglund, M., Scandurra, I. & Koch, S. (2007). Using Scenarios to Capture Work Processes in Shared Home Care. In: E. Coiera, J.I. Westbrook, J.L. Callen (Ed.), Westbrook JI, et al (Ed.), Information Technology in Health Care 2007: Proceedings of the 3rd International Conference on Information Technology in Health Care -- Socio-technical Approaches. Paper presented at Information Technology in Health Care 2007, Proceedings of the 3rd Int. Conf. on Information Technology in Health Care: Socio-technical Approaches (pp. 233-239). Paper presented at Information Technology in Health Care 2007, Proceedings of the 3rd Int. Conf. on Information Technology in Health Care: Socio-technical Approaches. IOS Press
Open this publication in new window or tab >>Using Scenarios to Capture Work Processes in Shared Home Care
2007 (English)In: Information Technology in Health Care 2007: Proceedings of the 3rd International Conference on Information Technology in Health Care -- Socio-technical Approaches / [ed] E. Coiera, J.I. Westbrook, J.L. Callen, IOS Press, 2007, p. 233-239Chapter in book (Refereed)
Abstract [en]

Shared home care is increasingly common, and in order to develop ICT that support such complex cooperative work it is crucial obtain an understanding of the work routines, information demands, and other central preconditions at the clinical level before the development is initiated. Scenarios are proposed as a technique that can be useful for capturing work processes in shared home care and experiences from the Old@Home project are presented. The scenarios are useful not only in the initial phases of the development project but throughout the development process, improving the accessibility of end user requirements and usability issues for the design team, and as a basis for use cases and further design.

Place, publisher, year, edition, pages
IOS Press, 2007
Series
Studies in Health Technology and Informatics, ISSN 0926-9630 ; 130
Keywords
Scenarios, Shared Care, Home Care, Work Analysis, Cooperative work
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Computer Sciences
Identifiers
urn:nbn:se:oru:diva-63913 (URN)000272958900022 ()17917196 (PubMedID)2-s2.0-79958248114 (Scopus ID)9781586037772 (ISBN)9781607502685 (ISBN)
Conference
Information Technology in Health Care 2007, Proceedings of the 3rd Int. Conf. on Information Technology in Health Care: Socio-technical Approaches
Note

3rd International Conference on Information Technology in Health Care: Socio-Technical Approaches (ITHC 2007), Sydney, NSW, Australia, August 28-30, 2007

Available from: 2018-01-08 Created: 2018-01-08 Last updated: 2018-01-15Bibliographically approved
Moström, D., Hägglund, M., Koch, S. & Scandurra, I. (2006). A Case Study of a Service Oriented Architecture (SOA) Implementation using the "Dream Team" Method in Shared Healthcare. In: Kioulafas, K.; Katharaki, M. (Ed.), Proceedings of ICICTH 2006: . Paper presented at 4th International Conference on Information Communication Technology in Health (ICICTH-2006), Samos, Greece, July 13-15, 2006 (pp. 241-246).
Open this publication in new window or tab >>A Case Study of a Service Oriented Architecture (SOA) Implementation using the "Dream Team" Method in Shared Healthcare
2006 (English)In: Proceedings of ICICTH 2006 / [ed] Kioulafas, K.; Katharaki, M., 2006, p. 241-246Conference paper, Published paper (Refereed)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63931 (URN)
Conference
4th International Conference on Information Communication Technology in Health (ICICTH-2006), Samos, Greece, July 13-15, 2006
Available from: 2018-01-08 Created: 2018-01-08 Last updated: 2018-01-12Bibliographically approved
Hägglund, M., Scandurra, I. & Koch, S. (2006). User-centred deployment process for ICT in health care teams: experiences from the OLD@HOME project. In: A. Hasman, R. Haux, J. Van der Lei (Ed.), Ubiquity - Technologies for Better Health in Aging Societies: Proceedings of MIE2006 (pp. 167-172). IOS Press
Open this publication in new window or tab >>User-centred deployment process for ICT in health care teams: experiences from the OLD@HOME project
2006 (English)In: Ubiquity - Technologies for Better Health in Aging Societies: Proceedings of MIE2006 / [ed] A. Hasman, R. Haux, J. Van der Lei, IOS Press, 2006, p. 167-172Chapter in book (Refereed)
Abstract [en]

Objective: To present a user-centred method for introducing ICT in health care organisations, taking factors that influence acceptance into account.

Methods: User centred methods are used in combination with previous research regarding factors that affect user acceptance, in order to facilitate users' acceptance of new ICT tools.

Results: A method is presented that supports the introduction of ICT in team work. The method consists of three major steps; (1) the start-up seminar, (2) end user education and (3) continuous follow-up during the deployment phase. Important results of the start-up seminar are documentation of the users' expectations, and an agreement of ground rules that supports both the social norm factor and the users' perceived behavioural control. Education and follow-up also improve perceived behavioural control, and by involving super users perceived usefulness and ease of use can be improved through subjective norm.

Conclusion: Key factors in the deployment process are; user participation, end user experience and education, and continuous follow-up of the process.

Place, publisher, year, edition, pages
IOS Press, 2006
Series
Studies in Health Technology and Informatics, ISSN 0926-9630 ; 124
Keywords
Medical Informatics; Diffusion of Innovation; Technology Transfer; Computer Literacy; Technology acceptance; User Centred Methods
National Category
Computer and Information Sciences Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-63936 (URN)000281143200023 ()17108521 (PubMedID)2-s2.0-39049184438 (Scopus ID)9781586036478 (ISBN)9781607501923 (ISBN)
Note

20th International Congress of the European Federation for Medical Informatics (MIE 2006), Maastricht, Netherlands, August 27-30, 2006

Available from: 2007-01-12 Created: 2018-01-08 Last updated: 2018-01-16Bibliographically approved
Koch, S., Hägglund, M., Scandurra, I. & Moström, D. (2004). Towards a virtual health record for mobile home care of elderly citizens. In: Fieschi, M., Coiera, E., Li, Y.-C.J. (Ed.), Fieschi M, Coiera E, Li J (Ed.), MEDINFO 2004: Proceedings of the 11th World Congress on Medical Informatics. Paper presented at MEDINFO 2004 – 11th World Congress on Medical Informatics, San Francisco, USA, Sept 2004 (pp. 960-963). Paper presented at MEDINFO 2004 – 11th World Congress on Medical Informatics, San Francisco, USA, Sept 2004. Amsterdam: IOS Press
Open this publication in new window or tab >>Towards a virtual health record for mobile home care of elderly citizens
2004 (English)In: MEDINFO 2004: Proceedings of the 11th World Congress on Medical Informatics / [ed] Fieschi, M., Coiera, E., Li, Y.-C.J., Amsterdam: IOS Press, 2004, p. 960-963Chapter in book (Refereed)
Abstract [en]

Mobile work situations within home care of the elderly require immediate and ubiquitous access to patient-oriented data. The ongoing Swedish research project “Technical support for Mobile CloseCare” focuses on the development and evalua-tion of work-scenario oriented ICT support for enhanced home care of elderly citizens. The aim of the project is to pro-vide a seamless and consistent information flow between dif-ferent health care providers and to give intuitive access to information services for the elderly and their relatives. For that purpose, different independent software components are connected through a mobile communication platform. Flexible access to prioritized information for different users in different work situations will be given through a virtual health record. In order to obtain both usable and clinically relevant systems, a user centered system development approach is followed. Evaluation of the project results will be based on usability tests and quasi-experimental studies on how system implemen-tation influences quality of care and job- and life satisfaction for care providers, patients and relatives.

Place, publisher, year, edition, pages
Amsterdam: IOS Press, 2004
Series
Studies in Health Technology and Informatics ; 107
Keywords
Human-Computer interaction, home care services, information systems, medical record, nursing record
National Category
Human Aspects of ICT Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63922 (URN)10.3233/978-1-60750-949-3-960 (DOI)000226723300193 ()15360955 (PubMedID)2-s2.0-68849130187 (Scopus ID)978-1-58603-444-3 (ISBN)978-1-60750-949-3 (ISBN)
Conference
MEDINFO 2004 – 11th World Congress on Medical Informatics, San Francisco, USA, Sept 2004
Available from: 2005-05-31 Created: 2018-01-08 Last updated: 2018-01-12Bibliographically approved
Scandurra, I., Hägglund, M., Johansson, N., Sandblad, B. & Koch, S. (2003). User needs for development of context dependent devices in mobile home care. In: Luca Chittaro (Ed.), Chittaro, L (Ed.), Human-Computer Interaction with Mobile Devices and Services: 5th International Symposium, Mobile HCI 2003, Udine, Italy, September 2003. Proceedings. Paper presented at Mobile HCI'03 (pp. 446-450). Paper presented at Mobile HCI'03. Springer-Verlag
Open this publication in new window or tab >>User needs for development of context dependent devices in mobile home care
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2003 (English)In: Human-Computer Interaction with Mobile Devices and Services: 5th International Symposium, Mobile HCI 2003, Udine, Italy, September 2003. Proceedings / [ed] Luca Chittaro, Springer-Verlag , 2003, p. 446-450Chapter in book (Refereed)
Abstract [en]

Mobile work situations within home care of the elderly require immediate and ubiquitous access to patient-oriented data. We intend to develop a mobile information system that provides correct information in a proper way to the right person in the appropriate occasion of care. This requires a thorough user needs analysis that so far often has been neglected during systems development in health care. We conducted the user needs analysis in interdisciplinary working groups in order to achieve a holistic view of the entire work process. This allows for the development of not only patient-oriented but care process oriented systems. In this paper, we describe how the user needs analysis was conducted, the impact of this work on the user group and some of the requirements found to be specific for mobile IT-support for home care of the elderly.

Place, publisher, year, edition, pages
Springer-Verlag, 2003
Series
Lecture Notes in Computer Science, ISSN 0302-9743, E-ISSN 1611-3349 ; 2795
Keywords
Mobile HCI Usability
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63923 (URN)10.1007/b12029 (DOI)000186068800044 ()2-s2.0-35048831580 (Scopus ID)978-3-540-40821-5 (ISBN)978-3-540-45233-1 (ISBN)
Conference
Mobile HCI'03
Available from: 2007-01-12 Created: 2018-01-08 Last updated: 2018-01-11Bibliographically approved
Hägglund, M., Scandurra, I. & Koch, S. (2003). Virtual Health Record: User Specific Information Access in a Mobile Work Situation [Review]. Paper presented at World Congress on Medical Physics and Biomedical Engineering (WC2003), Sydney, Australia, August 24-29, 2003.
Open this publication in new window or tab >>Virtual Health Record: User Specific Information Access in a Mobile Work Situation
2003 (English)In: Article, book review (Refereed) Published
Place, publisher, year, edition, pages
World Congress on Medical Physics and Biomedical Engineering, 2003
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63921 (URN)
Conference
World Congress on Medical Physics and Biomedical Engineering (WC2003), Sydney, Australia, August 24-29, 2003
Available from: 2008-10-17 Created: 2018-01-08 Last updated: 2018-05-23Bibliographically approved
Scandurra, I., Hägglund, M. & Koch, S. (2003). Visualization and Interaction Techniques for Mobile CloseCare. In: Physics and engineering in evidence-based medicine: World Congress on Medical Physics and Biomedical Engineering, August 24-29, 2003, Sydney Convention and Exhibition Centre. Congress proceedings. Paper presented at World Congress on Medical Physics and Biomedical Engineering (WC2003), Sydney, Australia, August 24-29, 2003. Paper presented at World Congress on Medical Physics and Biomedical Engineering (WC2003), Sydney, Australia, August 24-29, 2003. IFMBE
Open this publication in new window or tab >>Visualization and Interaction Techniques for Mobile CloseCare
2003 (English)In: Physics and engineering in evidence-based medicine: World Congress on Medical Physics and Biomedical Engineering, August 24-29, 2003, Sydney Convention and Exhibition Centre. Congress proceedings, IFMBE , 2003Chapter in book (Refereed)
Place, publisher, year, edition, pages
IFMBE, 2003
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63920 (URN)9781877040146 (ISBN)1877040142 (ISBN)
Conference
World Congress on Medical Physics and Biomedical Engineering (WC2003), Sydney, Australia, August 24-29, 2003
Available from: 2008-10-17 Created: 2018-01-08 Last updated: 2018-01-11Bibliographically approved
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7144-8740

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