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  • 1.
    Huvila, Isto
    et al.
    Uppsala University, Uppsala, Sweden; Åbo Akdemi University, Åbo, Finland.
    Eriksson-Backa, Kristina
    Åbo Akdemi University, Åbo, Finland.
    Moll, Jonas
    Uppsala University, Uppsala, Sweden.
    Myreteg, Gunilla
    Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Uppsala University, Uppsala, Sweden.
    Differences in the experiences of reading medical records online: Elderly, Older and Younger Adults compared2018In: Informaatiotutkimus, ISSN 1797-9137, Vol. 37, no 3, p. 51-54Article in journal (Refereed)
  • 2.
    Hägglund, Maria
    et al.
    Karolinska University.
    Scandurra, Isabella
    Örebro University, Örebro University School of Business.
    Empowering patients and relatives in elderly care by information access2008Conference paper (Refereed)
  • 3. Hägglund, Maria
    et al.
    Scandurra, Isabella
    Centre for eHealth, Uppsala University, Uppsala, Sweden.
    Studying intersection points – an analysis of information needs in shared homecare of elderly2009In: Journal on Information Technology in Healthcare, ISSN 1479-649X, The journal on information technology in healthcare, ISSN 1479-649X, Vol. 7, no 1, p. 23-42Article in journal (Refereed)
    Abstract [en]

    Objectives: Elderly patients are increasingly receiving care in their own homes but this process is not well supported by existing systems which suffer from limited integration of health and social care services. The result is fragmentation of care, lack of coordination between services, duplication of services, and limited participation of patients and informal carers in the care process. In this study we attempt to identify the key intersection points, i.e. where different actors involved in the homecare of elderly patients interact, and to analyse their individual information requirements. How these requirements can be met using information and communication technology (ICT) is discussed.

    Methods: The study involved 13 participants representing professional health and social careworkers, patients and relatives. Their interactions and information needs were obtained using a variety of methods including multi-disciplinary thematic seminars, participatory observations, interviews, inventory of current information systems, scenarios, sketching and prototyping. 

    Results: The key intersection points where information exchange between different actors isneeded are (i) Initiation of patient specific changes in homecare provision, (ii) Consultations, (iii) Delegation of duties, (iv) Referrals, (v) Important health events and general care (vi) Coordination of planned activities. Shared information objects which would be beneficial include(i) Contact information of all parties, (ii) Patient care plan, (iii) Patient's medication list, (iv) Risk factors, (v) Updates to medical records, (vi) Patient medical summaries, (vii) Patient centred calendar (viii) Assessment of their homecare needs. An ICT solution implemented to meet these requirements must be integrated with existing systems to minimise any additional work that staff will have to do and also address major issues such as security, design of mobile applications (including both interface design and synchronisation issues), interoperability and ethical and legal aspects. 

    Conclusion: This study has identified the information that needs to be shared at key intersection points between different actors involved in providing homecare for the elderly. It has also indicated how this information can be made available through ICT and highlighted the challenges that will have to be overcome in order to support patient centred care.

  • 4. Hägglund, Maria
    et al.
    Scandurra, Isabella
    Centre for eHealth, Uppsala University, Akademiska sjukhuset, Uppsala, Sweden.
    Koch, Sabine
    Scenarios to Capture Work Processes in Shared Home Care – from analysis to application2010In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 79, no 6, p. 126-134Article in journal (Refereed)
    Abstract [en]

    Background

    Shared homecare is increasingly common, and in order to develop ICT that support such complex cooperative and interdisciplinary work it is crucial to obtain an understanding of work processes at the clinical level before the development is initiated. It is also crucial, but difficult, to correctly transfer this insight to the development team.

    Method

    User-centered scenario building in interdisciplinary working groups is applied for capturing cooperative work routines, information demands, and other central preconditions in shared homecare.

    Results

    Use of scenarios for analysis of cooperative work and as information carrier is described via a case from the multi-disciplinary OLD@HOME project. Both current and future work scenarios were elicited. To illustrate the process of transforming scenarios into more technical descriptions (use cases), and finally into an application, examples showing the transparency in resulting use cases and in the implemented system are provided.

    Conclusion

    In this case study, scenarios proved to be useful not only in initial system development phases but throughout the entire development process, improving accessibility and assessment of end user needs. For the development team, scenarios assisted in solving usability issues, and served as a basis for describing use cases and for further system development. More importantly, the shared care scenarios ensured the provision of different perspectives on common work processes, which are often neglected in conventional requirements specifications. This also improved understanding between different clinical groups and between clinicians and developers.

  • 5.
    Hägglund, Maria
    et al.
    Karolinska Institute, Stockholm, Sweden.
    Scandurra, Isabella
    APRI | eHealth, Själevad, Sweden.
    Koch, Sabine
    Karolinska Institute, Stockholm, Sweden.
    Supporting Citizen-centred Care for Seniors: Experiences from Two Swedish Research Projects2012In: 25th International Symposium on Computer-Based Medical Systems (CBMS), 2012 / [ed] Paolo Soda; Francesco Tortorella; Sameer Antani; Mykola Pechenizkiy; Mario Cannataro; Alexey Tsymbal, Rome, Italy: IEEE conference proceedings, 2012, article id 6266377Conference paper (Refereed)
    Abstract [en]

    The development of information and communication technology (ICT) for citizen-centered care requires insight into concrete problems in care processes as well as an understanding of the goals and values that should guide these. In this retrospective study we return to results from two research projects focusing on the needs of senior citizens and stroke patients. We describe the intersections between health care services, social care services and private services, and analyze these with focus on the needs of independence, continuity and participation. The current state of ICT in relation to the identified needs is also addressed. In conclusion, an increasing number of solutions are available to support senior citizens in different parts of their lives, yet they remain isolated and have limited impact. In order to harness value for senior citizens, it is imperative to continue with multidisciplinary research focusing on socio-technical aspects; addressing technological, organizational, legal and business-related aspects.

  • 6.
    Hägglund, Maria
    et al.
    Dept of Medicial Sciences, Uppsala University, University Hospital, Uppsala, Sweden; Centre for EHealth, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Dept of Medicial Sciences, Uppsala University, University Hospital, Uppsala, Sweden; Centre for EHealth, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Dept of Medicial Sciences, Uppsala University, University Hospital, Uppsala, Sweden; Centre for EHealth, Uppsala University, Uppsala, Sweden.
    User-centred deployment process for ICT in health care teams: experiences from the OLD@HOME project2006In: 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.

  • 7.
    Hägglund, Maria
    et al.
    Dept of Medicial Sciences, Uppsala University, University Hospital, Uppsala, Sweden; Centre for EHealth, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Dept of Medicial Sciences, Uppsala University, University Hospital, Uppsala, Sweden; Centre for EHealth, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Dept of Medicial Sciences, Uppsala University, University Hospital, Uppsala, Sweden; Centre for EHealth, Uppsala University, Uppsala, Sweden.
    Using Scenarios to Capture Work Processes in Shared Home Care2007In: 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.

  • 8.
    Hägglund, Maria
    et al.
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Virtual Health Record: User Specific Information Access in a Mobile Work Situation2003In: Article, book review (Refereed)
  • 9.
    Koch, Sabine
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Hägglund, Maria
    Karolinska Institutet, Stockholm, Sweden.
    Scandurra, Isabella
    Uppsala University, Uppsala, Sweden.
    Informatics and socio-technical challenges when designing for integrated eCare2014In: 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.

  • 10.
    Koch, Sabine
    et al.
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Moström, Dennis
    DataVis AB, Örnsköldsvik, Sweden.
    Towards a virtual health record for mobile home care of elderly citizens2004In: 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.

  • 11.
    Moström, Dennis
    et al.
    XLENT technology.
    Hägglund, Maria
    Department of Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Department of Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Department of Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    A Case Study of a Service Oriented Architecture (SOA) Implementation using the "Dream Team" Method in Shared Healthcare2006In: Proceedings of ICICTH 2006 / [ed] Kioulafas, K.; Katharaki, M., 2006, p. 241-246Conference paper (Refereed)
  • 12.
    Scandurra, Isabella
    et al.
    APRI eHealth, Själevad, Sweden..
    Hägglund, Maria
    A collaborative design method to support integrated care.: An ICT development method containing continuous user validation improves the entire care process and the individual work situation2009In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 9, no Suppl.Article in journal (Refereed)
    Abstract [en]

    Introduction

    Integrated care involves different professionals, belonging to different care provider organizations and requires immediate and ubiquitous access to patient-oriented information, supporting an integrated view on the care process [1].

    Purpose

    To present a method for development of usable and work process-oriented information and communication technology (ICT) systems for integrated care.

    Theory and method

    Based on Human-computer Interaction Science and in particular Participatory Design [2], we present a new collaborative design method in the context of health information systems (HIS) development [3]. This method implies a thorough analysis of the entire interdisciplinary cooperative work and a transformation of the results into technical specifications, via user validated scenarios, prototypes and use cases, ultimately leading to the development of appropriate ICT for the variety of occurring work situations for different user groups, or professions, in integrated care.

    Results and conclusions

    Application of the method in homecare of the elderly resulted in an HIS that was well adapted to the intended user groups. Conducted in multi-disciplinary seminars, the method captured and validated user needs and system requirements for different professionals, work situations, and environments not only for current work; it also aimed to improve collaboration in future (ICT supported) work processes. A holistic view of the entire care process was obtained and supported through different views of the HIS for different user groups, resulting in improved work in the entire care process as well as for each collaborating profession.

  • 13.
    Scandurra, Isabella
    et al.
    APRI eHealth, Själevad, Sweden.
    Hägglund, Maria
    Karolinska University.
    An ICT development method containing Continuous User Validation improves the entire care process AND the individual work situation2009Conference paper (Refereed)
    Abstract [en]

    Introduction: Integrated care involves different professionals, belonging to different care provider organizations and requires immediate and ubiquitous access to patient-oriented information, supporting an integrated view on the care process.

    Purpose: To present a method for development of usable and work process-oriented information and communication technology (ICT) systems for integrated care.

    Theory and method: Based on Human-computer Interaction Science and in particular Participatory Design, we present a new collaborative design method in the context of health information systems (HIS) development. This method implies a thorough analysis of the entire interdisciplinary cooperative work and a transformation of the results into technical specifications, via user validated scenarios, prototypes and use cases, ultimately leading to the development of appropriate ICT for the variety of occurring work situations for different user groups, or professions, in integrated care.

    Results and conclusions: Application of the method in homecare of the elderly resulted in an HIS that was well adapted to the intended user groups. Conducted in multi-disciplinary seminars, the method captured and validated user needs and system requirements for different professionals, work situations, and environments not only for current work; it also aimed to improve collaboration in future (ICT supported) work processes. A holistic view of the entire care process was obtained and supported through different views of the HIS for different user groups, resulting in improved work in the entire care process as well as for each collaborating profession.

  • 14.
    Scandurra, Isabella
    et al.
    Örebro University, Örebro University School of Business.
    Hägglund, Maria
    Karolinska University, Stockholm, Sweden.
    Developing and implementing national eHealth services for patients: an interactive exploration of challenges and potential solutions2015In: Driving Quality in Informatics: Fulfilling the Promise, 2015Conference paper (Refereed)
    Abstract [en]

    Developing and Implementing National eHealth Services for Patients – An Interactive Exploration of Challenges and Potential Solutions Isabella Scandurra, Informatics, School of Business, Örebro University, Sweden; Maria Hägglund, Health Informatics Centre, Karolinska Institutet, Sweden As a means to address current challenges for and demands on health and social care, e.g. quality of care and patient empowerment, information and communication technologies (ICT) are being used to supply citizens with various health services. One example is to give patients web access to their own electronic health records (EHRs). In this workshop, we will provide examples and experiences from ongoing work in Sweden to develop and implement eHealth services for citizens; SUSTAINS [1] and My Care Pathways [2].The workshop participants will be engaged in interactive discussions regarding challenges and potential solutions based on their experiences from different contexts. The aim of the workshop is twofold: 1. To explore challenges for developing and implementing e-health systems for citizens to access their patient information and other e-health services online. 2. To suggest strategies and activities that could provide potential solutions to the identified challenge. Workshop structure The disposition of the workshop is as follows: a 90 minute session, a 15 minutes break and another 75 minute session. The two sessions will contain both presentations from the workshop organizers and interactive discussions and work in smaller groups to engage all participants and share experiences from different contexts. This disposition requires active participants to generate new ideas and knowledge through discussions and reflections where all participants contribute with their knowledge and understanding of the problem. The topic is expected to engage a lot of people, maybe not only those present at the workshop or at the conference. The workshop organizers will encourage live tweeting during the sessions and invite followers. 

  • 15.
    Scandurra, Isabella
    et al.
    Örebro University, Örebro University School of Business.
    Hägglund, Maria
    Karolinska University.
    How to introduce a mobile ICT system in homecare?: a socio-technical implementation process dis-/ covering staff’s opinions and intention to use ICT2008Conference paper (Refereed)
  • 16.
    Scandurra, Isabella
    et al.
    Centre for EHealth, Uppsala University, University Hospital, Uppsala, Sweden; Dept of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Dept of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    Dept of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Centre for EHealth, Uppsala University, University Hospital, Uppsala, Sweden; Dept of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Heuristic Evaluation Performed by Usability-educated Clinicians: Education and Attitudes2007In: 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.

  • 17.
    Scandurra, Isabella
    et al.
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Johansson, Niklas
    Department of Information Technology, Human Computer Interaction, Uppsala University, Uppsala, Sweden.
    Sandblad, Bengt
    Department of Information Technology, Human Computer Interaction, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    User needs for development of context dependent devices in mobile home care2003In: 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.

  • 18.
    Scandurra, Isabella
    et al.
    Centre for eHealth, Uppsala University, Uppsala, Sweden .
    Hägglund, Maria
    Koch, Sabine
    Karolinska University.
    Application of the Multi-disciplinary Thematic Seminar Method in two Homecare Cases: A Comparative Study2008In: EHealth Beyond the Horizon – Get IT There: Proceedings of MIE2008 / [ed] Stig Kjær Andersen; Gunnar O. Klein; Stefan Schulz; Jos Aarts; M. Cristina Mazzoleni, Amsterdam: IOS Press, 2008, Vol. 136, p. 597-602Conference paper (Refereed)
    Abstract [en]

    A significant problem with current health information technologies is that they poorly support collaborative work of healthcare professionals, sometimes leading to a fragmentation of workflow and disruption of healthcare processes. Objective: This paper presents two homecare cases, both applying multi-disciplinary thematic seminars (MdTS) as a collaborative method for user needs elicitation and requirements specification. Methods: This study describes the MdTS application to elicit user needs from different perspectives to coincide with collaborative professions' work practices in two cases. Results: Despite different objectives, the two cases validated that MdTS emphasized the "points of intersection" in cooperative work. Different user groups with similar, yet distinct needs reached a common understanding of the entire work process, agreed upon requirements and participated in the design of prototypes supporting cooperative work. Conclusion: MdTS was applicable in both exploratory and normative studies aiming to elicit the specific requirements in a cooperative environment.

  • 19.
    Scandurra, Isabella
    et al.
    Centre for eHealth, Uppsala University, University Hospital, Uppsala, Sweden.
    Hägglund, Maria
    Koch, Sabine
    Karolinska University.
    From user needs to system specifications: Multi-disciplinary thematic seminars as a collaborative design method for development of health information systems2008In: Journal of Biomedical Informatics, ISSN 1532-0464, E-ISSN 1532-0480, Vol. 41, no 4, p. 557-569Article in journal (Refereed)
    Abstract [en]

    This paper presents a new multi-disciplinary method for user needs analysis and requirements specification in the context of health information systems based on established theories from the fields of participatory design and computer supported cooperative work (CSCW). Whereas conventional methods imply a separate, sequential needs analysis for each profession, the “multi-disciplinary thematic seminar” (MdTS) method uses a collaborative design process. Application of the method in elderly homecare resulted in prototypes that were well adapted to the intended user groups. Vital information in the points of intersection between different care professions was elicited and a holistic view of the entire care process was obtained. Health informatics-usability specialists and clinical domain experts are necessary to apply the method. Although user needs acquisition can be time-consuming, MdTS was perceived to efficiently identify in-context user needs, and transformed these directly into requirements specifications. Consequently the method was perceived to expedite the entire ICT implementation process.

  • 20.
    Scandurra, Isabella
    et al.
    Örebro University, Örebro University School of Business.
    Hägglund, Maria
    Karolinska University.
    Koch, Sabine
    Karolinska University.
    Multi-disciplinary Thematic Seminars – a method for continuous user validation of system requirements in integrated care2008Conference paper (Other (popular science, discussion, etc.))
  • 21.
    Scandurra, Isabella
    et al.
    Centre for eHealth, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Koch, Sabine
    Karolinska University.
    Usability Laboratory Test of a Novel Mobile Healthcare Application with Experienced Home Help Service Staff2008In: Open Medical Informatics Journal, ISSN 1874-4311, Vol. 2, p. 117-128Article in journal (Refereed)
    Abstract [en]

    Using participatory design, we developed and deployed a mobile Virtual Health Record (VHR) on a personal digital assistant (PDA) together with experienced homecare staff. To assess transferability to a second setting and usability when used by novice users with limited system education the application was tested in a usability lab. Eight participants from another homecare district performed tasks related to daily homecare work using the VHR. Test protocols were analyzed with regard to effectiveness, potential usability problems and user satisfaction. Usability problems having impact on system performance and contextual factors affecting system transferability were uncovered. Questionnaires revealed that the participants frequently used computers, but never PDAs. Surprisingly there were only minor differences in input efficiency between novice and experienced users. The participants were overall satisfied with the application. However, transfer to another district can not be performed, unless by means of careful field observations of contextual differences.

  • 22.
    Scandurra, Isabella
    et al.
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Koch, Sabine
    Department of Medical Sciences, Medical Informatics and Engineering, Uppsala University, Uppsala, Sweden.
    Visualization and Interaction Techniques for Mobile CloseCare2003In: 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)
  • 23.
    Scandurra, Isabella
    et al.
    Department of information technology, Uppsala university, Uppsala, Sweden.
    Hägglund, Maria
    Persson, Anne
    Skövde University, Skövde, Sweden.
    Åhlfeldt, Rose-Mharie
    Informatics, Skövde University, Skövde, Sweden.
    Disturbing or Facilitating? On the Usability of Swedish eHealth Systems 20132014In: E-Health – For Continuity of Care: Proceedings of MIE2014 / [ed] Christian Lovis, Brigitte Séroussi, Arie Hasman; Louise Pape-Haugaard; Osman Saka; Stig Kjær Andersen, Amsterdam: IOS Press, 2014, Vol. 205, p. 221-225Conference paper (Refereed)
    Abstract [en]

    As many evaluations show, healthcare organizations do not accomplish the intended effects of their eHealth systems due to inadequate usability. On behalf of the Swedish Ministry of Health and Social Affairs, the usability of current eHealth systems in Swedish healthcare have been analysed from the perspective of healthcare and social service professionals. The objective of the study was to report on current problems, potential solutions as well as to relate these to research in relevant areas. Using a participatory approach, seven workshops were held where researchers within health informatics collaborated with staff from different care providers, representatives of the national associations of health and social care professionals and the national eHealth system vendor organization. This paper presents a foundation for further development of eHealth systems, condensed into 10 issues that the Swedish health and social care professionals find imperative to improve. The study emphasizes that the development of eHealth systems is always a matter of organizational and process development and must be integrated into the care practice improvement process. Further, based on the findings, some identified challenges are discussed.

  • 24.
    Scandurra, Isabella
    et al.
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden.
    Åhlfeldt, Rose-Mharie
    School of Humanities and Informatics, University of Skövde, Skövde, Sweden.
    Experiences of Novel e-Health Services for Patients: Pros, Cons and Future Challenges2013In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 192, p. 1254-1254Article in journal (Refereed)
    Abstract [en]

    It is crucial to involve the patient in the development of patient accessible eHealth systems. But who, how and when? Patientinvolvement in development of e-health services for citizens has gained little attention to date. It is important to highlight theexperiences, pros and cons, and explore new issues and future challenges that arise for all different stakeholders involved in e-healthdevelopment. One source of inspiration for this workshop is the European funded SUSTAINS project which aims to deploy e-healthservices with the patient as an important actor. Another is the Swedish research project My Care Pathways where focus is ondevelopment of new e-health services that enable the patient to follow and interact with their care processes. This workshop aims todiscuss the experiences made in ongoing European deployment projects of online e-health services as well as methods to improvepatient participation in such development based on current evaluations and future needs. The objective is to collect and disseminatevarious experiences from novel e-health service deployment in Europe; during the workshop active participation is desired via twitterand other eLearning tools, and afterwards the results of the workshop are published on easily accessible web sites.

  • 25.
    Scandurra, Isabella
    et al.
    Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Karolinska Institute, Stockholm, Sweden.
    Åhlfeldt, Rose-Mharie
    Skövde University, Skövde, Sweden.
    Persson, Anne
    Skövde University, Skövde, Sweden.
    Building usability into National eHealth strategies: An Action Research Approach2013In: Action Research, Interventions, and Participatory Design, 2013Conference paper (Refereed)
  • 26.
    Scandurra, Isabella
    et al.
    Centre for eHealth, Uppsala University, Sweden.
    Moström, Dennis
    Hägglund, Maria
    Introducing a Mobile ICT system in Homecare: Evaluation of a Socio-technical Implementation Process 2008In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 6, no 5, p. 356-366Article in journal (Refereed)
  • 27.
    Scandurra, Isabella
    et al.
    Örebro University, Örebro University School of Business.
    Åhlfeldt, Rose-Mharie
    Skövde University, Skövde, Sweden.
    Persson, Anne
    Skövde University, Skövde, Sweden.
    Hägglund, Maria
    Karolinska University, Karlstad, Sweden.
    Challenges in applying a Participatory Approach in a Nation-wide project: The case of ‘Usability of Swedish eHealth Systems 20132013In: Proceedings of Past History and Future Challenges of Human Work Interaction Design (HWID), 2013Conference paper (Refereed)
1 - 27 of 27
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