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  • 1.
    Department of Computer and Information Science (IDA) Linköpings Universitet, SE - 581 83 Linköping, Sweden, Vivian
    et al.
    Department of Computer and Information Science (IDA) Linköpings Universitet, Linköping, Sweden.
    Olve, Nils-Göran
    Department of Computer and Information Science Linköping University, Sweden .
    Scandurra, Isabella
    Centre for eHealth, Uppsala University, Sweden; Department of Medical Sciences, Uppsala University, Sweden .
    Koch, Sabine
    Centre for eHealth, Uppsala University, Sweden; Department of Medical Sciences, Uppsala University, Sweden .
    Organizational effects of the use of information and communication technology (ICT) in elderly homecare: a case study2008In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 14, no 3, p. 195-209Article in journal (Refereed)
    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.

  • 2.
    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.

  • 3.
    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.

  • 4.
    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)
  • 5.
    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.

  • 6.
    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.

  • 7.
    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)
  • 8.
    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.

  • 9.
    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.

  • 10.
    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)
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