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dc.contributor.advisorEllingsen, Gunnar
dc.contributor.authorChristensen, Bente
dc.date.accessioned2017-12-19T08:10:50Z
dc.date.available2017-12-19T08:10:50Z
dc.date.issued2017-11-11
dc.description.abstractIn this thesis, I discuss the socio-technical challenges in growing and information infrastructure for Health Care based on the openEHR specification, particularly focusing users’ role and contribution. Conceptualizing the emerging EPR system as the growing of an Information Infrastructure, the different happenings and activities in the development project have been interpreted as infrastructuring work on the different aspects of an emerging infrastructure. The dual level modeling approach in openEHR poses a different role and different tasks for users contributing in the development of the new EPR system. I see this as a new user domain arising, and a new user role that has been named domain-expert. Given that decision and process support are governments’ most prominent ambitions for the next generation EPR system, this work focuses how these features will affect work, as literature describe the effect on work as a potential challenge for adoption and use of such systems. Hence, attention has been to the inertia of the installed base, work practice and the users’ efforts in describing and modelling work processes. I find that process and decision supportive features will affect multi-disciplinary work by the way workflow systems can “order” responsibility and sequential dependency of tasks. Moreover, there was a redistribution of tasks as a consequence of the formalization and the accountability mechanism. This research is based on a study that has been ongoing for 5 years, which has allowed us to expand the focus of research longitudinally and across different social settings and scales, addressing multiple moments and sites of innovation. Methodologically, the study adheres to interpretive research and makes use of semi-structured interviews, participatory observation and document studies as methods.en_US
dc.description.doctoraltypeph.d.en_US
dc.description.popularabstractModern Electronic Patient Records (EPR)s takes on infrastructural dimensions in that they encompass many systems and are used by thousands of users in different hospitals. This study has followed the development of a novel EPR which is going to be put into use in most hospitals in Norway. Through extensive participatory observation and interviews the efforts of the users in the making and scaling of the new EPR have been identified. We have identified new tasks and new roles that come as a consequence of the particular technology chosen for the new system. This knowledge may have great impact on how the implementation project should be organized and run to have the best chances of success.en_US
dc.description.sponsorshipProsjektet ble finansiert av Tromsø Telemedicine Laboratoryen_US
dc.descriptionThe papers 2, 3 and 5 of this thesis are not available in Munin. <br> <br> Paper 2: Christensen, B., Silsand, L., Wynn, R., Ellingsen, G.: “The Biography of Participation". Available in <a href=https://doi.org/10.1145/2662155.2662183> Proceedings of the 13th Participatory Design Conference: Short Papers, Industry Cases, Workshop Descriptions, Doctoral Consortium Papers, and Keynote Abstracts 2014, 2:71–74. </a> <br> Paper 3: Christensen, B., Ellingsen, G.: “User-controlled Standardisation of Health Care Practices”. Available in <a href=http://aisel.aisnet.org/ecis2014/pr oceedings/track12/15> ECIS 2014 Proc. </a> <br> Paper 5: Christensen, B.: “Formalization and Accountability in Surgery Planning”. Available in: <a href=https://doi.org/10.1145/2957276.2957309> Proceedings of the 19th International Conference on Supporting Group Work 2016, p. 293–302. </a>en_US
dc.identifier.urihttps://hdl.handle.net/10037/11873
dc.language.isoengen_US
dc.publisherUiT The Arctic University of Norwayen_US
dc.publisherUiT Norges arktiske universiteten_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2017 The Author(s)
dc.subject.courseIDDOKTOR-003
dc.subjectehealthen_US
dc.subjectelectronic patient recorden_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.titleUsers’ role in the making and scaling of an Information Infrastructure for Health Care based on the openEHR specificationen_US
dc.typeDoctoral thesisen_US
dc.typeDoktorgradsavhandlingen_US


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