Show simple item record

dc.contributor.advisorEllingsen, Gunnar
dc.contributor.authorBerg, Kristian
dc.contributor.authorNicolaisen, Kristian
dc.date.accessioned2015-06-20T05:07:31Z
dc.date.accessioned2016-05-19T13:28:40Z
dc.date.available2016-05-19T13:28:40Z
dc.date.issued2015-05-13
dc.description.abstractThis empirical study of the national message exchange system is aimed to serve as a partial evaluation within a local context, based on user experiences. A qualitative method based on semi-structured, open-ended interviews with clinical system users at the University Hospital of Northern-Norway and in the healthcare service of the Municipality of Tromsø, combined with informal meetings with project members and a literature review, serves as basis for the data collection. Hospital users described message use as additional work tasks, and as a rule had to rely on several methods of communication to ensure a safe and robust transfer of clinical information across health levels. The reasons for this appeared to be the need for more synchronous communication and a divide between administrative and clinical information handling in the municipalities. Message structure was in many cases conceived as confusing, and there seemed to be a lack of a proper training strategy for system use. In communication between municipal healthcare and GPs, the system was experienced as time saving and convenient due to the way it supported the asynchronous work practices. We argue that an on-going, thorough evaluation during the implementation process could have supported the work of mapping unintended consequences and dealing with them. We have identified specific aspects that we believe could have contributed to this, such as closer follow-up and monitoring of smaller municipalities, a more thorough strategy for user education and message notification in the hospital’s EPR. However, the gap between intended use and existing work practices seems too wide to be bridged by these measures. We argue that the EME system matches poorly with existing local practices in the hospital especially, and that local practices should have been taken into consideration before implementing a system on such a large scale. It is obvious that there has been a lack of user perspectives in the evaluation of the EME system up to this point, and our thesis must be seen as a contribution towards a more comprehensive system evaluation.en_US
dc.identifier.urihttps://hdl.handle.net/10037/9199
dc.identifier.urnURN:NBN:no-uit_munin_8754
dc.language.isoengen_US
dc.publisherUiT Norges arktiske universiteten_US
dc.publisherUiT The Arctic University of Norwayen_US
dc.rights.accessRightsopenAccess
dc.rights.holderCopyright 2015 The Author(s)
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/3.0en_US
dc.rightsAttribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)en_US
dc.subject.courseIDTLM-3902en_US
dc.subjecte-Healthen_US
dc.subjectElectronic communicationen_US
dc.subjectHealthcareen_US
dc.subjectCoordinationen_US
dc.subjectCollaborationen_US
dc.subjectSystem evaluationen_US
dc.subjectIntegrated careen_US
dc.subjectImplementationen_US
dc.subjectElectronic message exchangeen_US
dc.subjectVDP::Teknologi: 500::Medisinsk teknologi: 620en_US
dc.subjectVDP::Technology: 500::Medical technology: 620en_US
dc.titleElectronic communication across organizational borders in healthcare: an empirical studyen_US
dc.typeMaster thesisen_US
dc.typeMastergradsoppgaveen_US


File(s) in this item

Thumbnail
Thumbnail

This item appears in the following collection(s)

Show simple item record

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)