9 research outputs found

    Multidisciplinary medical team meetings: A field study of collaboration in health care

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    We present an observational study that was conducted to guide the design of an enhanced collaboration platform to support distributed multidisciplinary team meetings between two hospitals. Our goal was to find out how the breast cancer multidisciplinary team collaborates in their face-to-face meetings and in their discussions using an existing videoconferencing system and to identify obstacles and issues to their primary tasks. We identified a set of concerns around the way visibility and audibility affect the social cohesion of the group and impede communication and situation awareness between the distributed team. We also identified a parallel set of concerns around the difficulty of preparing and interacting around the medical images used in the meetings. These issues exposed a complex matrix of technical, social, procedural and organisational factors that affect the collaboration. We suggest potential directions for technical interventions in this setting

    From Artefacts to Infrastructures

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    In their initial articulation of the direction of the CSCW field, scholars advanced an open-ended agenda. This continuing commitment to open-ness to different contexts and approaches is not, however, reflected in the contents of the major CSCW outlets. The field appears to privilege particular forms of cooperative work. We find many examples of what could be described as ‘localist studies’, restricted to particular settings and timeframes. This focus on the ‘here and now’ is particularly problematic when one considers the kinds of large-scale, integrated and interconnected workplace information technologies—or what we are calling Information Infrastructures—increasingly found within and across organisations today. CSCW appears unable (or unwilling) to grapple with these technologies—which were at the outset envisaged as falling within the scope of the field. Our paper hopes to facilitate greater CSCW attention to Information Infrastructures through offering a re-conceptualisation of the role and nature of ‘design’. Design within an Information Infrastructures perspective needs to accommodate non-local constraints. We discuss two such forms of constraint: standardisation (how local fitting entails unfitting at other sites) and embeddedness (the entanglement of one technology with other apparently unrelated ones). We illustrate these themes through introducing case material drawn on from a number of previous studies

    Aligning Global and Local Aspects of A National Information Programme for Health: Developing a Critical and Socio-Technical Appreciation

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    Written by a full-time clinician, this thesis explores an example of ‘Big IT’ in healthcare, the National Programme for IT in the United Kingdom National Health Service. It is unique in exploring the interaction between people and information technology in the healthcare workplace, from an engaged standpoint within one of the National Programme’s implementation sites, in order to provide a critical and a socio-technical appreciation

    Aligning global and local aspects of a national information programme for health : developing a critical and socio-technical appreciation

    Get PDF
    Written by a full-time clinician, this thesis explores an example of ‘Big IT’ in healthcare, the National Programme for IT in the United Kingdom National Health Service. It is unique in exploring the interaction between people and information technology in the healthcare workplace, from an engaged standpoint within one of the National Programme’s implementation sites, in order to provide a critical and a socio-technical appreciation.EThOS - Electronic Theses Online ServiceGBUnited Kingdo
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