FROM REPRESENTATIVE TO TRANSFORMATIVE USER PARTICIPATION – A CASE STUDY OF PUBLIC HEALTHCARE DIGITALIZATION

User participation in IS implementation is a core topic for the IS community. While most of our current participation theories emerged in the 1990s and 2000s, recent developments such as the emergence of large half-built products and the increased emphasis on digital transformation necessitate revisiting current understanding of participation. User participation is not anymore about merely representing the organization\u27s domain knowledge - what we call representative participation. Users participating in modern IS implementation projects need to possess additional types of knowledge and skills. This includes knowledge about the products, knowledge about the intended transformation, and leadership skills, to name a few. We investigate this emerging type of user participation - what we call transformative participation through a case study of an IS implementation project within healthcare. We discuss the knowledge and skills needed to function as transformative users as well as the challenges faced by these users

Which Mobile Health Toolkit Should a Service Provider Choose? A Comparative Evaluation of Apple HealthKit, Google Fit, and Samsung Digital Health Platform

Mobile health applications are proliferating. Platform vendors have recently created programming toolkits to support developers. In many healthcare scenarios, mobile health applications are only the end-point of a larger supervised service involving many stakeholders. We want to know how these toolkits support the delivery of such services. Using a case study approach, we study three cases of such platforms and toolkits, i.e. Apple HealthKit, Google Fit and Samsung Digital Health. We collected and analyzed data from blogs, online developer forums, toolkit documentations, and from our own programming of an example health application. We use the boundary resource model to analyze our data. Our findings show that each of the toolkits imposes, through its boundary resources, the business model of its vendor on service providers. This can have important strategic implications for health service providers who want to base their services on each of the three toolkits.acceptedVersio

Towards standardised clinical pathways for the chronically ill - a project report

This paper is a project report on the ongoing European project NEXES, running from 2008-2011. The project overall vision is improved quality of  care for the chronically ill and elderly, through more Active follow-up of the  patient in his/hers own home and  improved collaboration processes between primary and secondary care services. A series of randomized clinical trials, to be carried out at three different sites, in Barcelona; Spain,  Athens; Greece and Helse Midt-Norge;Norway are at the heart of the project, and deployment and evaluation  of Information and Communication Technology (ICT)  in the trials is a core objective.  The project will contribute to standardised clinical pathways for chronically ill and produce requirements and  guidelines on ICT deployment in such processes. The project has adopted the Business Process Modelling  Notation (BPMN) standard  as a tool for ddevelopment of the clinical  pathways. This standard seems well suited in that it provides a common view for all care stakeholders, and aids in clarifying core issues regarding collaboration and information flow. Regarding the issue of ICT, the technology evaluation processes to be carried out in the project will constitute an important set requirements for future development of dedicated ICT solutions for chronic care processes.Towards standardised clinical pathways for the chronically ill - a project repor

Acceptance of Health-Related ICT among Elderly People Living in the Community: A Systematic Review of Qualitative Evidence

There are a growing number of seniors and a growing need for health-related ICT (Information and Communication Technology) solutions to allow seniors live independently in their own homes and communities. We need to have a better understanding of how and why seniors use or do not use health-related ICT in such settings so we can improve our solutions. In order to synthesise existing knowledge we did a systematic literature review using Scopus and PubMed. We searched for both review articles and primary qualitative studies. 11 review articles and 31 primary research articles were included in the study. We structured our findings using the UTAUT2 acceptance model developed by Venkatesh et al. Our findings show that seniors want health-related ICT that gives them independence, safety and security, allows them to socialize, manage their own health, and helps them in their daily activities. They need to easily get help if they have problems using services, get tailored training and help during use. Lack of privacy and safety, and stigma are some of the reported barriers. Health-related ICT at home is different than both consumer and institutional ICT. We need more research in order to develop a specialized and operationalized acceptance model for health-related ICT use among seniors. Our mapping to UTAUT2 is a step in this direction, and suggests a possible specialization of this model.acceptedVersio

Infrastructuring as ambiguous repair: a case study of a surveillance infrastructure project

Health and welfare organisations are under increased scrutiny regarding their ability to make innovations in and increase the productivity of their services by digitising and automating them. Our empirical case study focuses on the implementation of a new health and welfare surveillance infrastructure project in a large Norwegian municipality. The infrastructure project led to significant challenges for various reasons, such as coordinating with vendors and subvendors, balancing governmentally defined purchase and implementation processes with local work practices, tailoring packaged solutions, and the differing concerns of many actors across different municipal departments. moves through ongoing cycles project moves through ongoing cycles of breakdown and repair in order to implement a working infrastructure. Key to our analysis is the way repair plays out as the infrastructure project deals with the ambiguity resulting from uncertainties in relation to both how technology works in practice and how the project will be organised. We empirically analyse three collaborative repair mechanisms: value-network repair, process repair, and participation repair. Our study enriches the understanding of infrastructuring by discussing the collaborative repair mechanisms necessary for mobilising and adapting the practices, systems, and processes that coexist in infrastructure projects. Additionally, the concept of ambiguous repair suggests that tensions cannot be permanently resolved but rather should be considered an ongoing and necessary part of practical infrastructuring.acceptedVersio