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Article
Publication date: 3 August 2015

Tiwonge Davis Manda and Jo Herstad

The purpose of this paper is to discuss implications of human-technology interaction in organizational change, especially where mobile phones are introduced to replace paper-based…

Abstract

Purpose

The purpose of this paper is to discuss implications of human-technology interaction in organizational change, especially where mobile phones are introduced to replace paper-based reporting.

Design/methodology/approach

The paper employs a case study approach, focusing on implementation of mobile technology for health (mHealth) solutions to support remote data communication, between health facilities and a district health office (DHO), in Malawi.

Findings

The findings suggest that mobile phones are relevant to parts of multi-stage tasks such as data reporting, which comprise compilation, transportation, and digitization of data, and delivery of feedback. Consequently, innovation due to the introduction of mobile phones, is found in their interaction with other artefacts (paper, desktop computers, etc.), and existing paper-centric and emerging work practices.

Research limitations/implications

Although lessons from this study could be transported across contexts, practitioners, and researchers should pay particular attention to contextual differences.

Practical implications

In accounting for the mutual shaping between technology and context/work practices the paper demonstrates that mHealth innovation demands significant practical work.

Originality/value

mHealth research is often preoccupied with capabilities of mobile devices. First, the authors account for interaction between artefacts, existing, and emerging use contexts, and the use process, at multiple levels of organization. Through this, the authors argue for a need to seriously consider idiosyncrasies of artefacts and tasks at hand, as well as distributed affordances across artefacts, in mHealth implementations. Second, the authors argue that contrary to the general focus on mobile phones as tools for supporting people on the move, their relevance might actually be found in reducing people’s mobility.

Article
Publication date: 2 November 2015

Janne Lahtiranta, Jani S. S. Koskinen, Sari Knaapi-Junnila and Markku Nurminen

Service alignment between health service provider and patient is changing. Instead of placing responsibilities into the hands of a provider, new forms of co-operation are emerging…

Abstract

Purpose

Service alignment between health service provider and patient is changing. Instead of placing responsibilities into the hands of a provider, new forms of co-operation are emerging in which patients are regarded as a resource and a partner. In order to see this vision come to life, mechanisms that: first, support patient’s health decision making; and second, integrate matters of health into a wider ensemble that is health space; the overarching state of health-related affairs, are needed. In the following, these kinds of mechanisms are investigated and their applicability is discussed in relation to a national project. The paper aims to discuss these issues.

Design/methodology/approach

The work is exploratory and conceptual, focussing more on people than on technology. In the work, findings related to a concept of a health navigator; an artefact of personal health decision support, are assembled into a framework that bases on key sociological theories. The empirical elements focus on observations made on applicability of the concept, and the underlying framework of citizen-centric electronic health services.

Findings

The authors argue that the discussed concept, when applied to personal health decision making according to the underlying framework, has a potential to change health service provisioning. In addition to stimulating new kind of co-operation between the health service provider and the citizen, the concept gives form to, somewhat idealized, notions of patient choice and empowerment.

Research limitations/implications

The work described here is exploratory and forward-looking. Even though the concept and the framework are tested to a degree in a national project, more practice-oriented work is needed in terms of real-world applicability. It follows from this that the work is a conceptual elaboration on the future of personal health decision making.

Originality/value

The findings, including the discussed challenges and needs, stem from real-world observations; from the needs of citizens. As such, they indicate a direction into which the development of personal health records and health decision support aids should go.

Details

Information Technology & People, vol. 28 no. 4
Type: Research Article
ISSN: 0959-3845

Keywords

Article
Publication date: 11 November 2013

Allison Janeice Morgan and Eileen M. Trauth

The purpose of this paper is to consider the effect of demographic differences on the motivations and abilities of individuals with diabetes in their search for health information

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Abstract

Purpose

The purpose of this paper is to consider the effect of demographic differences on the motivations and abilities of individuals with diabetes in their search for health information online. Using data gathered from a qualitative study of 30 individuals, the paper examined instances of user-based health motivation and abilities using the lens of demographic differences to identify the influence on health information searching and potential health outcomes.

Design/methodology/approach

The paper utilized an interpretive, mixed methodology research design. The paper was composed of a user “experience” that served as a critical incident to the paper, where each participant was prompted to do online searching for health and nutrition information. This was followed by open-ended interviews to gain a deeper understanding of each participants’ online searching experience.

Findings

The theoretical model used was the Integrated Model of E-Health Use by Dutta-Bergman (2006) which frames the influence of group and individual-level differences on health information search and e-health use and subsequently health outcomes. The paper found that experiences among diabetic patients who have an assumed intrinsic motivation to search have differential searching behaviors due to a number of factors including access to health care provider or resources, searching success, and significant people in the individuals’ lives. Assumptions about race and socio-economic status are challenged because of the geographic location in which people live and work.

Research limitations/implications

This research on intersectionality and the health information consumer contributes to a better understanding of health information searching behavior. Implications from this research for practice are that search technology in the domain of health should be made customizable, that a variety of user perspectives should be incorporated in the e-health systems development process, and that a comprehensive view of the user in system development should be utilized. In addition, those with diabetes or other chronic illnesses should seek out a variety of resources to enhance their health outcomes.

Originality/value

The examination constitutes one of the few investigations into health information consumer characteristics that might influence the person-technology-information interaction in the context of health care provision. This type of examination into health care consumer characteristics and information behavior is necessary because it has bearing on the success of health care information systems implementation and impact.

Details

Information Technology & People, vol. 26 no. 4
Type: Research Article
ISSN: 0959-3845

Keywords

Article
Publication date: 28 October 2014

Cristiano Storni

The purpose of this paper is to raise issues about the design of personal health record systems (PHRs) and self-monitoring technology supporting self-care practices of an…

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Abstract

Purpose

The purpose of this paper is to raise issues about the design of personal health record systems (PHRs) and self-monitoring technology supporting self-care practices of an increasing number of individuals dealing with the management of a chronic disease in everyday life. It discusses the results of an ethnographic study exposing to analysis the intricacies and practicalities of managing diabetes “in the wild”. It then describe and discuss the patient-centric design of a diabetes journaling platform that followed the analysis.

Design/methodology/approach

The study includes ethnometodological investigation based on in depth interviews, observations in a support group for adults with type 1 diabetes, home visits, shadowing sessions and semi-structured interviews with a series of medical experts (endocrinologists, general practitioners and diabetes nurses). Findings informed the design of a proof-of-concept PHR called Tag-it-Yourself (TiY): a mobile journaling platform that enables the personalization of self-monitoring practices. The platform is thoroughly described along with an evaluation of its use with real users.

Findings

The investigation sheds light on a series of general characters of everyday chronic self-care practices, and how they ask to re-think some of the assumptions and connotations of the current medical model and the traditional sick role of the patient – often unreflectively assumed also in the design of personal technologies (e.g. PHR) to be used by patients in clinically un-controlled settings. In particular, the analysis discusses: the ubiquitous nature of diabetes that is better seen as a lifestyle, the key role of lay expertises and different forms of knowledge developed by the patient in dealing with a disease on a daily basis, and the need of more symmetrical interactions and collaborations with the medical experts.

Research limitations/implications

Reported discussions suggest the need of a more holistic view of self-management of chronic disease in everyday life with more attention being paid on the perspective of the affected individuals. Findings have potential implications on the way PHR and systems to support self-management of chronic disease in everyday life are conceived and designed.

Practical implications

The paper suggests designers and policy makers to look at chronic disease not as a medical condition to be disciplined by a clinical perspective but rather as a complex life-style where the medical cannot be separated by other aspects of everyday life. Such shift in the perspective might suggest new forms of collaborations, new ways of creative evidence and new form of knowledge creation and validation in chronic self-care.

Social implications

The paper suggests re-thinking the role of the patient in chronic-disease self-management. In particular, it suggests giving more room to the patient voice and concerns and suggest how these can enrich rather than complicate the generation of knowledge about self-care practices, at least in type 1 diabetes.

Originality/value

The paper sheds light on everyday intricacies and practicalities of dealing with a chronic disease. Studies of self-care practices that shed light on the patient perspectives are sporadic and often assume a clinical perspective, its assumptions (e.g. biomedical knowledge is the only one available to improve health outcome, doctors know best) and implications (e.g. compliance, asymmetry between the specialist and the patient).

Article
Publication date: 27 May 2014

Emile Silvis and Patricia M. Alexander

Actor-network theory (ANT) is considered to be both a theoretical position and a methodology. ANT has been the centre of vigorous debates regarding its ontological viewpoint but…

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Abstract

Purpose

Actor-network theory (ANT) is considered to be both a theoretical position and a methodology. ANT has been the centre of vigorous debates regarding its ontological viewpoint but has also been found to have some drawbacks as a methodology. The purpose of this paper is to use a graphical syntax for ANT to describe the development and implementation of a health information system (IS) in order to assess whether the graphical syntax improves the use of ANT as a methodology.

Design/methodology/approach

An extensive example derived from a case study, describing the development and implementation of an electronic patients’ records system, is illustrated using this graphical syntax. This serves to makes the actors, translations and black boxes in the case visible.

Findings

The syntax is found to help the researcher to conceptualise the research, to highlight assumptions as black boxes and to follow the actor but above all it encourages the researcher to understand the translations being made between actors and to make them explicit. Hence the syntax is found to assist at the analytical phases of a research project. The graphic syntax found to address the criticisms identified for ANT as an IS research methodology.

Research limitations/implications

The proposed graphical syntax assists researchers who use ANT as a methodology. Use of the syntax in education is also foreseen to be practical. The evaluation of ANT-gs in the paper provides an argument for its use but a more reliable argument would be made by collating and analysing feedback from independent modellers who actually use the graphical syntax. This is an important part of future research.

Practical implications

The visualisation of the actor-network provided by ANT-gs provides a relatively simple representation while at the same time it makes key ANT concepts explicit. This is expected to address the issue of superficial understanding of ANT and selective use of its constructs; it makes the actor-network boundaries immediately visible. Thus the paper proposes that ANT-gs will be useful both by IS researchers and as an educational tool but future research is required to verify both these practical implications. The development of a computer-based modelling tool based on this syntax is proposed to facilitate effective and efficient modelling.

Originality/value

This paper proposes a unique tool to support ANT as a methodology. Its use encourages the researcher to focus on constructs that are essential elements of ANT and, by making each of the translation instances explicit, it strengthens the analysis in a way that is true to the view of ANT as a sociology of translation.

Details

Information Technology & People, vol. 27 no. 2
Type: Research Article
ISSN: 0959-3845

Keywords

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