Conference article

Communication and Relations between Healthcare Professionals before and after Implementation of a Telehomecare System: A Study Protocol

Karsten Ulrik Niss
Department of Business and Management, Aalborg University, Aalborg, Denmark

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Published in: Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018

Linköping Electronic Conference Proceedings 151:9, p. 51-55

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Published: 2018-08-24

ISBN: 978-91-7685-213-2

ISSN: 1650-3686 (print), 1650-3740 (online)

Abstract

Twenty years after Reed Gartner stated, that a successful implementation of IT systems is 80% organization, and 20% technology, the organizational part of implementing health IT is still overseen or gives challenges in many projects.

This research project follows the implementation of a tele-homecare project for citizens with heart failure and focuses on the communication and relations between the health professionals.

The hypothesis is that new forms of cooperation and relationships between the actors emerge, mediated by the tele-homecare technology used. The methodology includes Actor-Network Theory (ANT) and Relational Coordination as the conceptual framework. Data is collected using a mix-methods approach combining a before/after survey and focus group interviews. The relations between the actors are analysed using Social Network Analysis (SNA), and data from the in-terviews are analysed using an iterative condensation.

The objective is to show that relational coordination, ANT, and SNA, are useful theories and tools to elucidate changes in collaboration before/after implementation of a tele-homecare solution, and provide an indication of why imple-mentation in comparable organizations gives different results.

Keywords

Telemedicine, Medical Informatics, Organisations, Organisa-tional Change, Social Network Analysis, Actor-Network The-ory, Relational Coordination.

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