Towards Process Support in Information Technologies for the Healthcare Sector: The Context-Aware Methodology

Terje Solvoll
Norwegian Centre for e-Health Research, University Hospital of North Norway, Tromsø, Norway

Conceição Granja
Norwegian Centre for e-Health Research, University Hospital of North Norway, Tromsø, Norway

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Ingår i: Proceedings from The 14th Scandinavian Conference on Health Informatics 2016, Gothenburg, Sweden, April 6-7 2016

Linköping Electronic Conference Proceedings 122:9, s. 57-61

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Publicerad: 2016-03-31

ISBN: 978-91-7685-776-2

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


Health Information Technology denotes an enormous potential to improve health care cost effectiveness and quality of care. However, health information technology has been failing to demonstrate its foreseen benefits, and its involvement in the care process is limited to specific fields. Several disadvantages of health information technologies have been reported. Partly due to the autonomy of most clinical departments, few health care processes have been modelled comprehensively enough to provide a basis for specifying software requirements to health information technology designers. Alternatively, health information technology designers have focused on supporting the work of individual care team members by taking existing paperbased tools, as their models. The result is that most health information technology does little for process support. Health information technology usability, and adoption in daily practice is closely related to the systems’ semantic and technological interoperability. The trend in the health information technology field has been to push as much information as possible to the users, with a view to finding a solution. In this paper is discussed how the context-aware methodology can contribute as a solution to this problem, by enabling process support.


context-awareness, healthcare, workflow, information technology, process support.


1] Goldberg HS, Morales A, Gottlieb L, Meador L, Safran C. Reinventing patient-centered computing for the twenty-first century. Studies in health technology and informatics. 2001;84(Pt 2):1455-8.

[2] Tanriverdi H, Iacono CS, editors. Knowledge barriers to diffusion of telemedicine. Proceedings of the international conference on Information systems; 1998: Association for Information Systems.

[3] Simborg DW. Promoting electronic health record adoption. Is it the correct focus? Journal of the American Medical Informatics Association : JAMIA. 2008;15(2):127-9.

[4] DesRoches CM, Campbell EG, Rao SR, Donelan K, Ferris TG, Jha A, et al. Electronic health records in ambulatory care - a national survey of physicians. The New England journal of medicine. 2008;359(1):50-60.

[5] Furukawa MF, Raghu TS, Spaulding TJ, Vinze A. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75.

[6] Pedersen CA, Gumpper KF. ASHP national survey on informatics: assessment of the adoption and use of pharmacy informatics in U.S. hospitals-2007. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2008;65(23):2244-64.

[7] Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, et al. Use of electronic health records in U.S. hospitals. The New England journal of medicine. 2009;360(16):1628-38.

[8] Knox GE, Simpson KR. Teamwork: the fundamental building block of high-reliability organizations and patient safety. Patient safety handbook. 2004:379-414.

[9] Poggio FL. End-to-end medication management. A game of 20 questions can show whether your hospital is ready for the project. Healthcare informatics : the business magazine for information and communication systems. 2004;21(8):30-1.

[10] Starling J, Foley S. From pilot to permanent service: ten years of paediatric telepsychiatry. Journal of telemedicine and telecare. 2006;12(suppl 3):80-2.

[11] Whitten P, Holtz B, Nguyen L. Keys to a successful and sustainable telemedicine program. International journal of technology assessment in health care. 2010;26(02):211-6.

[12] Zanaboni P, Wootton R. Adoption of telemedicine: from pilot stage to routine delivery. BMC medical informatics and decision making. 2012;12(1).

[13] Berg M. Implementing information systems in health care organizations: myths and challenges. International journal of medical informatics. 2001;64(2):143-56.

[14] Heeks R. Health information systems: Failure, success and improvisation. International journal of medical informatics. 2006;75(2):125-37.

[15] May C, Mort M, Mair FS, Finch T. Telemedicine and the future patient: Risk, Governance and Innovation: Economic and Social Research Council; 2005.

[16] May C, Ellis NT. When protocols fail: technical evaluation, biomedical knowledge, and the social production of ’facts’ about a telemedicine clinic. Social science & medicine. 2001;53(8):989-1002.

[17] Mort M, Smith A. Beyond information: Intimate relations in sociotechnical practice. Sociology. 2009;43(2):215-31.

[18] Dünnebeil S, Sunyaev A, Blohm I, Leimeister JM, Krcmar H. Determinants of physicians’ technology acceptance for e-health in ambulatory care. International journal of medical informatics. 2012;81(11):746-60.

[19] KS. IKT i helse- og omsorg 2008-2012 - strategi- og handlingsplan. Oslo: 2008.

[20] Andreassen HK. What does an e-mail address add?-Doing health and technology at home. Social science & medicine. 2011;72(4):521-8.

[21] Schreurs N. Fiasko eller fremtid? Computerworld. 2012.

[22] Wyatt JC, Sullivan F. eHealth and the future: promise or peril? Bmj. 2005;331(7529):1391-3.

[23] Ash JS, Sittig DF, Dykstra RH, Guappone K, Carpenter JD, Seshadri V. Categorizing the unintended sociotechnical consequences of computerized provider order entry. International journal of medical informatics. 2007;76:S21-S7.

[24] Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Journal of the American Medical Informatics Association. 2004;11(2):104-12.

[25] Friedberg MW, Chen PG, Van Busum KR, Aunon F, Pham C, Caloyeras J, et al. Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy: Rand Corporation; 2013.

[26] Koppel R, Wetterneck T, Telles JL, Karsh BT. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Journal of the American Medical Informatics Association : JAMIA. 2008;15(4):408-23.

[27] Bisgaard JJ, Heise M, Steffensen C. How is Context and Context-awareness Defined and Applied? A Survey of Context-awareness. Department of Computer Science, Aalborg University. 2004:31-40.

[28] Lieberman H, Selker T. Out of context: Computer systems that adapt to, and learn from, context IBM Systems Journal. 2000;39(3,4):617 - 32.

[29] Schilit B, Adams N, Want R, editors. Context-aware computing applications. Mobile Computing Systems and Applications, 1994 Proceedings, Workshop on; 1994.

[30] Dey AK. Understanding and using context. Personal and ubiquitous computing. 2001;5(1):4-7.

[31] Dourish P. What we talk about when we talk about context. Personal and ubiquitous computing. 2004;8(1):19-30.

[32] Abowd GD, Dey AK, Brown PJ, Davies N, Smith M, Steggles P. Towards a Better Understanding of Context and Context-Awareness. Proceedings of the 1st international symposium on Handheld and Ubiquitous Computing; Karlsruhe, Germany. 743843: Springer-Verlag; 1999. p. 304-7.

[33] Bardram JE, Hansen TR, Soegaard M. AwareMedia: a shared interactive display supporting social, temporal, and spatial awareness in surgery. Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work; Banff, Alberta, Canada: ACM; 2006.

[34] Hristova A. Conceptualization and Design of a Context-aware platform for user centric Applications [Master]. Trondheim: Norwegian University of Science and Technology; 2008.

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