What does it take to replace an old functioning information system with a new one?: A case study
Blekinge Institute of Technology, School of Engineering, Department of Interaction and System Design2007 (English)In: International Journal of Medical Informatics, ISSN 1386-5056 , Vol. 76, S149-S158 p.Article in journal (Refereed) PublishedAlternative title
Vad krävs det för att ersätta ett gammalt fungerande informationssystem med ett nytt? En fallstudie (Swedish)
The first claim we make in the paper is that an old-fashioned information system within health care work will not successfully be replaced by a new one, unless the new is better “as a whole”, that is, better supports work practices of a range of occupational and professional workers. The second claim is that the dilemmas system designers almost always will face when designing information system for the public sector is based on a contradiction between central, high level interest and a local level work-practice perspective. If the discontinuities in the design activity can be exposed and analyzed a better match to the socio-technical system as constituted by the work practice in question will be accomplished. We underpin our arguments and relate them to a case study of municipal wound care work. Our study reveals that work practice of the municipal nurses is characterized by three distinctive features: High mobility, the need for face-to-face interaction in different locations, and a great variety of artefact usage. Finally we suggest a methodology that might help system designers to get a better understanding of what socio-technical system they are supposed to further develop.
verksamhetsteori, informationsbehandling, medicinsk informatik, sårbehandling, gränssnitt, storlek
Place, publisher, year, edition, pages
ELSEVIER SCI IRELAND LTD , 2007. Vol. 76, S149-S158 p.
Activity theory, Information storage and retrieval, Medical informatics, Wounds, Wound treatment, Interface size
Human Aspects of ICT Nursing
IdentifiersURN: urn:nbn:se:bth-8668DOI: doi:10.1016/j.ijmedinf.2006.05.047Local ID: oai:bth.se:forskinfoBD8CE75916DA8844C12573C90057982COAI: oai:DiVA.org:bth-8668DiVA: diva2:836417