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What does it take to replace an old functioning information system with a new one?: A case study
Responsible organisation
2007 (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)
Abstract [en]

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.

Abstract [sv]

verksamhetsteori, informationsbehandling, medicinsk informatik, sårbehandling, gränssnitt, storlek

Place, publisher, year, edition, pages
ELSEVIER SCI IRELAND LTD , 2007. Vol. 76, S149-S158 p.
Keyword [en]
Activity theory, Information storage and retrieval, Medical informatics, Wounds, Wound treatment, Interface size
National Category
Human Aspects of ICT Nursing
URN: urn:nbn:se:bth-8668DOI: doi:10.1016/j.ijmedinf.2006.05.047Local ID: diva2:836417
Note from: 2012-09-18 Created: 2008-01-07 Last updated: 2015-06-30Bibliographically approved

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