Sociotechnical Systems as Innovation Systems in the Medical and Health Domain

It is argued that a development of healthcare systems should emerge within a healthcare providing organization and as part of daily practice instead of something implemented by a third party, in order to become successful. This sociotechnical view on system development is shared with new methods developed in the end-user development field. However, is it possible to realize this in practice? This paper explores the obstacles and potentials in the realization, leading to a discussion about sociotechnical systems as innovation systems. We describe two examples of sociotechnical innovation systems, and discuss the results from an end user driven innovation process perspective.

[1]  Enrico W. Coiera,et al.  Putting the technical back into socio-technical systems research , 2007, Int. J. Medical Informatics.

[2]  Marc Berg,et al.  The contextual nature of medical information , 1999, Int. J. Medical Informatics.

[3]  Silvia Miksch,et al.  Bridging the Gap Between Informal and Formal Guideline Representations , 2006, ECAI.

[4]  Helena Lindgren,et al.  Agent-Supported Assessment for Adaptive and Personalized Ambient Assisted Living , 2011, PAAMS.

[5]  Yrjö Engeström,et al.  Expansive Visibilization of Work: An Activity-Theoretical Perspective , 1999, Computer Supported Cooperative Work (CSCW).

[6]  Helena Lindgren,et al.  Domain Experts Tailoring Interaction to Users - An Evaluation Study , 2011, INTERACT.

[7]  E. Hippel,et al.  Customers As Innovators: A New Way to Create Value , 2002 .

[8]  Helena Lindgren,et al.  Designing Systems for Health Promotion and Autonomy in Older Adults , 2009, INTERACT.

[9]  Marc Berg,et al.  Patient care information systems and health care work: a sociotechnical approach , 1999, Int. J. Medical Informatics.

[10]  Jesper Simonsen,et al.  Iterative participatory design , 2010 .

[11]  Mikko Korpela,et al.  A participatory assessment of IS integration needs in maternity clinics using activity theory , 2007, Int. J. Medical Informatics.

[12]  M. Cabana,et al.  Why don't physicians follow clinical practice guidelines? A framework for improvement. , 1999, JAMA.

[13]  Helena Lindgren,et al.  A Model for Interaction Design of Personalised Knowledge Systems in the Health Domain , 2010, eHealth.

[14]  Peter Elkin,et al.  The Human Factors Engineering Approach to Biomedical Informatics Projects: State of the Art, Results, Benefits and Challenges , 2007, Yearbook of Medical Informatics.

[15]  Gerhard Fischer,et al.  Meta-design , 2004, Commun. ACM.