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- Janols, Rebecka, 1981-
(författare)
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Evolving Systems – Engaged Users : Key Principles for Improving Region-wide Health IT Adoption
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Many countries have formulated their eHealth visions and billions of dollars have been spent on supporting the eHealth development throughout the world. An important part of the development is the electronic patient record (EPR). To enable sharing and increase cooperation between care providers, most Swedish county councils have decided to use a region-wide EPR. The health professionals often experience numerous problems and consider the region-wide EPR to be too generic and require them to tailor their practices instead of the system evolving towards supporting their needs.The aim of the PhD research is to gain knowledge of adoption when deploying and using region-wide health IT systems. This is accomplished by studying, analysing and reflecting upon what region-wide health IT systems are and how professionals use them in their practice. In the research a grounded theory method has been used, which means that the empirical data, not theories and hypotheses, have driven the research process. The data-gathering methods have been interviews, observations, participating in meetings, questionnaires, seminars and conducting literature reviews.In order to be able to improve the adoption, a set of four key principles has been identified: (1) Evolving systems-Engaged users, (2) Treat IT deployment and usage as part of organisational development, (3) Identify, respect and support differences, and (4) Identify what must be customised and what can be centralised.These four principles challenge the traditional way of developing enterprise-wide IT and emphasise the importance that users must engage in the development, procurement and deployment process to identify their similar and unique needs and procedures. It is crucial that both the similarities and uniqueness are respected and supported. The similarities can be supported by a centralised, standardised solution, while uniqueness requires a customised solution. In order to accomplish that, the IT deployment and usage needs to be treated as an important part of the on-going organisational development, and the IT systems must evolve, i.e., be continuously developed in order to engage the users to participate.
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| 2. |
- Janols, Rebecka, et al.
(författare)
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Informationssystem i Vården Användbarhet och Nytta (IVAN). Förstudierapport 2008.
- 2013
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Under hösten 2008 har ett samarbetsprojekt mellan Akademiska sjukhuset och Uppsala universitet påbörjats. Det har handlat om att fram mer användbara IT-stöd där målet är att IT-användningen ska bidra till ett effektivt och hållbart arbete. Under hösten har vi genomfört aktiviteter i form av intervjuer, observationer, enkäter samt medverkat i olika personalaktiviteter på tre enheter på Akademiska sjukhuset: ortopedmottagningen, 30e och 96c. Slutsatserna presenterar vi i form av fem övergripande rekommendationer inför det fortsatta arbetet. De fem rekommendationerna är: 1) Uppsökande supportverksamhet, 2) Jourhavande jurist, 3) Mandat, 4) Utvärdera samt 5) utbildning.
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| 3. |
- Janols, Rebecka, et al.
(författare)
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Physicians' concept of time usage : A key concern in EPR deployment
- 2010
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Konferensbidrag (refereegranskat)abstract
- This paper is based on an interview study with 19 resident, specialist and senior physicians. The study was initiated by a Swedish Hospital management to investigate physicians’ attitude towards their EPR (Electronic Patient Records) and give recommendations for improvement in organization, development, deployment and training. The management had experienced that the physicians were unwilling to take part in the EPR deployment process and simultaneously complained about the low usability and potential safety risks of the systems. The study shows that the EPR must be considered a shared responsibility within the whole organization and not just a property of the IT department. The physicians must consider, and really experience, EPR as efficient support in their daily work rather than something they are forced to use. This includes considering work with the EPR as an important part of their work with patients.
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| 6. |
- Borälv, Erik, 1968-
(författare)
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Design in Telemedicine : Development and Implementation of Usable Computer Systems
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Designing computer systems that effectively support the user is the major goal within human-computer interaction. To achieve this, we must understand and master several tasks. This process must initially deal with the question of knowing what to develop and later, with the question of knowing how to design and develop the system. This view might seem off-target at first, since it does not explicitly mention the goals or functions of the system. However, more often than not, there is no objective goal to aim for that can be formally specified and used as a target criterion that will signal when we have designed an appropriate system. Instead, there is a large set of vague goals – some of which may last through the entire project and some that will not. It is therefore somewhat confounding that most of the current methods of systems development require that these goals are explicitly laid out, in order to steer development. For researchers in Human-Computer Interaction, the existence of many varying – and possibly conflicting goals – presents is a great challenge. The constructive main focus on producing usable systems is a matter of understanding this complex situation and knowing how to proceed from there. There are many existing approaches that can be used to carry out this complex development process. This thesis presents one approach, based on the notion that the elements that constitute a successful system are also a part of the solution. This thesis presents this approach as it is applied to the development of systems for computer-supported work in health care. The projected solution suggests that we need to focus more intently on active user involvement in iterative development that is significantly long-term. The traditional, rather narrow circle of focus that encompasses design, development and evaluation is not sufficient.
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| 7. |
- Borälv, Erik, et al.
(författare)
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A Design Case: Interactive Sports Content Broadcasting
- 2004
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Rapport (populärvet., debatt m.m.)abstract
- Digital television is a new and interesting platform for developing multimedia services. The MELISA platform aims at cross-media broadcasting over digital television and 3G mobile networks. The platform provides presentation of interactive video content, advertisement and gaming. The devices targeted by these services are Set-Top Boxes and Portable Digital Assistants. A new service, in combination with technology that does not yet allow for very rich interaction, requires careful and inventive design of the user interfaces. The key to gaining consumer acceptance of interactive TV is ease of use. In this paper we present the system architecture briefly and discuss issues related to user interface design, considering both the type of media content and hardware platforms. We reflect on the design process used and its suitability as we as designers have experienced it.
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| 8. |
- Borälv, Erik
(författare)
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Design and evaluation of the CHILI system
- 2004
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Ingår i: Technical reports from the Department of Information Technology at Uppsala University. - 1404-3203. ; :56
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Tidskriftsartikel (refereegranskat)
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| 9. |
- Borälv, Erik
(författare)
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Design and Evaluation of the CHILI System
- 2004
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Rapport (populärvet., debatt m.m.)abstract
- The CHILI system is a general-purpose radiology workstation with teleradiology and telecardiology functions. The design of the CHILI user interface is made with the purpose to achieve high usability. Usability is treated as part of the product develop-ment process instead of being a separate activity. A number of design principles rationale – guided the design of the user interface. The minimalism of the system comes from the approach to focus primarily on work tasks instead of functionality. This is accomplished by displaying as much information as possible in one single window. No functions are out of sight in menus or additional dialogue windows. An evaluation using questionnaires was performed to assess the usability of the system. The questionnaires include a validated usability measure (the System Usability Scale) to give a global assessment of system usability. Five experienced users were interviewed individually to complement the ques-tionnaire data. The design approach used in the CHILI system was found to be working, both from an experienced and new user’s perspective. The strong sides of the system are the ease of use, the minimalism of the design, and the way the system is adapted to the working environment. Areas where it is possible to improve are the on-line help system, questions regarding available functionality, and user training. Continuous redesign and development has helped increase usability.
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