| 1. |
- Grünloh, Christiane, 1980-, et al.
(författare)
-
"why do they need to check me?" patient participation through ehealth and the doctor-patient relationship : Qualitative study
- 2018
-
Ingår i: Journal of Medical Internet Research. - : J M I R Publications, Inc.. - 1438-8871. ; 20:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Roles in the doctor-patient relationship are changing and patient participation in health care is increasingly emphasized. Electronic health (eHealth) services such as patient accessible electronic health records (PAEHRs) have been implemented to support patient participation. Little is known about practical use of PAEHR and its effect on roles of doctors and patients. Objective: This qualitative study aimed to investigate how physicians view the idea of patient participation, in particular in relation to the PAEHR system. Hereby, the paper aims to contribute to a deeper understanding of physicians' constructions of PAEHR, roles in the doctor-patient relationship, and levels and limits of involvement. Methods: A total of 12 semistructured interviews were conducted with physicians in different fields. Interviews were transcribed, translated, and a theoretically informed thematic analysis was performed. Results: Two important aspects were identified that are related to the doctor-patient relationship: roles and involvement. The physicians viewed their role as being the ones to take on the responsibility, determining treatment options, and to be someone who should be trusted. In relation to the patient's role, lack of skills (technical or regarding medical jargon), motives to read, and patients' characteristics were aspects identified in the interviews. Patients were often referred to as static entities disregarding their potential to develop skills and knowledge over time. Involvement captures aspects that support or hinder patients to take an active role in their care. Conclusions: Literature of at least two decades suggests an overall agreement that the paternalistic approach in health care is inappropriate, and a collaborative process with patients should be adopted. Although the physicians in this study stated that they, in principle, were in favor of patient participation, the analysis found little support in their descriptions of their daily practice that participation is actualized. As seen from the results, paternalistic practices are still present, even if professionals might not be aware of this. This can create a conflict between patients who strive to become more informed and their questions being interpreted as signs of critique and mistrust toward the physician. We thus believe that the full potential of PAEHRs is not reached yet and argue that the concept of patient empowerment is problematic as it triggers an interpretation of "power" in health care as a zero-sum, which is not helpful for the maintenance of the relationship between the actors. Patient involvement is often discussed merely in relation to decision making; however, this study emphasizes the need to include also sensemaking and learning activities. This would provide an alternative understanding of patients asking questions, not in terms of "monitoring the doctor" but to make sense of the situation.
|
|
| 2. |
- Myreteg, Gunilla, 1968-
(författare)
-
Cost-benefit evaluation of e-health services : acceptance and value creation are interactive forces
- 2015
-
Ingår i: Health Systems. - : Palgrave Macmillan. - 2047-6965 .- 2047-6973. ; 4:3, s. 204-211
-
Forskningsöversikt (refereegranskat)abstract
- Resources are limited in health care. There is a scarcity of knowledge on how to economically evaluate e-health. The present study is a review of research in this area. The article proposes a theoretical frame of reference for cost-benefit evaluation of e-health services from the vantage point of electronic health records. The basis of the evaluation needs to acknowledge the context of all relevant heterogeneous stakeholder groups. Acceptance is linked to the unique situation, as one group may perceive costs while another realizes the benefits. The model is expressed as a loop, where expected values and realized values within the processes are intricately connected to one another, evolving over time.
|
|
| 3. |
- Myreteg, Gunilla, 1968-, et al.
(författare)
-
Affärssystem för verksamhetsutveckling
- 2018. - 11
-
Ingår i: Controllerhandboken. - Stockholm : Liber. - 9789147127016 ; , s. 515-547
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Controllerns roll är att se till att information om resurser och resultat speglar vad som är viktigt i en verksamhet, att den når fram dit den bör och kan påverka tankar och handlingar. I dag finns controllers i alla branscher, från offentlig verksamhet till mindre företag. Controllerns arbete måste därför i allt högre grad anpassas till skiftande förutsättningar. Controllerhandboken är en heltäckande handbok i hur man kan utforma och använda ekonomistyrningen inom olika organisationer, oavsett bransch och sektor. Fokus ligger på hur bokens verktygslåda av metoder och modeller kan tillämpas på ett situationsanpassat sätt.I denna elfte upplaga finns nya kapitel om prissättning, internpriser och riskhantering. Nya författare har bidragit vid revideringen av befintliga kapitel, och de som medverkar sedan tidigare har aktualiserat sina kapitel. Redaktörernas inledningar och inramande kapitel gör att boken även går att läsa som en sammanhängande lärobok.
|
|
| 4. |
- Myreteg, Gunilla
(författare)
-
On the Embeddedness of ERP Systems : An Institutional Analysis
- 2010
-
Ingår i: Proceedings of the 4th European Conference on Information Management and Evaluation. - 9781906638726 ; , s. 275-281
-
Konferensbidrag (refereegranskat)abstract
- The benefits of IS/IT are often described in literature, and are often expressed as almost unlimited. An enterprise resource planning (ERP) system is an example of modern information technology with several benefits, such as a companywide design, with a mutual database and real time data. An ERP system is said to excel the company in several respects. However, previous research has shown that the impacts of ERP systems are moderate on management accounting as well as on the issue of productivity increases within the organization. Our understanding of why the impacts are smaller than expected is insufficient. This paper is based on a case study of a medium sized Swedish manufacturing company during the process of choosing and implementing an ERP system. The IT artifact is conceptualized as an evolving and embedded system, which is brought into a dynamic social context. The social dimension makes the process of implementing an ERP system complex and indeterminate. A less investigated aspect of these processes is the historical perspective, where literature has suggested researchers to expand the temporal boundaries. In the present study this is accomplished by investigating the process of how the ERP system was chosen, which precedes the implementation. Drawing from old institutional economics a process is seen to depend on previous actions and experiences, but at the same time the actor always has the possibility to act in a new way, causing change. The analysis examine the future users' ideas of what an ERP system is, how these ideas affect the evaluation of alternative ERP systems, and also if, how and why the ideas changes throughout the implementation. The purpose is to develop an understanding of how a new IT artifact is embedded into the social context of an organization, due to the actors' prior experiences of IT. One of the conclusions drawn is that the IT artifact may impact the work and organization in a more indirect or unnoticeable way than researchers might expect.
|
|
| 5. |
- Moll, Jonas, 1982-, et al.
(författare)
-
Experiences of Patients With Mental Health Issues Having Web-Based Access to Their Records : National Patient Survey
- 2024
-
Ingår i: JMIR Mental Health. - : JMIR Publications. - 2368-7959. ; 11:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Sharing mental health notes through patient accessible electronic health records (PAEHRs) is controversial. Many psychiatric organizations and regions in Sweden have resisted the implementation, as clinicians worry about possible harms when patients are reading their notes. Despite the documented benefits of PAEHRs, there is still a lack of knowledge regarding whether patients with mental health issues could reap similar benefits of reading their notes as other patient groups. Objective: The aim of the study is to examine the use, attitudes, and experiences of patients with mental health issues by reading their notes in the PAEHR and, moreover, whether their experiences differ from other patient groups, and if so, how. Methods: A national patient survey was conducted with answers from 2587 patients from different patient groups. In total, 504 respondents (19.5%) indicated that they experienced a mental health disease. Answers from this patient group were compared to the answers from all other respondents. Survey questions related to attitudes, information usage, and effects on contacts with care were selected for analysis. Mann-Whitney U tests were used to detect groupwise differences. Results: Patients with mental health issues use PAEHRs for checking that they have received the right care (mean_mental health 2.83, SD_mental health 1.39; mean_others 2.62, SD_others 1.37; P=.002) or suspected inaccuracies (mean_mental health 2.55, SD_mental health 1.34; mean_others 2.31, SD_others 1.30; P=.001), blocking access for professionals in other specialties (mean_mental health 3.43, SD_mental health 1.46; mean_others 3.04, SD_others 1.42; P<.001), and checking which care professionals have accessed their record (mean_mental health 4.28, SD_mental health 1.14; mean_others 4.05, SD_others 1.25; P<.001) to a significantly higher degree than other patients. On the other hand, the results show that a significantly lower proportion of patients with mental health issues (mean_mental health 3.38, SD_mental health 1.21; mean_others 3.52, SD_others 1.18; P=.02) believe that PAEHRs help them in shared decision-making compared to other patient groups. Conclusions: Patients with mental health issues who took part in the survey, as a group, express some minor differences in both the use of the PAEHR and their experiences regarding its usefulness, as compared to other patients, as a group. This patient group shows a slightly higher interest in 2 types of use: checking for accuracy of care in the record and blocking access to mental health notes for professionals from other parts of the health care system. Compared to other patient groups, these patients are less likely to experience that the PAEHR is a support in shared decision-making. The study indicates that the benefits of PAEHR on a general level are the same for this patient group as for other patients. The study does not support clinicians’ worry about possible harm to this patient group. Further research is however needed.
|
|
| 6. |
- Myreteg, Gunilla, 1968-, et al.
(författare)
-
Affärssystem för verksamhetsutveckling
- 2013. - 10
-
Ingår i: Controllerhandboken. - Stockholm : Liber. - 9789147099085 ; , s. 471-504
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 7. |
|
|
| 8. |
|
|
| 9. |
- Myreteg, Gunilla, 1968-
(författare)
-
ERP systems and organizational learning : Where do we stand? A literature review
- 2014
-
Ingår i: Proceedings of the 8th European Conference on IS Management and Evaluation, ECIME 2014. - : Academic Conferences and Publishing International Limited. - 9781910309438 ; , s. 155-162
-
Konferensbidrag (refereegranskat)abstract
- ERP systems are today implemented in a great number of organizations. Research has invested much energy and time to make descriptions and recommendations regarding how the implementation should best be managed. The next step in practice as well as in research is how to continue to develop the business processes and ERP systems in order to take advantage of all their promises, and to refine how ERP systems are used in day-to-day activities. A starting point for the present study is that organizations today are characterized by strong external and internal pressure. In order to response to and deal with these, organizations strive to balance demands regarding stability and change. This implies that organizations put effort into designing and maintaining or changing practices, rules and routines. Within the general fields of organization theory and management accounting/control the ambition to create deliberate change is often conceptualized as processes of organizational learning (OL). This concept has also been used in the context of ERP systems. The research field is however heterogeneous and findings are scattered and inconsistent. There is a need for further development of our knowledge about the role of ERP systems in processes of organizational learning after the implementation phase. The present paper strives to consolidate and synthesize the current knowledge. The research question is to what extent and how do research conceptualize organizational learning and its interactions and involvement with the ERP system? The paper is a literature review of research on OL in the context of ERP systems. The aim is to analyze and classify previous research, and also to give suggestions for avenues suitable and fruitful for future research. The review compares and contrasts approaches in order to analyze similarities and dissimilarities and to investigate what topics or issues have been addressed by previous research. The analysis shows that overall there is a lack of definitions and stringency in research on OL in an ERP systems context in the post-implementation phase. The final section also forwards some suggestions for future research.
|
|
| 10. |
|
|
