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- Scandurra, Isabella, 1973-, et al.
(författare)
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Advancing the State-of-the-Art for Virtual Autopsies : Initial Forensic Workflow Study
- 2010
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Ingår i: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 160, s. 639-643
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Tidskriftsartikel (refereegranskat)abstract
- There are numerous advantages described of how imaging technology can support forensic examinations. However, postmortem examinations of bodies are mainly performed to address demands which differ from those of traditional clinical image processing. This needs to be kept in mind when gathering information from image data sets for forensic purposes. To support radiologists and forensicclinicians using Virtual Autopsy technologies, an initial workflow study regarding post-mortem imaging has been performed, aiming to receive an improved understanding of how Virtual Autopsyworkstations, image data sets and processes can be adjusted to support and improve conventional autopsies. This paper presents potential impacts and a current forensic Virtual Autopsy workflowaiming to form a foundation for collaborative procedures that increase the value of Virtual Autopsy. The workflow study will provide an increased and mutual understanding of involved professionals. In addition, insight into future forensic workflows based on demands from both forensic and radiologist perspectives bring visualization and medical informatics researchers together to develop and improvethe technology and software needed.
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| 3. |
- Hägglund, Maria, Lektor, 1975-, et al.
(författare)
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Does user centred design work in homecare for elderly? : a retrospective on the OLD@HOME case
- 2011
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Ingår i: International Journal of Integrated Care. - Utrecht : Igitur. - 1568-4156 .- 1568-4156. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Mobile information and communication technology (ICT) has been suggested to improve collaboration in integrated homecare, yet, few successful implementations are available. User centred design (UCD) can improve the usefulness of ICT, however, it is often claimed to be expensive and difficult to use in healthcare. In the action research project OLD@HOME (Sweden 2002–2005) a user centred approach was adapted to the specific context of integrated homecare for elderly.Aim: To revisit OLD@HOME and explore what methodological adjustments were needed to adapt UCD to integrated homecare of elderly, and what the long-term effects of using UCD were.Results: Our collaborative design method included all stakeholders and enabled development of both new work situations and new tools. Five years after implementation, the system is still used by home help service personnel, for both homecare- and office-based work, as it provides ubiquitous access to information and communication. Technical support is rarely needed; experienced users handle occurring problems, training and introduction of new users.Conclusions: We consider the development method a key factor for the OLD@HOME system’s success as it enabled the design of a homecare system that is not only easy to use, but adapted to the context of integrated homecare for elderly
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| 4. |
- Hägglund, Maria, et al.
(författare)
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Scenarios to Capture Work Processes in Shared Home Care – from analysis to application
- 2010
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Ingår i: International Journal of Medical Informatics. - : Elsevier BV. - 1386-5056 .- 1872-8243. ; 79:6, s. 126-134
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundShared homecare is increasingly common, and in order to develop ICT that support such complex cooperative and interdisciplinary work it is crucial to obtain an understanding of work processes at the clinical level before the development is initiated. It is also crucial, but difficult, to correctly transfer this insight to the development team.MethodUser-centered scenario building in interdisciplinary working groups is applied for capturing cooperative work routines, information demands, and other central preconditions in shared homecare.ResultsUse of scenarios for analysis of cooperative work and as information carrier is described via a case from the multi-disciplinary OLD@HOME project. Both current and future work scenarios were elicited. To illustrate the process of transforming scenarios into more technical descriptions (use cases), and finally into an application, examples showing the transparency in resulting use cases and in the implemented system are provided.ConclusionIn this case study, scenarios proved to be useful not only in initial system development phases but throughout the entire development process, improving accessibility and assessment of end user needs. For the development team, scenarios assisted in solving usability issues, and served as a basis for describing use cases and for further system development. More importantly, the shared care scenarios ensured the provision of different perspectives on common work processes, which are often neglected in conventional requirements specifications. This also improved understanding between different clinical groups and between clinicians and developers.
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| 5. |
- Hägglund, Maria, Lektor, 1975-, et al.
(författare)
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Supporting citizen-centered care for seniors - experiences from two Swedish research projects
- 2012
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Ingår i: 2012 25th IEEE International Symposium on Computer-Based Medical Systems (CBMS). - Rome, Italy : IEEE conference proceedings. - 9781467320511 ; , s. 1-6
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Konferensbidrag (refereegranskat)abstract
- The development of information and communication technology (ICT) for citizen-centered care requires insight into concrete problems in care processes as well as an understanding of the goals and values that should guide these. In this retrospective study we return to results from two research projects focusing on the needs of senior citizens and stroke patients. We describe the intersections between health care services, social care services and private services, and analyze these with focus on the needs of independence, continuity and participation. The current state of ICT in relation to the identified needs is also addressed. In conclusion, an increasing number of solutions are available to support senior citizens in different parts of their lives, yet they remain isolated and have limited impact. In order to harness value for senior citizens, it is imperative to continue with multidisciplinary research focusing on socio-technical aspects; addressing technological, organizational, legal and business-related aspects.
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| 6. |
- Koch, Sabine, et al.
(författare)
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Informatics and socio-technical challenges when designing for integrated eCare
- 2014
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Ingår i: Achieving effective integrated e-care beyond the silos. - Hershey PA : IGI Global. - 9781466661394 - 9781466661387 ; , s. 108-134
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Bokkapitel (refereegranskat)abstract
- The central role of eHealth to enable the successful implementation of integrated care is commonly acknowledged today. This is easier said than done. To provide correct, understandable, and timely information at the point of need and to facilitate communication and decision support for a network of actors with different prerequisites and needs are some of the big challenges of integrated care. This book chapter focuses on the specific challenges related to informatics and socio-technical issues when designing solutions for integrated eCare. Methods for requirements elicitation, evaluation, and system development using user-centred design in collaborative environments involving a variety of stakeholders are presented. Case studies in homecare of older patients, in the care of stroke patients, and regarding citizen eHealth services in general illustrate the application of these methods. Possible solutions and pitfalls are discussed based on the experiences drawn from the case studies. To address the main infor-matics and socio-technical challenges in integrated eCare, namely informatics-supported collaborative work and to provide coordinated continuity for the patient, top-down activities such as health informatics standardization, and bottom-up activities resulting in the definition of concrete patient journey descrip-tions, interaction points, information needs (that can be transformed into standardized data sets), as well as visualization and interaction patterns need to go hand in hand.
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| 8. |
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| 9. |
- Scandurra, Isabella, 1973-, et al.
(författare)
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Development of novel eHealth services for citizen use - Current system engineering vs. best practice in HCI
- 2013
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Ingår i: Human-Computer Interaction - Interact 2013. - Berlin, Heidelberg : Springer Berlin/Heidelberg. - 9783642404795 - 9783642404801 ; , s. 372-379
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Konferensbidrag (refereegranskat)abstract
- Many new public eHealth Services are now being developed. Often a conventional customer-vendor process is used, where the customer is a public authority, e.g. a county council, and the vendor a commercial actor, e.g. an IT development company. In this case study the engineering process regards a novel eHealth service aiming to provide patients with online access to their electronic health record. A complicating factor in conventional customer-vendor processes for public e-services is that "the future user could be anyone". In the light of best practice in Human-Computer Interaction, this study examines the joint effort of the customer and vendor when developing novel services for citizen use. The results include delimiting factors, recommendations for public authority customers and proposed new actions for the research agenda.
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| 10. |
- Scandurra, Isabella, 1973-, et al.
(författare)
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Development of Patient Access to Electronic Health Records as a Step Towards Ubiquitous Public eHealth
- 2013
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Ingår i: European Journal of ePractice. - : European Commission. - 1988-625X. ; 20, s. 21-36
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Tidskriftsartikel (refereegranskat)abstract
- A necessary activity towards moving healthcare services out of the physical premises of hospitals and into patients’ daily lives is to supply citizens with various health services via the Internet, i.e. public eHealth services. However, developing public eHealth services for a large number of heterogeneous end-users is a complex task. This case study investigated the development process of a novel eHealth service that provides patient access to electronic health records, which was developed and recently deployed within the scope of an EU project.A conventional customer-vendor process was applied that resulted in a high degree of uncertainty regarding end-user needs of this novel service. The development team tried to compensate for this weakness by using agile methods. When developing public eHealth services for citizens, it is imperative to involve potential users, to evaluate the citizens’ needs as a function of benefit, usability and security, and to handle those concepts responsibly throughout the process.
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