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- Department of Computer and Information Science (IDA) Linköpings Universitet, SE - 581 83 Linköping, Sweden, Vivian, et al.
(författare)
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Organizational effects of the use of information and communication technology (ICT) in elderly homecare : a case study
- 2008
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Ingår i: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 14:3, s. 195-209
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Tidskriftsartikel (refereegranskat)abstract
- The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming more established. In particular, ICT can enable information exchange, knowledge sharing and documentation at the point-of-care (POC). The aim of this study was to explore these effects using the Old@Home prototype. Old@Home was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency. The prototype was further seen to reduce professional isolation by providing a holistic overview of the care process. User centred design and implementation of Old@Home was considered key to facilitating acceptance of organizational changes. Participation of care professionals not only led to a better understanding of the needs of involved organizations, but also increased end-users' involvement and commitment, stimulating them to test and improve the prototype until the final version.
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| 2. |
- Olve, Nils-Göran, 1947-, et al.
(författare)
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Economic analyses for ICT in elderly healthcare : Questions and challenges
- 2005
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 11:4, s. 309-321
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Elderly healthcare is a likely arena for extensive change in years to come, and information and communication technology (ICT) will be an important enabler of such change. Before investing in new systems and practices, there will be a call for evaluations. To date, economic evaluations of ICT applications in healthcare have been rare, and a literature review did not turn up any examples of such evaluations of elderly care. The options for elderly care will often have to transcend organization boundaries, as the point of many ICT initiatives now being discussed is to make healthcare institutions, home care, and self-administered care interact in new ways. Analysts performing evaluations of such complex changes will have to be very specific about such classic issues in economic analysis as defining alternatives, the basis for comparison, and combining different indicators into an overall evaluation. Copyright © 2005 SAGE Publications.
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| 4. |
- Olve, Nils-Göran, 1947-, et al.
(författare)
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Evaluation as multi-actor trade-off - a challenge in introducing ICT innovations in the health sector
- 2005
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Ingår i: 4th WSEAS Int.Conf. on E-ACTIVITIES E-Learning, E-Communities, E-Commerce, E-Management, E-Marketing, E-Governance, Tele-Working,2005. - : WSEAS:s tidskrift.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 5. |
- Olve, Nils-Göran, et al.
(författare)
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Locating ICT's benefits in elderly care
- 2005
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Ingår i: Medical informatics and the Internet in medicine (Print). - : Informa UK Limited. - 1463-9238 .- 1464-5238. ; 30:4, s. 297-308
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Tidskriftsartikel (refereegranskat)abstract
- The impact of information and communication technology (ICT) is indirect and depends on redesign of practices and structures also outside health care. Improvements will only be realized if all parties involved can coordinate their efforts to take advantage of new technology. A 'package' of changed work practices and structures extending across organizational boundaries needs to be designed and implemented. This is very different from the common conception of introducing new ICT tools. Calls for 'evaluation of benefits' before new ICT systems are introduced need to recognize this complexity. This article investigates how analysis and economic evaluations can be used to improve decision-making when new applications are proposed. This is done by drawing parallels with experiences from other industries. We conclude that the entire 'change package' should be analysed for its consequences on the well-being of care recipients, and the requirements it presents for capital investments and changed labour inputs, in particular changed competence needs. Some concepts and structures are suggested for such evaluations. © 2005 Taylor & Francis.
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