Weng Chunhua
Biomedical Informatics, University of Washington, Seattle, WA 98195-7240.
AMIA Annu Symp Proc. 2005;2005:804-8.
We used a participatory design process to understand and to support the group work of cancer clinical trial protocol design within a distributed organization, the Southwest Oncology Group (SWOG). We also designed a collaborative writing system to facilitate its protocol reviewing and revising processes over the Internet. After a series of iterative prototyping and formative evaluations over the past two years, we identified a social-technical gap in our group work support research at SWOG. This gap consists of technical challenges, expanding user needs, conflicting user needs from different roles, insufficient incentive for using groupware technology by certain members, subtle organizational nuances, and the changing organizational structure. This paper describes our longitudinal evaluations results and elaborates on the social-technical gap. We think this gap may generalize to other healthcare group work settings.
我们采用了参与式设计流程，以了解并支持分布式组织西南肿瘤协作组（SWOG）内癌症临床试验方案设计的团队工作。我们还设计了一个协作写作系统，以促进其方案在互联网上的评审和修订过程。在过去两年进行了一系列迭代原型设计和形成性评估之后，我们在SWOG的团队工作支持研究中发现了一个社会技术差距。这个差距包括技术挑战、不断扩大的用户需求、不同角色的用户需求冲突、某些成员使用群件技术的激励不足、细微的组织细微差别以及不断变化的组织结构。本文描述了我们的纵向评估结果，并阐述了社会技术差距。我们认为这个差距可能适用于其他医疗保健团队工作环境。
