Aalborg University, Department of Planning, Danish Center for Health Informatics, Denmark.
Int J Med Inform. 2013 Dec;82(12):e375-85. doi: 10.1016/j.ijmedinf.2013.03.008. Epub 2013 May 7.
In eHealth development there is an increasing focus on user participation inspired by the information systems field of practice and research. There are, however, many other challenges in developing information systems that fit healthcare practices. One of these is the challenge of cooperation and communication in development projects that are initiated and managed by clinicians e.g. cooperating with IT professionals in 'bottom up' health informatics projects that have been initiated and are managed by healthcare professional project managers.
The analysis and results are drawn from a qualitative case study on a systems development project that was managed by a local, non-technical, healthcare professional and the complex blend and interactions with the IT professionals in the phases of ideas, design, development, implementation, maintenance and distribution.
We analyze the challenges of cooperation and communication using perspectives from information systems research and the concepts of 'language-games' and 'shared design spaces', and thereby exploring the boundaries between the different communication, practice and culture of the IT professionals and the healthcare professionals.
There is a need to (a) develop a better understanding of the development process from the point of view of the 'user' and (b) tools for making technical knowledge explicit in the development process. Cooperative and communicative methods are needed that support and develop the shared design spaces between IT professionals and the clinical context in order to strengthen small-scale health information systems projects.
在电子健康发展中，越来越关注用户参与，这是受到信息系统领域的实践和研究启发的。然而，开发符合医疗实践的信息系统还有许多其他挑战。其中之一是在由临床医生发起和管理的开发项目中合作和沟通的挑战，例如在由医疗保健专业项目经理发起和管理的“自下而上”健康信息学项目中与 IT 专业人员合作。
该分析和结果来自于对一个系统开发项目的定性案例研究，该项目由当地的非技术医疗保健专业人员管理，以及在想法、设计、开发、实施、维护和分发阶段与 IT 专业人员的复杂混合和交互。
我们使用信息系统研究的观点以及“语言游戏”和“共享设计空间”的概念来分析合作和沟通的挑战，从而探索 IT 专业人员和医疗保健专业人员之间不同沟通、实践和文化之间的界限。
需要（a）从“用户”的角度更好地理解开发过程，以及（b）在开发过程中使技术知识显式化的工具。需要合作和沟通的方法，以支持和发展 IT 专业人员和临床环境之间的共享设计空间，从而加强小规模健康信息系统项目。
