Frennert Susanne
a Department of Technology in Health Care , KTH Royal Institute of Technology School of Chemistry, Biotechnology, and Health , Huddinge , Sweden.
Disabil Rehabil Assist Technol. 2019 Aug;14(6):635-642. doi: 10.1080/17483107.2018.1496362. Epub 2018 Sep 28.
Swedish municipalities face a number of daunting challenges; an aging population, the public's increased demands and expectations on municipality services, and a strained economy to mention some. Welfare technology, a Scandinavian concept launched to promote digitalization, is seen as one solution to meet these challenges. Despite these promises, few welfare technology applications are offered by local Swedish municipalities and care organizations. Numerous studies have shown that Swedish municipalities have a great interest in welfare technologies. In this article, we draw on empirical research in one Swedish municipality. Through two case studies it is illustrated how technological change and municipality employment of welfare technologies are employed. These case studies show how core values of care are being lost in the quest for digitalization due to the lack of organizational skills and knowledge in transforming the relationship of caregiving and care-receiving through the use of digital technology. Digitalization and welfare technologies deployed ought to represent and support the core values of caregiving and to receive care. Thus, digital transformation most likely will transform conditions for care receivers and working conditions for care workers. New work processes will evolve, which in turn produce new meanings of home help service work and caregiving. IMPLICATIONS FOR REHABILITATION Digitalization and the use of new digital technologies imply changes in care value creation. New digital activities deviate from classic caregiving, which in turn can offer opportunities to expand and enrich the experience of receiving care but it can also have negative effects on the received care if incorrectly employed. Digitalization must be regarded as an evolutionary process, in which mistakes and failures are allowed and corrected. Long-term strategies, infrastructure, clear goals and commitments are key for successful digitalization of eldercare.
瑞典市政当局面临着一些艰巨的挑战；例如人口老龄化、公众对市政服务的需求和期望增加以及经济紧张等。福利技术是一个为促进数字化而提出的斯堪的纳维亚概念，被视为应对这些挑战的一种解决方案。尽管有这些前景，但瑞典当地的市政当局和护理组织提供的福利技术应用却很少。大量研究表明，瑞典市政当局对福利技术有着浓厚的兴趣。在本文中，我们借鉴了对瑞典一个市政当局的实证研究。通过两个案例研究，阐述了技术变革以及市政当局对福利技术的应用情况。这些案例研究表明，由于缺乏通过使用数字技术来转变护理与被护理关系的组织技能和知识，在追求数字化的过程中，护理的核心价值观正在丧失。所部署的数字化和福利技术应该体现并支持护理与被护理的核心价值观。因此，数字化转型很可能会改变被护理者的状况以及护理工作者的工作条件。新的工作流程将会演变，进而产生家庭帮助服务工作和护理工作的新意义。对康复的启示数字化以及新数字技术的使用意味着护理价值创造的变化。新的数字活动不同于传统的护理方式，这反过来既可以为扩展和丰富接受护理的体验提供机会，但如果使用不当，也可能对所接受的护理产生负面影响。必须将数字化视为一个不断发展的过程，在这个过程中允许出现错误和失败并加以纠正。长期战略、基础设施、明确的目标和承诺是老年护理数字化成功的关键。
