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Wass, Sofie
Publications (10 of 15) Show all publications
Wass, S., Vimarlund, V. & Ros, A. (2019). Exploring patients’ perceptions of accessing electronic health records: Innovation in healthcare. Health Informatics Journal, 25(1), 203-215
Open this publication in new window or tab >>Exploring patients’ perceptions of accessing electronic health records: Innovation in healthcare
2019 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 25, no 1, p. 203-215Article in journal (Refereed) Published
Abstract [en]

The more widespread implementation of electronic health records has led to new ways of providing access to healthcare information, allowing patients to view their medical notes, test results, medicines and so on. In this article, we explore how patients perceive the possibility to access their electronic health record online and whether this influences patient involvement. The study includes interviews with nine patients and a survey answered by 56 patients. Our results show that patients perceive healthcare information to be more accessible and that electronic health record accessibility improves recall, understanding and patient involvement. However, to achieve the goal of involving patients as active decision-makers in their own treatment, electronic health records need to be fully available and test results, referrals and information on drug interactions need to be offered. As patient access to electronic health records spreads, it is important to gain a deeper understanding of how documentation practices can be changed to serve healthcare professionals and patients.

Place, publisher, year, edition, pages
Sage Publications, 2019
National Category
Information Systems, Social aspects Business Administration
Identifiers
urn:nbn:se:hj:diva-37810 (URN)10.1177/1460458217704258 (DOI)000458864000017 ()28457195 (PubMedID)2-s2.0-85061125827 (Scopus ID)
Available from: 2017-11-01 Created: 2017-11-01 Last updated: 2019-03-13Bibliographically approved
Manzoor, M., Jansson, O., Vimarlund, V., Keller, C. & Wass, S. (2018). From prototype to societal inclusion: Identified challenges for sustainable implementation of e-services for individuals with disabilities. Technology and Disability, 30(3), 97-103
Open this publication in new window or tab >>From prototype to societal inclusion: Identified challenges for sustainable implementation of e-services for individuals with disabilities
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2018 (English)In: Technology and Disability, ISSN 1055-4181, E-ISSN 1878-643X, Vol. 30, no 3, p. 97-103Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In recent years, the interest of performing research about and providing e-services for individuals with disabilities has grown significantly. However, there is a knowledge gap in the existing literature on how to stimulate the pre-requisites needed for a sustainable implementation of e-services.

AIM AND METHOD: The study aims to contribute to this knowledge gap by performing semi-structured email interviews with twelve project coordinators from the EU programmes of FP6-IST and FP7-ICT.

RESULTS: The findings showed that knowledge-based and financially based resources, the complexity of the project context, ethical issues and the structural responsibility of the implementation process were key issues in creating a sustainable implementation. Furthermore, users often were not able to perceive added value from the e-services as they seldom were developed beyond prototypes within the research project.

CONCLUSION: The implementation of e-services and/or ICT based applications for individuals with disabilities face similar challenges to the challenges that have been identified when implementing IT-based innovations. Further studies should focus on how users can be involved in the choice and development of e-services they understand as effective, and how to ensure that the implementation strategy will contribute to long-term social inclusion, that is, sustainability.

Place, publisher, year, edition, pages
IOS Press, 2018
Keywords
E-services, Individuals with disabilities, Prototype, Social inclusion, Sustainability
National Category
Information Systems
Identifiers
urn:nbn:se:hj:diva-42335 (URN)10.3233/TAD-180198 (DOI)2-s2.0-85057957396 (Scopus ID)
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2018-12-18Bibliographically approved
Wass, S. & Vimarlund, V. (2018). Same, same but different: Perceptions of patients’ online access to electronic health records among healthcare professionals. Health Informatics Journal
Open this publication in new window or tab >>Same, same but different: Perceptions of patients’ online access to electronic health records among healthcare professionals
2018 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811Article in journal (Refereed) Epub ahead of print
Abstract [en]

In this study, we explore how healthcare professionals in primary care and outpatient clinics perceive the outcomes of giving patients online access to their electronic health records. The study was carried out as a case study and included a workshop, six interviews and a survey that was answered by 146 healthcare professionals. The results indicate that professionals working in primary care perceive that an increase in information-sharing with patients can increase adherence, clarify important information to the patient and allow the patient to quality-control documented information. Professionals at outpatient clinics seem less convinced about the benefits of patient accessible electronic health records and have concerns about how patients manage the information that they are given access to. However, the patient accessible electronic health record has not led to a change in documentation procedures among the majority of the professionals. While the findings can be connected to the context of outpatient clinics and primary care units, other contextual factors might influence the results and more in-depth studies are therefore needed to clarify the concerns.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
electronic health records, healthcare service innovation and IT, organizational change and IT, patient-centeredness, work impact
National Category
Information Systems, Social aspects Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-38043 (URN)10.1177/1460458218779101 (DOI)XYZ ()29874962 (PubMedID)2-s2.0-85048166545 (Scopus ID)
Note

Included in thesis as submitted manuscript with the title: Same, Same but Different: Perceptions of Patients’ Online Access to EHRs among Healthcare Professionals

Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2018-07-04
Wass, S. & Vimarlund, V. (2018). The Role of PAEHRs in Patient Involvement. Journal of medical systems, 42(11), Article ID 210.
Open this publication in new window or tab >>The Role of PAEHRs in Patient Involvement
2018 (English)In: Journal of medical systems, ISSN 0148-5598, E-ISSN 1573-689X, Vol. 42, no 11, article id 210Article in journal (Refereed) Published
Abstract [en]

With increased patient access to data, healthcare services are experiencing change where patients are moving away from being mere passive actors towards becoming more active and involved participants. In this paper, we explore the role of patient accessible electronic health records (PAEHRs) with respect to this increase in patient involvement. The study was performed as a case study and included nine interviews with patients and a survey that was responded to by 56 patients. Our results show that PAEHRs have a role in the enhancement of patient involvement because PAEHRs (i) foster a more balanced relationship between patients and healthcare professionals and (ii) increase access to information.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
EHR; PAEHR; Patient access; Patient involvement
National Category
Information Systems, Social aspects Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-38042 (URN)10.1007/s10916-018-1070-y (DOI)000445649500002 ()30255404 (PubMedID)2-s2.0-85054327474 (Scopus ID)HOA HHJ 2018,HOA JIBS 2018 (Local ID)HOA HHJ 2018,HOA JIBS 2018 (Archive number)HOA HHJ 2018,HOA JIBS 2018 (OAI)
Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2019-06-07Bibliographically approved
Wass, S. & Vimarlund, V. (2017). I got 99 problems, and eHealth is one. In: A. V. Gundlapalli, M. C. Jaulent, MC, & D. Zhao (Ed.), Proceedings of the 16th World Congress on Medical andHealth Informatics (MedInfo), Hangzhou, China, 2017: . Paper presented at 16th World Congress on Medical and Health Informatics (Medinfo 2017), August 21st to 25th, 2017 in Xiamen, China (pp. 258-262). IOS Press, 245
Open this publication in new window or tab >>I got 99 problems, and eHealth is one
2017 (English)In: Proceedings of the 16th World Congress on Medical andHealth Informatics (MedInfo), Hangzhou, China, 2017 / [ed] A. V. Gundlapalli, M. C. Jaulent, MC, & D. Zhao, IOS Press, 2017, Vol. 245, p. 258-262Conference paper, Published paper (Refereed)
Abstract [en]

Many eHealth initiatives are never implemented or merely endas pilot projects. Previous studies report that organizational,technical and human issues need to be properly taken into considerationif such initiatives are to be successful. The aim of thispaper is to explore whether previously identified challengeswithin the area have remained in the Swedish eHealth settingor whether they have changed. After interviewing experts ineHealth, we present a classification of areas of concern. Recurrenceof previously identified challenges was found, but alsonew issues were identified. The results of the study indicate thatthere is a need to consider organisational and semantic issueson both national and international levels. Legal and technicalchallenges still exist but it seems even more important tosupport eHealth initiatives financially, increase practitioners’knowledge in health informatics and manage new expectationsfrom patients.

Place, publisher, year, edition, pages
IOS Press, 2017
Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 245
Keywords
Health Services, Telemedicine
National Category
Information Systems, Social aspects Business Administration
Identifiers
urn:nbn:se:hj:diva-38039 (URN)10.3233/978-1-61499-830-3-258 (DOI)000449471200054 ()29295094 (PubMedID)2-s2.0-85040531033 (Scopus ID)978-1-61499-830-3 (ISBN)978-1-61499-829-7 (ISBN)
Conference
16th World Congress on Medical and Health Informatics (Medinfo 2017), August 21st to 25th, 2017 in Xiamen, China
Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2018-11-22Bibliographically approved
Mugabe, G. N., Vimarlund, V. & Wass, S. (2017). Implementation of ict based innovations as electronic medical record in sub-sahara Africa: Issues of relevance for future implementations. In: Proceedings of the International Conference on E-Health, EH 2017 - Part of the Multi Conference on Computer Science and Information Systems 2017: . Paper presented at International Conference on E-Health, EH 2017 - Part of the Multi Conference on Computer Science and Information Systems 2017, 20 – 23 July, Lisbon, Portugal (pp. 95-101). IADIS Press
Open this publication in new window or tab >>Implementation of ict based innovations as electronic medical record in sub-sahara Africa: Issues of relevance for future implementations
2017 (English)In: Proceedings of the International Conference on E-Health, EH 2017 - Part of the Multi Conference on Computer Science and Information Systems 2017, IADIS Press, 2017, p. 95-101Conference paper, Published paper (Refereed)
Abstract [en]

Electronic medical records (EMR) have been implemented in developed countries since 1972 when the first computer-stored medical record at Wishard Memorial Hospital was designed. However, less seem to be known about EMRs in an African context. The purpose of this paper is therefore to review studies on EMRs implemented in sub-Saharan Africa and to identify benefits and challenges met. Articles available in PubMed, PMC, Scopus, JAMIA and Google were searched through JIBS online library using the search string "EMR systems in Sub-Saharan Africa". In most the papers, EMRs have been implemented in HIV/AIDS settings allowing better monitoring of patients under antiretroviral therapy (ART). EMR systems have also succeeded to increase the number of patients under ART. Moreover, EMRs have improved work processes as they have reduced patients waiting time and enhanced monitoring of medical appointments. However, EMRs have suffered lack of electricity, poor Internet connectivity and computer illiteracy. Today, HIV/AIDS care providers have benefited on the implementation of EMRs and there is a possibility to extend the implementation to other healthcare departments.

Place, publisher, year, edition, pages
IADIS Press, 2017
Keywords
eHealth in Sub-Sahara Africa, EMR Challenges and benefits, EMR implementation, ICT in Health, Digital libraries, Diseases, Health, Medical computing, Patient treatment, Developed countries, Electronic medical record, Enhanced monitoring, Internet connectivity, Sub-Sahara Africa, Sub-saharan africa, Online systems
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-38634 (URN)2-s2.0-85040104230 (Scopus ID)9789898533654 (ISBN)
Conference
International Conference on E-Health, EH 2017 - Part of the Multi Conference on Computer Science and Information Systems 2017, 20 – 23 July, Lisbon, Portugal
Available from: 2018-01-24 Created: 2018-01-24 Last updated: 2018-01-24Bibliographically approved
Keller, C., Wass, S., Zetterlind, M., Ghassemali, E. & Seifeddine, S. (2017). Teacher roles in a blended learning materials engineering master program: "It's not a new role, it's a new way!". In: : . Paper presented at 26th EDEN Annual Conference 2017: Diversity matters, Jönköping, 13-16 June, 2017.. European Distance and E-Learning Network (Eden)
Open this publication in new window or tab >>Teacher roles in a blended learning materials engineering master program: "It's not a new role, it's a new way!"
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2017 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Engineering education are characterized by laboratories, mathematical foundations and design tools. These pillars of engineering education do not seem to be ideal for online education as the field lags behind other fields in adopting online education. Laboratories are for instance hard to implement online due to the need of direct operation of instruments. Likewise, course materials requiring use of mathematics have traditionally not been as easy to implement as topics that require only text-based instructions (Bourne et al., 2005). Real laboratory sessions have also shown to be more motivated for engineering students than virtual simulations (Stefanovic, 2013). In spite of this, there are increasing evidence of use of blended and online learning in engineering education. For example, online self-study environment to supplement the classroom instruction in engineering courses in graphical communication (Sun et al., 2014), virtual laboratories and simulation environments (Balamuraithara & Woods, 2007; Bourne et al., 2005) and online platforms for developing learning networks for global engineering (Meikleham et al. 2015). The School of Engineering at Jönköping University, the Swedish foundry association, the research institute Swerea/SWECAST and twelve foundry industries cooperate to develop a blended learning one-year master program in product development in materials and manufacturing. As previously performed courses have been given on campus, teachers needed to take on new roles as blended learning teachers. In this paper, we present the initial results from a study that aims to investigate the perceived roles of university teachers in a blended learning materials engineering master program.

Place, publisher, year, edition, pages
European Distance and E-Learning Network (Eden), 2017
Keywords
Blended learning, engineering education, teacher roles, teacher competences, content analysis
National Category
Pedagogical Work
Identifiers
urn:nbn:se:hj:diva-36264 (URN)
Conference
26th EDEN Annual Conference 2017: Diversity matters, Jönköping, 13-16 June, 2017.
Projects
Gjutmagistern 3.0
Funder
Knowledge Foundation
Available from: 2017-06-19 Created: 2017-06-19 Last updated: 2018-09-19Bibliographically approved
Wass, S. (2017). The importance of eHealth innovations: Lessons about patient accessible information. (Doctoral dissertation). Jönköping: Jönköping University, Jönköping International Business School
Open this publication in new window or tab >>The importance of eHealth innovations: Lessons about patient accessible information
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Access to digital information and communication has an increasing importance in both the work of healthcare professionals and in patients’ everyday life and has transformed what we do and how we carry out activities. It changes the way in which healthcare is delivered, how information is exchanged within and between organizations and how patients and other actors access and manage information. Currently, innovation is imperative in the healthcare sector and today there is a focus on how different eHealth services can improve healthcare. With increased access to various eHealth services, there is a need to know more about the impact of eHealth innovations on healthcare.

The aim of this thesis is to acquire more knowledge about eHealth innovations in healthcare. The focus is on prerequisites to realize innovative eHealth services and eHealth services that provide patients with access to health information. The theoretical background addresses innovation, services and business models. This thesis is a compilatory work and includes five qualitative research papers. The first study is an interview study, the second is a literature review and the remaining three are case studies. The data collection consisted of interviews, surveys, workshops and secondary data collected from documents. The interview study and the case studies were performed in the Swedish eHealth setting.

The research contributes to our understanding of eHealth innovations with insights on prerequisites to realize eHealth innovations and knowledge on patient accessible information. The first study provides a classification of prerequisites that need to be considered to realize innovative eHealth services. When dealing with eHealth services, organizational and sematic interoperability are still a challenge, and they transcend organizational boundaries. This thesis provides knowledge on the recent trend of opening up electronic health records to patients. The knowledge derived from the studies on patient accessible electronic health records show that there is a discrepancy between the perceptions of patients and healthcare professionals. The thesis concludes that patients feel more involved and that the patient-professional relationship improves with patient access to electronic health records, whereas healthcare professionals have concerns about how patients will manage access to health information. This thesis also provides empirical insights on how business models can be represented in a public eHealth setting. By viewing public eHealth services as social innovations, the thesis contributes to the research on business models in a public healthcare setting by incorporating societal value into the representation of the business model.

The research in this thesis contributes to research in health informatics by discussing issues related to eHealth innovations and patient accessible information. Its practical importance lies in identifying issues that are important when discussing eHealth initiatives and the implications of giving patients online access to their electronic health record.

Place, publisher, year, edition, pages
Jönköping: Jönköping University, Jönköping International Business School, 2017. p. 60
Series
JIBS Dissertation Series, ISSN 1403-0470 ; 117
National Category
Information Systems, Social aspects Business Administration Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-38045 (URN)978-91-86345-77-8 (ISBN)
Public defence
2017-12-08, B1014, Jönköping International Business School, Jönköping, 13:15
Opponent
Supervisors
Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2017-12-05Bibliographically approved
Wass, S. & Vimarlund, V. (2017). The Role of ICT in Home Care. In: Christian Nøhr, Craig E. Kuziemsky, Zoie Shui-Yee Wong (Ed.), Context Sensitive Health Informatics: Redesigning Healthcare Work. Paper presented at Context Sensitive Health Informatics (CSHI) conference, Hong Kong, China, August 18-19 2017 (pp. 153-158). IOS Press, 241
Open this publication in new window or tab >>The Role of ICT in Home Care
2017 (English)In: Context Sensitive Health Informatics: Redesigning Healthcare Work / [ed] Christian Nøhr, Craig E. Kuziemsky, Zoie Shui-Yee Wong, IOS Press, 2017, Vol. 241, p. 153-158Conference paper, Published paper (Refereed)
Abstract [en]

With an ageing population and limited resources, ICT is often mentioned as a solution to support elderly people in maintaining an independent and healthy lifestyle. In this paper, we describe how ICT can support access to information and rationalization of work processes in a home care context. We do this by modelling the workflow and identifying the possible impact of ICT. The results show a complex process and indicate that the available resources are not used in the best possible way. The introduction of ICT could increase patient safety by reducing the risk of misplacing information about the care recipients and at the same time provide real time information about the care recipients’ needs and health at the point of care. However, to rationalize the work processes there is a need to combine ICT with a changed procedure for handling keys.

Place, publisher, year, edition, pages
IOS Press, 2017
Series
Studies in Health Technology and Informatics
Keywords
ICT, home care, information access, work processes
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-38271 (URN)10.3233/978-1-61499-794-8-153 (DOI)000439645000023 ()28809199 (PubMedID)2-s2.0-85045860422 (Scopus ID)21742138 (Local ID)978-1-61499-793-1 (ISBN)978-1-61499-794-8 (ISBN)21742138 (Archive number)21742138 (OAI)
Conference
Context Sensitive Health Informatics (CSHI) conference, Hong Kong, China, August 18-19 2017
Available from: 2017-12-21 Created: 2017-12-21 Last updated: 2019-03-22Bibliographically approved
Wass, S. & Vimarlund, V. (2016). Business models in public eHealth. In: 24th European Conference on Information Systems, ECIS 2016: . Paper presented at 24th European Conference on Information Systems, ECIS 2016, 12 June 2016 through 15 June 2016, Istanbul, Turkey.
Open this publication in new window or tab >>Business models in public eHealth
2016 (English)In: 24th European Conference on Information Systems, ECIS 2016, 2016Conference paper, Published paper (Refereed)
Abstract [en]

Several countries develop strategies and policies to foster the use of eHealth services and stress the importance of business models to develop and implement digital services. Previous research on business models has however mostly focused on the private setting or a healthcare setting with multi-payer or market-based financial systems. In this paper, we explore the use of business models in eHealth as well as the consistency of such a model in a public healthcare setting. The study is performed through a case study of an eHealth service and to which we apply a business model framework. Data have been collected through interviews, documents and project meetings. The results show that all parts of the business model could be identified and provide an overview of the service but no clear guidance on how to reach a sustainable value in the future. It seems that, in the case of public healthcare, there is a need to add the notion of a societal value as well as issues related to future governance for the diffusion of the service to make the business model and the service sustainable.

Keywords
Business model, Digital service, Ehealth, Public healthcare, Health care, Information systems, Business model frameworks, Business modeling, Digital services, E-health services, Financial system, Public healthcares, Sustainable values, Information services
National Category
Information Systems, Social aspects Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-34232 (URN)2-s2.0-84995785818 (Scopus ID)
Conference
24th European Conference on Information Systems, ECIS 2016, 12 June 2016 through 15 June 2016, Istanbul, Turkey
Available from: 2016-12-08 Created: 2016-12-08 Last updated: 2017-12-05
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