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Establishing new consulting services in health care organizations: an ANT analysis of patient-centred care
Linnéuniversitetet.
Linnéuniversitetet.
Jönköping University, Jönköping International Business School, JIBS, Business Informatics.
2013 (English)In: Proceedings of the 24th Australasian Conference on Information Systems: Information systems: transforming the future / [ed] Hepu Deng and Craig Standing, Melbourne: School of Business Information Technology and Logistics, RMIT University , 2013Conference paper (Refereed)
Abstract [en]

A recent trend in health care is patient-centred health, but are health care organizations ready to cope with that change? Changes at the patient level are one aspect but there is a need for reshaping the organization of health care. There is a need to focus much more on prevention care, helping patients to cope and become better self-managers, focusing on the patient process, working together and empowering patients. The aim of this paper is to gain a better understanding of the lack of sustainability over time in two patient-centred care (PCC) projects by using actor network theory (ANT) as an analytical framework. We use case studies from heart fibrillation and heart failure care organizations in a Swedish county council. The cases concern initiatives to achieve better interactions for these patients and organize care to become more patient-centred. Both initiatives have now been partly abandoned in the organization, although research and guidelines recommend such care organizations. The analysis of the different actors dominating the translation process towards a PCC network and of the way they get together in networks reveals that this is a time-consuming process, taking place long after the initial training and PCC implementation activities. We discuss the temporality of stability, the reversible process with chimerical enrolments, and how a complex and changing environment demands constant re-problematization of PCC.  We also include how the understanding of the translation and negotiation process can influence decisions on allocating sufficient time and resources to the process. We shed light on the importance of understanding and managing the organizational change in a PCC project and thus also of when to implement patient-centred e-health solutions.

Place, publisher, year, edition, pages
Melbourne: School of Business Information Technology and Logistics, RMIT University , 2013.
Keyword [en]
Patient-centred care, Change management, Heart failure, Cardiac fibrillation, Actor-network theory, Information management, Case studies.
National Category
Other Social Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:hj:diva-22661ISBN: 9780992449506 (print)OAI: oai:DiVA.org:hj-22661DiVA: diva2:677723
Conference
24th Australasian Conference on Information Systems 4-6 Dec 2013, Melbourne
Available from: 2013-12-10 Created: 2013-12-10 Last updated: 2015-07-02Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • en-US
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Output format
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