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  • 1.
    Algurén, Beatrix
    et al.
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Department of Food and Nutrition, and Sport Science, UNIVERSITY OF GOTHENBURG.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, JIBS Entrepreneurship Centre.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Från Kvalitetsregister till bättre vård och omsorg – komplexitetens utmaning2013Inngår i: Nationella kvalitetsregisterkonferensen 2013, 9-10 oktober, Quality Hotel Friends Arena, Stockholm.: Forum för medicinsk kvalitet & ständigt förbättringsarbete. Kan kvalitetsregister styra vården?, 2013Konferansepaper (Fagfellevurdert)
  • 2.
    Askenäs, Linda
    et al.
    Linnéuniversitetet.
    Aidemark, Jan
    Linnéuniversitetet.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Establishing new consulting services in health care organizations: an ANT analysis of patient-centred care2013Inngår i: 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 , 2013Konferansepaper (Fagfellevurdert)
    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.

  • 3. Askenäs, Linda
    et al.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Informationssystem i hälso- och sjukvård: användning och införande i mikrosystem2009Inngår i: Temperaturen  på affärssystem i Sverige / [ed] Jonas Hedman, Fredrik Nilsson, Alf Westelius, Lund: Studentlitteratur , 2009, s. 217-246Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 4.
    Brundin, Ethel
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, EMM (Entrepreneurskap, Marknadsföring, Management).
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    How Smart is a Smart Community?: The establishment of ICT and its implications for growth2004Inngår i: Presented at The Fourth EURAM (European Academy of Management) Conference, St. Andrews, UK, May 2004, 2004Konferansepaper (Annet vitenskapelig)
  • 5.
    Brundin, Ethel
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, EMM (Entrepreneurskap, Marknadsföring, Management).
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Näringslivsbolag = Tillväxt?: An official report from a two year long project2009Rapport (Annet (populærvitenskap, debatt, mm))
  • 6.
    Brundin, Ethel
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, EMM (Entrepreneurskap, Marknadsföring, Management).
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Näringslivsbolag = Tillväxt?: An official report from a yearlong study of an industrial community center2008Rapport (Annet (populærvitenskap, debatt, mm))
  • 7.
    Brundin, Ethel
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, EMM (Entrepreneurskap, Marknadsföring, Management).
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Näringslivsbolag = tillväxt?: Samlade erfarenheter och analyser från Tranås United åren 2007-2008: ett näringslivsbolag för ökad samverkan och tillväxt2009Rapport (Annet vitenskapelig)
  • 8.
    Brundin, Ethel
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, EMM (Entrepreneurskap, Marknadsföring, Management).
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vad ska dom med alla sladdar till?: An official report from the 3-year long project ‘Traman: The consequences of the implementation of a large ICT project and its implications for growth.’2007Rapport (Annet (populærvitenskap, debatt, mm))
  • 9.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Moving Theory and Best Known Practice to the Microsystem - Microsystem Theory Igniting Practice, Lessons Learned - Students, Practitioners and Researchers2009Konferansepaper (Fagfellevurdert)
  • 10.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Nollan på slutet: en studie om överraskningar vid införande av affärssystem2004Inngår i: Proceedings of SANTE 2004, 2004Konferansepaper (Fagfellevurdert)
  • 11.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    TechnoOrganizing - make the microsystem work with efficient information provision in healthcare2010Inngår i: Microsystem Festival Scientific proceedings, 2010Konferansepaper (Fagfellevurdert)
  • 12.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Tre perspek,tiv på förväntningar och förändringar i samband med införande av informationssystem2003Doktoravhandling, monografi (Annet vitenskapelig)
  • 13.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Verksamhetsförändringar i samband med IS-införande1999Licentiatavhandling, monografi (Annet vitenskapelig)
  • 14.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Brundin, Ethel
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, EMM (Entrepreneurskap, Marknadsföring, Management).
    Does ICT make a community smart?: The establishment of ICT and its implications for growth2004Inngår i: Presented at the IRIS27 Conference (arranged by Scandinavian Information Systems Community, August 2004), 2004Konferansepaper (Fagfellevurdert)
  • 15.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Keller, Christina
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Empowering healthcare professionals by IS education: enhancing reflective empowerment2010Inngår i: The European Conference on Information Systems (ECIS) / [ed] Roy Johnson, 2010Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The paper presents findings from a research study of an information systems master program in Sweden, targeting healthcare professionals. The aim of the study was to explore if and how mechanisms of empowerment and reflective practice can be evoked in healthcare professionals by participating in a master program in information systems. A mixed research methodology was applied, including participant observation, document analysis and a learning style inventory. The findings of the study showed signs of the students achieving a higher degree of empowerment in their professional roles, as well as beginning to actively use reflective practice as a means of professional development. The findings are summarised in a tentative framework of reflective empowerment. The findings call for further research on how IT-centred master programs targeting healthcare professional could enhance professional development.

  • 16.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Melin, Ulf
    IMIE Linköpings universitet.
    Formative Infrastructure for IT – adoption – Understanding the dynamics of IT-use in SME’s2010Annet (Annet vitenskapelig)
  • 17.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Melin, Ulf
    Formative Infrastructure For IT-Adaptation2010Annet (Annet vitenskapelig)
  • 18.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Melin, Ulf
    Department of Management and Engineering Information Systems, Linköping University, Linköping, Sweden.
    SME’s Need Formative Infrastructure for Business Transformation2011Inngår i: Journal of Enterprise Information Management, ISSN 1741-0398, E-ISSN 1758-7409, Vol. 24, nr 6, s. 520-533Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose – ICT has considerable importance for increasing productivity and growth. Using ICT requires resources to create value. As resources are more limited in smaller enterprises, and the contexts and conditions for using ICT in SMEs are not well known, the purpose is to investigate conditions in the context of sensemaking for ICT adoption and use among SMEs.

    Design/methodology/approach – This study uses a qualitative and explorative methodological point of departure and approach. More than 60 interviews are performed within a geographical region. Empirical data were analyzed for similarities and patterns into themes and topics.

    Findings – The article was able to highlight the conditions for using ICT in SMEs by applying a qualitative research approach. The important findings from this research as a formative ICT infrastructure can be viewed as constituted by needs identified among SMEs, in sensemaking, sensegiving, and service infrastructures. In SMEs there are less infrastructure and fewer overhead and support services than in larger enterprises. The adoption processes in SMEs differ from the ones in larger enterprises in that they rely more on external relations in a public infrastructure for sensemaking in ICT adoption and use.

    Research limitations/implications – Formative ICT infrastructure in SMEs is not a well-known concept. The need for formative infrastructure in ICT adoption and use in SMEs relies on external partners and other actors in the sensemaking and sensegiving processes. Further research is needed for understanding actors and roles better, as well as arenas for sensemaking ICT in SMEs.

    Practical implications – Designing the infrastructure for ICT use and development, particularly in SMEs, but also in other enterprises and organizations, requires better understanding of the conditions. The emphasis on infrastructure for ICT adoption processes will help SMEs to receive more relevant investments.

    Originality/value – The study integrates micro- and macro-perspectives and combines theories from different fields to extend the knowledge of formative infrastructure for SME's adoption and use of ICT in terms of firm size and dependency on public infrastructure.

  • 19.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Melin, Ulf
    Linköpings universitet.
    Sociomaterial actors in the assimilation gap: a case study of web service, management and IT-assimilation2012Inngår i: Information Systems and E-Business Management, ISSN 1617-9846, E-ISSN 1617-9854, Vol. 11, nr 4, s. 481-506Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper investigates the conditions for the assimilation of information systems (IS) and information technology (IT) in organizations and the influence of various actors in the organization and eBusiness context. To do so it draws on the literature on assimilation gap, sociomateriality and infrastructure together with a study of implementation and use of information and communication technology in and among organizations in a Swedish region. There were substantial investments in web infrastructure made on a regional level and the focus of this study is how the investments were transformed and assimilated in practices, relations and communication. Based on the empirical data from the case study, the paper extends the assimilation process into interplay among actors in organizations contexts. It describes organizations’ strategies for coping with their needs for information and the actors in these processes. Two categories of actors are identified, sensemaking and sensegiving actors, as most important in assimilation of IS/IT in organizations. A sociomaterial perspective gives guidance and a better understanding of the assimilation process in terms of knowledge and interpretative frames, and how assimilation involves identity construction and negotiations among sensemaking and sensegiving actors. The contribution of this paper is a better understanding of the context of assimilation and adaptation of IT in organizations’ business processes, and steps to be taken to improve readiness.

  • 20.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Milrad, Marcelo
    Flensburg, Per
    Adopting Mobile Computing and Wireless Technologies in Knowledge Organizations2005Inngår i: Cutter IT Journal, ISSN 1522-7383, Vol. 18, nr 6, s. 27-34Artikkel i tidsskrift (Fagfellevurdert)
  • 21.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Moberg, Anna
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Askenäs, Linda
    Dynamisk utvärdering för effektiv användning av ICT-baserade sjukvårdssystem2007Konferansepaper (Fagfellevurdert)
  • 22.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vascos, Fidel
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Finding the links between the activities of physicians and social insurance officers in the management of cases of long-term sick listed individualsManuskript (preprint) (Annet vitenskapelig)
  • 23.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    En beskrivande fallstudie av tvärprofessionellt arbete i samverkan mellan myndigheter2004Rapport (Annet vitenskapelig)
  • 24.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Lessons learned: New Ways to Do Business Using Metropolitan Area Network for Lower Transaction Costs2010Annet (Annet vitenskapelig)
  • 25.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Åbom, Carita
    Need for ICT infrastructure in SMEs2006Inngår i: Proceedings of WESPA 2006, 2006Konferansepaper (Fagfellevurdert)
  • 26.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Åbom, Carita
    Melin, Ulf
    Formative infrastructure for ICT-adoption in SMEs: A case study of conditions for progress2008Inngår i: Proceedings of ECIS 2008, 2008Konferansepaper (Annet vitenskapelig)
  • 27.
    Keller, Christina
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Edenius, Mats
    Institutionen för informatik och media, Uppsala universitet.
    Lindblad, Staffan
    Karolinska institutet.
    Designing for Complex Innovations in Health Care: Design Theory and Realist Evaluation Combined2009Inngår i: Proceedings of DESRIST '09 the 4th International Conference on Design Science Research in Information Systems and Technology 2009 in Malvern, PA, USA, ACM , 2009Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Innovations in health care are often characterized by complexity and fuzzy boundaries, involving both the elements of the innovation and the organizational structure required for a full implementation. Evaluation in health care is traditionally based on the collection and dissemination of evidence-based knowledge stating the randomized controlled trial, and the quasi-experimental study design as the most rigorous and ideal approaches. These evaluation approaches capture neither the complexity of innovations in health care, nor the characteristics of the organizational structure of the innovation. As a result, the reasons for innovations in health care not being disseminated are not fully explained. The aim of the paper is to present a design – evaluation framework for complex innovations in health care in order to understand what works for whom under what circumstances by combining design theory and realist evaluation. The framework is based on research findings of a case study of a complex innovation, a health care quality register, in order to understand underlying assumptions behind the design of the innovation, as well as the characteristics of the implementation process. The design - evaluation cycle is hypothesized to improve the design and implementation of complex innovation by using program/kernel theories to develop design propositions, which are evaluated by realistic evaluation, resulting in further refinement of program/kernel theories. The goal of the design – evaluation cycle is to provide support to implementers and practitioners in designing and implementing complex innovations in health care. As a result, the design – evaluation cycle could provide opportunities of improving dissemination of complex innovations in health care.

  • 28.
    Keller, Christina
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Edenius, Mats
    Institutionen för informatik och media, Uppsala universitet.
    Lindblad, Staffan
    Media Management Centre, Karolinska Institutet.
    Innovations in health care: Design theory and realist evaluation combined2010Annet (Annet vitenskapelig)
    Abstract [en]

    Innovations in health care are often characterized by complexity and fuzzy boundaries, involving both the elements of the innovation and the organizational structure required for a full implementation. Evaluation in health care is traditionally based on the collection and dissemination of evidence-based knowledge stating the randomized controlled trial, and the quasi-experimental study design as the most rigorous and ideal approaches. These evaluation approaches capture neither the complexity of innovations in health care, nor the characteristics of the organizational structure of the innovation. As a result, the reasons for innovations in health care not being disseminated are not fully explained. The aim of the paper is to present a design-evaluation framework for complex innovations in health care in order to understand what works for whom under what circumstances combining design theory and realist evaluation. The framework is based on research findings of a case study of a complex innovation, a health care quality register, in order to understand underlying assumptions behind the design of the innovation, as well as the characteristics of the implementation process. The design-evaluation cycle is hypothesized to improve the design and implementation of complex innovation by using program/kernel theories to develop design principles, which are evaluated by realistic evaluation, resulting in further refinement of program/kernel theories. The goal of the design-evaluation cycle is to provide support to implementers and practitioners designing and implementing complex innovations in health care, for improving dissemination of complex innovations.

  • 29.
    Svensson, Anders
    et al.
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, Medie- och kommunikationsforskning.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Online Participation with Obstacles: Non-Willingness to Become Facebook fans of a Health-Promoting Web Site2011Inngår i: Merz: medien+erziehung, ISSN 0176-4918, nr 6, s. 70-80Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Within dominant branches of contemporary research and public debate, applications like Facebook and Twitter are perceived as social media for user participation. Technical possibilities and socio cultural restrictions for user involvement are identified and discussed. Common to both perspectives is that users’ willingness to participate tends to be taken for granted. By studying a case where the users’ response indicates weak willingness to participate, despite the website producers’ efforts to offer social media for participation, this article wish to contribute to a better understanding of the conditions for online participation on the so-called social Web.

    UMO is a very popular Swedish health promoting website intended for offering adolescents knowledge and advisory service on sexual, reproductive and psychical health. In 2010 UMO extended the use of social media by opening a Facebook fan page. One of the reasons was to attract new segments of the target audience, another was to make adolescents become fans. More than a year after the start, none of this have developed in accordance with the intentions and expectations. Analyses of data, gained from a content analysis of UMO’s Facebook fan page besides completing interviews with the administrator of the fan page and adolescent users of UMO, indicates a whole set of possible explanations for UMO’s shortcomings.

    The study shows on yet another problem with uncritically asserting that the new Web 2.0 and social media benefit participation. What has been overlooked is that obstacles to participation might as well be sought from the participants themselves, and be an active choice by the audience. The bottom line is that mediatization does not describe a fait accompli, and that socio-cultural change in its wake in no way is universal, but rather is characterized by a set of particularities.

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