Electronic Health Records Are More Than a Work Tool: Conflicting Needs of Direct and Indirect Stakeholders

Åsa Cajander*, Christiane Grünloh

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

1 Citation (Scopus)

Abstract

The involvement of stakeholders is crucial when designing IT in highly complex application domains, such as healthcare. Stakeholder relationships are complex and can include strongly conflicting needs and value tensions. In this case study, we investigate the different perspectives of patients and physicians related to Patient Accessible Electronic Health Records (PAEHR) in Sweden. Generally, the introduction of this service has been heavily criticised by healthcare professionals, but welcomed by patients. The paper presents an innovative study design where themes from interviews with physicians are used as a lens to analyse survey data from patients. The findings highlight the necessity to understand stakeholders' perspectives about other stakeholder groups by contrasting assumptions and expectations of physicians (indirect stakeholders) with experience of use by patients (direct stakeholders), and discusses practical challenges when designing large-scale health information systems.
Original languageEnglish
Title of host publicationCHI '19
Subtitle of host publicationProceedings of the 2019 CHI Conference on Human Factors in Computing Systems
EditorsStephen Brewster
PublisherACM SigCHI
Number of pages13
ISBN (Print)978-1-4503-5970-2
DOIs
Publication statusPublished - May 2019
Externally publishedYes
Event2019 CHI Conference on Human Factors in Computing Systems, CHI 2019: Weaving the threads of CHI - Scottish Event Campus, Glasgow, United Kingdom
Duration: 4 May 20199 May 2019
Conference number: 1
https://chi2019.acm.org/

Conference

Conference2019 CHI Conference on Human Factors in Computing Systems, CHI 2019
Abbreviated titleCHI 2019
CountryUnited Kingdom
CityGlasgow
Period4/05/199/05/19
Internet address

Keywords

  • Patient accessible electronic health records
  • eHealth
  • Value sensitive design
  • Value tensions
  • User experience
  • Patient portals

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