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

Åsa Cajander; Christiane  Grünloh

doi:10.1145/3290605.3300865

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 proceeding › Conference contribution › Academic › peer-review

27 Citations (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 language	English
Title of host publication	CHI '19
Subtitle of host publication	Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems
Editors	Stephen Brewster
Publisher	ACM SigCHI
Number of pages	13
ISBN (Print)	978-1-4503-5970-2
DOIs	https://doi.org/10.1145/3290605.3300865
Publication status	Published - May 2019
Externally published	Yes
Event	2019 CHI Conference on Human Factors in Computing Systems, CHI 2019: Weaving the threads of CHI - Scottish Event Campus, Glasgow, United Kingdom Duration: 4 May 2019 → 9 May 2019 Conference number: 1 https://chi2019.acm.org/

Conference

Conference	2019 CHI Conference on Human Factors in Computing Systems, CHI 2019
Abbreviated title	CHI 2019
Country/Territory	United Kingdom
City	Glasgow
Period	4/05/19 → 9/05/19
Internet address	https://chi2019.acm.org/

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1145/3290605.3300865

Cite this

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

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.",

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author = "{\AA}sa Cajander and Christiane Gr{\"u}nloh",

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language = "English",

isbn = "978-1-4503-5970-2",

editor = "Stephen Brewster",

booktitle = "CHI '19",

publisher = "ACM SigCHI",

note = "2019 CHI Conference on Human Factors in Computing Systems, CHI 2019 : Weaving the threads of CHI, CHI 2019 ; Conference date: 04-05-2019 Through 09-05-2019",

url = "https://chi2019.acm.org/",

}

Cajander, Å & Grünloh, C 2019, Electronic Health Records Are More Than a Work Tool: Conflicting Needs of Direct and Indirect Stakeholders. in S Brewster (ed.), CHI '19: Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems., 635, ACM SigCHI, 2019 CHI Conference on Human Factors in Computing Systems, CHI 2019, Glasgow, United Kingdom, 4/05/19. https://doi.org/10.1145/3290605.3300865

Electronic Health Records Are More Than a Work Tool: Conflicting Needs of Direct and Indirect Stakeholders. / Cajander, Åsa; Grünloh, Christiane .
CHI '19: Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. ed. / Stephen Brewster. ACM SigCHI, 2019. 635.

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

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AB - 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.

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KW - eHealth

KW - Value sensitive design

KW - Value tensions

KW - User experience

KW - Patient portals

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DO - 10.1145/3290605.3300865

M3 - Conference contribution

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ER -

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

Abstract

Conference

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this