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Towards responsible system development in health services: A discourse analysis study of design conflict resolution tactics
Linköpings universitet, Institutionen för datavetenskap, MDALAB - Human Computer Interfaces. Linköpings universitet, Tekniska högskolan.
Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Folkhälsovetenskapligt centrum.ORCID-id: 0000-0001-6049-5402
2010 (Engelska)Ingår i: JOURNAL OF BIOMEDICAL INFORMATICS, ISSN 1532-0464, Vol. 43, nr 1, s. 137-143Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

We set out to examine design conflict resolution tactics used in development of large information systems for health services and to outline the design consequences for these tactics. Discourse analysis methods were applied to data collected from meetings conducted during the development of a web-based system in a public health context. We found that low risk tactics were characterized by design issues being managed within the formal mandate and competences of the design group. In comparison, high risk tactics were associated with irresponsible compromises, i.e. decisions being passed on to others or to later phases of the design process. The consequence of this collective disregard of issues such as responsibility and legitimacy is that the system design will be impossible to implement in factual health service contexts. The results imply that downstream responsibility issues have to be continuously dealt with in system development in health services.

Ort, förlag, år, upplaga, sidor
2010. Vol. 43, nr 1, s. 137-143
Nyckelord [en]
Public health informatics, System development methods, Participatory design, Discourse analysis
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-54066DOI: 10.1016/j.jbi.2009.08.005ISI: 000274309800015OAI: oai:DiVA.org:liu-54066DiVA, id: diva2:298304
Tillgänglig från: 2010-02-22 Skapad: 2010-02-22 Senast uppdaterad: 2013-09-05

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Irestig, MagnusTimpka, Toomas

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