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Design participation as an insurance: Risk-management and end-user participation in the development of information systems in healthcare organizations
Linköping University, Department of Computer and Information Science, EISLAB - Economic Information Systems. Linköping University, The Institute of Technology.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, FHVC - Folkhälsovetenskapligt centrum, Socialmed FHVC.ORCID iD: 0000-0001-6049-5402
2002 (English)In: Methods of Information in Medicine, ISSN 0026-1270, Vol. 41, no 1, 76-80 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this paper is to build a theoretical framework for analysis of when decision-makers should use end-user participation as a form of insurance for unforeseen consequences of implementing information systems in healthcare organizations. Method: Data were collected in a case study of an information system development project in a small clinical setting. During the initial phase, the future end-users of the system were allowed to actively influence the system design and test every new tool that was considered for implementation. Results: The results of the case study suggest that when time and effort are invested in allowing healthcare staff to participate in information system development processes, the benefits can well exceed the costs throughout the life cycle of the project. Risk-averse decision-makers fearing negative secondary consequences of a HIS, with regard to clinical work flow, will always adopt measures to prevent future failures, if they can find a possibility of shifting these risks. Therefore, they calculate the present discounted value of the effects accrued over time to the unit and predict the amount of resources they are willing to pay to acquire an insurance (such as design participation) that will protect the organization from future losses. Conclusions: End-user participation in the design process can be the key positive influence on the quality of the service and, thereby, organizational effectiveness. Investments in broad design participation can, consequently, be a productive activity that transforms potential current income into future benefits.

Place, publisher, year, edition, pages
2002. Vol. 41, no 1, 76-80 p.
National Category
Computer Science
URN: urn:nbn:se:liu:diva-26296Local ID: 10813OAI: diva2:246844
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2013-09-05

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Vimarlund, VivianTimpka, Toomas
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EISLAB - Economic Information SystemsThe Institute of TechnologyFaculty of Health SciencesDivision of Preventive and Social Medicine and Public Health ScienceSocialmed FHVC
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Methods of Information in Medicine
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