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Politics and technology in health information systems development: A discourse analysis of conflicts addressed in a systems design group
Linköping University, The Institute of Technology. Linköping University, Department of Computer and Information Science, MDALAB - Human Computer Interfaces.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, FHVC - Folkhälsovetenskapligt centrum.ORCID iD: 0000-0001-6049-5402
2008 (English)In: Journal of Biomedical Informatics, ISSN 1532-0464, Vol. 41, no 1, 82-94 p.Article in journal (Refereed) Published
Abstract [en]

Different types of disagreements must be managed during the development of health information systems. This study examines the antagonisms discussed during the design of an information system for 175,000 users in a public health context. Discourse analysis methods were used for data collection and analysis. Three hundred and twenty-six conflict events were identified from four design meetings and divided into 16 categories. There were no differences regarding the types of conflicts that the different participants brought into the design discussions. Instead, conflict occurrence was primarily affected by the agendas that set the stage for examinations and debates. The results indicate that the selection of design method and the structure used for the meetings are important factors for the manner in which conflicts are brought into consideration during health information system design. Further studies comparing participatory and non-participatory information system design practices in health service settings are warranted. © 2007 Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
2008. Vol. 41, no 1, 82-94 p.
Keyword [en]
Conflict management, Design methods, Discourse analysis, Health Informatics, User-centred design
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-46933DOI: 10.1016/j.jbi.2007.05.009OAI: diva2:267829
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2013-09-05

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Irestig, MagnusTimpka, Toomas
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The Institute of TechnologyMDALAB - Human Computer InterfacesFaculty of Health SciencesDivision of Preventive and Social Medicine and Public Health ScienceFHVC - Folkhälsovetenskapligt centrum
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Journal of Biomedical Informatics
Medical and Health Sciences

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