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Towards responsible system development in health services: A discourse analysis study of design conflict resolution tactics
Linköping University, Department of Computer and Information Science, MDALAB - Human Computer Interfaces. Linköping University, The Institute of Technology.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Public Health Sciences.ORCID iD: 0000-0001-6049-5402
2010 (English)In: JOURNAL OF BIOMEDICAL INFORMATICS, ISSN 1532-0464, Vol. 43, no 1, 137-143 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2010. Vol. 43, no 1, 137-143 p.
Keyword [en]
Public health informatics, System development methods, Participatory design, Discourse analysis
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-54066DOI: 10.1016/j.jbi.2009.08.005ISI: 000274309800015OAI: diva2:298304
Available from: 2010-02-22 Created: 2010-02-22 Last updated: 2013-09-05

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Irestig, MagnusTimpka, Toomas
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MDALAB - Human Computer InterfacesThe Institute of TechnologyDivision of Preventive and Social Medicine and Public Health ScienceFaculty of Health SciencesCentre for Public Health Sciences
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