Several guests, that are involved in joint eHealth projects with Åsa Cajander and me, have been visiting us this week. The blog picture was taken yesterday and shows, from left to right, me, Christiane Grünloh (KTH, TH Köln), Gunilla Myreteg (Örebro University) and Maria Hägglund (Karolinska institutet).
Christiane Grünloh, who is a Ph.D. student from the Royal Institute of Technology (KTH) and living in Germany, will be with us this entire week to work with us on a large observation/interview/survey study which will be conducted with physicians and nurses at Uppsala University hospital. She is also a member of the HTO group, but is mostly connecting from Germany via Skype. We have been working mostly on refining the interview template, since we have not yet conducted any interviews. Yesterday, Gunilla Myreteg from Örebro University and Maria Hägglund from Karolinska Institutet also joined in to, among other things, help us finalize and pilot the interview template. It was a very productive day – it’s nice to sit down with colleagues you don’t meet that often to really focus on a common task. Those who want to know more about our study at the oncology department, which is a part of the DISA project as well as the larger DOME consortium, can read this blog post for an introduction of the entire research team behind the study and this blog post for an introduction of the different parts of the study.
While all of us were gathered, we also took the chance to work on the first paper based on a large national patient survey, which we and several other researchers within the DOME consortium are also a part of. And of course we couldn’t just split up after being done working – we had to end the day at a nice Italian restaurant here in Uppsala! 🙂
Thomas Lind will defend his PhD thesis the 15th of September 2017. This week we had a seminar where the work was discussed with an external reviewer, José Abdelnur Nocera.
The thesis is about the deployment of IT systems. Thomas Lind’s PhD thesis has several contributions:
The development of a theory for understanding deployment: Inertia.
Deeper understanding of deployment of IT from a sociotechnical perspective.
The evaluation of the method “Vision seminars” as a method to use when deploying IT systems.
During the seminar Thomas Lind first presented his work, and this was followed by a discussion with José Abdelnour Nocera. The discussion concerned both the six papers that are included in the thesis as well as the introductory text for the papers.
In the evening we had a nice dinner at Basilico.
The HTO group thanks José Abdelnour Nocera for a very valuable discussion. Now we are looking forward to the final defense of the PhD thesis. 🙂
Jonas Moll became a member the council for eHealth and national information structure (e-hälsorådet) at the National Board of Health and Welfare (Socialstyrelsen) in Sweden. He wrote a blog post about it found here.
Åsa Cajander is also a member of the same board, and we contribute with our different knowledge and expertise to the work done.
The DOME Consortium had its own track at Vitalis 2017 and a number of presentations relating to research on electronic patient journals. Jonas Moll has written more on the presentations on his blog – head over there for an update.
With 180 exhibitors and a huge number of presenters Vitalis 2017 was indeed vital. For a first time visitor such as myself it really made the impact of e-health on society tangible.
The exhibitions gave an understanding of the actors in the field, raging from service designers to robotics. (Plus more espresso than a man could drink, though I tried.) The presentations showcased how the same technology was introduced and effected health care on a many different levels. The combination of exhibition and presentation also created a nice tension between the promises of technology and the sometimes more complicated implementations of the same technology.
Given the sheer number of parallell sessions it was impossible to cover more than a few select presentations. The DOME consortium, of which we are a part, had great visibility with a track of its own. Jonas Moll of the HTO-group has written more on this topic. Quite impressive was also the fact that our students had been invited to give their view on the future of health care. Given how professional they were, I would say it looks promising. I also enjoyed the presentation made by Carl Johan Orre from Malmö University on the topic of person centered technology.
I might be a bit biased but what I found really inspiring was the presentations made by our colleagues from Uppsala University Hospital with whom we are collaborating in a number of projects.
Birgitta Wallgren discussed the complexities of large scale implementations in a setting with other ongoing large scale implementations.
Annemieke Ålenius and her colleague presented lessons learned from the unplanned and almost week long downtime for the hospital’s patient journal system. While interesting in itself–for instance the comment that soon staff will have no experience of paper based back up routines–they also managed to convey some of the drama from behind the scenes. Still, it was a good thing that the crisis had a happy ending–thanks to a strong group effort from the whole hospital staff.
Finally Morten Kildal discussed the various strategic paradigms that have succeeded each other as the solution for health care, including the current concept of value centered care. While no doubt new paradigms will come, Morten Kildal did make a solid case for the benefits of the current strategy–as well as the need for relevant data.
In summary all of the three presentations stressed the importance of coordination–between implementations, in crisis or in the patient journey. Yet, what I really found positive for our ongoing collaboration was not only the fact that the presentations were analytical and reflective but that the presenters had a strong humanistic outlook.
This also, is promising for the future of eHealth.
Earlier today, Ida and I presented the DISA project at Vitalis 2017. The project is dedicated to investigating the effects of digitization on nurses’ work environment. The outline of the project is described in the leaflet shown above, which can be downloaded here.
DISA will be ongoing for three years and comprises three different work packages, each with a slightly different focus. The poster shown below illustrates the structure of the DISA project and provides some more detail on the project’s core research questions.
We are altogether 7 researchers working on DISA under Åsa’s supervision. However, not all of us work on the same topics and with the same hospital departments. As such, Jonas and Christiane mainly work with the EPR online and the oncology department at the Uppsala University Hospital, while Lars, Ida, Gerolf, Minna and me primarily work with nurses’ digital work environment and two different hospital departments: the surgery department at the Uppsala University Hospital and the department for blood and tumor diseases at the Uppsala Children’s hospital.