Electronic cooperation concerning individual plans for health care for alcohol and drug addicitions
Translated title
Elektronisk samhandling om individuell plan i rusomsorgen
Authors
Lorentzen, Anne Mette ; Nag, Kjersti
Term
3 year
Publication year
2008
Pages
127
Abstract
Baggrund: I Norge bruges den individuelle plan som et redskab til at koordinere langvarig social- og sundhedsindsats for borgere med omfattende behov. Planen blev indført på papir og findes nu også som en webbaseret løsning. Offentlige retningslinjer regulerer brugen, og en central målsætning er, at patienter tager digitale tjenester i brug i deres forløb. Formål: Projektet undersøger, hvordan teknologiske og organisatoriske erfaringer påvirker forventninger til – og modstand mod – en webbaseret individuel plan hos patienter med alkohol- og stofafhængighed og hos sundhedsprofessionelle. Metode: Vi tog udgangspunkt i eksisterende teorier, der peger på, at erfaringer med teknologi og organisering former, hvordan nye løsninger bliver brugt. Empirisk anvendte vi fokusgruppeinterviews og dokumentanalyse af juridiske tekster, offentlige strategier for elektronisk samarbejde og baggrunden for udviklingen af den webbaserede plan. Analysen er inspireret af aktør-netværksteori (ANT) samt teorier om empowerment, kommunikation og motivation. Resultater: Begge grupper oplever, at den papirbaserede plan ikke fungerer optimalt, men af forskellige grunde. Patienterne lægger vægt på opfølgning og kontinuitet i behandlingen, mens sundhedsprofessionelle primært ser planen som et redskab til koordinering og kommunikation. Derfor vurderer de også overgangen til en elektronisk plan forskelligt. Begge forventer, at papir- og webbaserede planer vil eksistere side om side, fordi nogle egenskaber ved papir ikke kan kopieres digitalt. Diskussion: Med ANT betragtes patienter, fagpersoner og teknologi som gensidigt forbundne aktører i et netværk, hvilket kan forklare, hvordan erfaringer former forventninger og modstand. Teorier om kommunikation, empowerment og motivation tilbyder supplerende forklaringer: kommunikation fremhæver informationsudveksling, empowerment fokuserer på magt og handlemuligheder, og motivation ser på, hvordan grundlæggende behov påvirker adfærd.
Background: In Norway, the individual plan is used to coordinate long-term social and health services for people with extensive needs. It was introduced on paper and now also exists as a web-based solution. Public guidelines govern its use, and a key policy goal is to encourage patients to use digital services as part of their care. Aim: This project explores how technological and organizational experiences shape expectations of—and resistance to—a web-based individual plan among patients with alcohol and drug addictions and among healthcare workers. Methods: We drew on existing theories that suggest experiences with technology and organization influence how new tools are used. Empirically, we conducted focus group interviews and analyzed documents, including legal texts, public strategies for electronic cooperation, and the background for developing the web-based plan. The analysis is informed by Actor-Network Theory (ANT) and theories of empowerment, communication, and motivation. Results: Both patients and healthcare workers report that the paper-based plan does not work optimally, but for different reasons. Patients emphasize follow-up and continuity of treatment, while healthcare workers view the plan mainly as a tool for coordination and communication. Consequently, they have different views on moving to an electronic plan. Both groups expect paper and web-based plans to coexist, as certain qualities of paper cannot be fully replicated digitally. Discussion: ANT frames patients, professionals, and technology as interdependent actors within a network, helping explain how experiences shape expectations and resistance. Theories of communication, empowerment, and motivation offer complementary perspectives: communication focuses on information exchange, empowerment on power and agency, and motivation on how basic needs drive behavior.
[This abstract was generated with the help of AI]
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