Patient transition and circulating intermediary objects in healthcare
Authors
Nylander, Dorthea Smidt Boska ; Gribsvad, Ida Rye
Term
4. Term
Education
Publication year
2021
Submitted on
2021-06-02
Pages
111
Abstract
Dette speciale undersøger, hvordan innovation og udvikling foregår i Region Hovedstadens sundhedsvæsen. Som ingeniører i bæredygtigt design bruger vi socio-tekniske metoder, der ser på samspillet mellem mennesker, organisationer og teknologi. Vi anvender aktør-netværksteori (et rammeværk, der kortlægger relationer mellem personer, institutioner og teknologier) og begrebet udviklingsarena (et blik for, hvor og af hvem nye løsninger formes) til at analysere forandringer. Vi fokuserer på behovet for, at patienter går fra en passiv til en aktiv rolle, ved at de inddrages mere og kan tage større ansvar for dele af deres behandling, både i hjemmet og på hospitalet. Specialet er udarbejdet i samarbejde med innovationsenheden VihTek, som tester og implementerer velfærdsteknologi. VihTek kan spille en central rolle i denne patientomstilling, fordi enheden kan afprøve og indføre teknologier, der understøtter patienters aktive deltagelse. En vigtig barriere for forandring er parallelle vidensnetværk, der begrænser vidensflowet mellem kliniske fagområder. For at få implementeringen godt i gang på afdelingerne bør VihTek tage ansvar for at forbinde og facilitere vidensflowet. Vi foreslår derfor nogle kommunikationskoncepter baseret på forståelsen af intermediære objekter, det vil sige fælles, konkrete referencepunkter eller materialer, som kan bære viden på tværs af faggrupper og dermed lette vidensdelingen.
This thesis examines how innovation and development take place in the healthcare system of the Capital Region of Denmark. As Sustainable Design Engineers, we use socio-technical methods that consider the interplay between people, organizations, and technology. We apply Actor-Network Theory (a framework that maps relations among people, institutions, and technologies) and the idea of the Development Arena (a lens on where and by whom new solutions are shaped) to guide our analysis. We focus on the need for patients to move from a passive to an active role by being more involved and taking greater responsibility for parts of their treatment, both at home and in the hospital. The thesis was conducted in collaboration with the innovation unit VihTek, which tests and implements welfare technology. VihTek can play a key role in this patient transition by testing and introducing technologies that support patients’ active participation. A major barrier to change is the presence of parallel knowledge networks that restrict the flow of knowledge between clinical disciplines. To kick-start implementation on hospital wards, VihTek should take responsibility for connecting and facilitating knowledge flow. We therefore propose a set of communication concepts based on the idea of intermediary objects, meaning shared, concrete points of reference or materials that carry knowledge across groups and help make knowledge sharing easier.
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