Understanding clinical work practices for cross-boundary decision support in e-health

IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society
Hissam TawfikAtulya K Nagar

Abstract

One of the major concerns of research in integrated healthcare information systems is to enable decision support among clinicians across boundaries of organizations and regional workgroups. A necessary precursor, however, is to facilitate the construction of appropriate awareness of local clinical practices, including a clinician's actual cognitive capabilities, peculiar workplace circumstances, and specific patient-centered needs based on real-world clinical contexts across work settings. In this paper, a user-centered study aimed to investigate clinical practices across three different geographical areas-the U.K., the UAE and Nigeria-is presented. The findings indicate that differences in clinical practices among clinicians are associated with differences in local work contexts across work settings, but are moderated by adherence to best practice guidelines and the need for patient-centered care. The study further reveals that an awareness especially of the ontological, stereotypical, and situated practices plays a crucial role in adapting knowledge for cross-boundary decision support. The paper then outlines a set of design guidelines for the development of enterprise information systems for e-health. Based on the guidelines...Continue Reading

References

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Citations

Mar 13, 2014·IEEE Journal of Biomedical and Health Informatics·Qinghua ShenHenry Y Luo
Jul 5, 2012·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·Ling LiRicardo Valerdi
Mar 15, 2016·Journal of Cognitive Engineering and Decision Making·Laura G MilitelloBradley N Doebbeling
Feb 2, 2019·Current Diabetes Reviews·Mohamad ShiebBashair M Mussa
Jun 4, 2017·BMC Medical Informatics and Decision Making·Talya PoratOlga Kostopoulou

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