TY - BOOK

T1 - Medical emplotment

T2 - Designing IT for distributed healthcare

AU - Mønsted, Troels Sune

PY - 2012

Y1 - 2012

N2 - IT is central for the development of modern healthcare. Until now, researchers and designers have given great attention to how IT can render clinical data accessible and support collaborative and coordinative work. By focusing on how physicians make sense of patients’ illness trajectories and by conceptualizing this as narrative reasoning, this PhD dissertation offers novel perspectives on design of health IT. The dissertation consists of five research articles and an extended synopsis that presents findings from three years of research within the project ‘Co-Constructing IT and Healthcare’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions inspired by posthuman theory and performative ontology. The dissertation reports on the design and research of coSummary – a prototype of a system that enables physicians at two hospitals to maintain a shared summary of chronic heart patients in the Copenhagen region, Denmark. Inspired by hermeneutic philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients’ illness trajectories.

AB - IT is central for the development of modern healthcare. Until now, researchers and designers have given great attention to how IT can render clinical data accessible and support collaborative and coordinative work. By focusing on how physicians make sense of patients’ illness trajectories and by conceptualizing this as narrative reasoning, this PhD dissertation offers novel perspectives on design of health IT. The dissertation consists of five research articles and an extended synopsis that presents findings from three years of research within the project ‘Co-Constructing IT and Healthcare’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions inspired by posthuman theory and performative ontology. The dissertation reports on the design and research of coSummary – a prototype of a system that enables physicians at two hospitals to maintain a shared summary of chronic heart patients in the Copenhagen region, Denmark. Inspired by hermeneutic philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients’ illness trajectories.

UR - https://soeg.kb.dk/permalink/45KBDK_KGL/fbp0ps/alma99122937100605763

M3 - Ph.D. thesis

BT - Medical emplotment

PB - Department of Computer Science, Faculty of Science, University of Copenhagen

ER -