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2010
Interaction through a web-based patient record in wound treatment ‘Ulcer interaction’
The project will analyze:
- How interaction is practiced today, with an emphasis on how knowledge and tasks are distributed and shared, as well as division of roles and responsibilities
- If and how boundaries between knowledge traditions and tasks are altered in new interaction patterns
- If and how roles and responsibilities are shifted and re established in the emerging patterns of use
- How the objective of obtaining best level of care is affected
Background
The Report No. 47 to the Storting, The Norwegian Coordination Reform, argues that insufficient coordination is the main reason that people with chronic diseases too easily lose out in the current health care system. Challenges occur when the patient needs collaboration between specialist and municipalities and when communication and dialogue is needed between different professionals. The challenges should be approached with willingness and ability to work out new solutions, and the report states that there should be incentives for teaming up. An important tool is to implement ICT systems throughout the health services. The web based wound record enables storing, forwarding and receiving wound documentation between different professionals and levels of care. The goal is to produce incentives for proper treatment for patients – at the right place and right time.
Project description
The project starts June 2010 and runs through 2011. The main focus the first half year will be re configuration of the web based record as a consequence of ongoing negotiations with legal and security regulations. Interview guides will be developed, and incorporation of patients and professionals takes place consecutively as soon as the service starts running. Initial interviews with the wound team at the University hospital will be carried out. Interview with general practitioners, home services and patients are initiated as soon as patients are enrolled. Altogether 10 patients and their care givers will be interviewed at the beginning of the treatment period and after three months. Data of traffic and content will also be logged. The goal is to understand if and how (shared) knowledge and tasks, roles and responsibilities work as incentives for coordination between professionals and levels of care. These are considered as important conditions, in addition to economy, law and technologies.
Project partners
The project is a collaborative effort between Norwegian Centre for Integrated Care and Telemedicine, the wound team at the University Hospital of Tromso and Danish Telemedicine who has developed the web based wound record.
Funding
The project is funded by the Health North regional research program: Health services research, integrated care and telemedicine.
Project period
June 2010 – 1 January 2012
Contact
Project leader, PhD Anne G Ekeland,
Anne.Granstrom.Ekeland@telemed.no
tel +47 952 66791
Researcher, Cand. san Beate Nyheim,
beate.nyheim@telemed.no
tel +47 975 43010.
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