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Health Informatics Journal, Vol. 14, No. 3, 195-210 (2008)
DOI: 10.1177/1081180X08092830

Organizational effects of information and communication technology (ICT) in elderly homecare: a case study

Vivian Vimarlund

Department of Computer and Information Science (IDA) Linköpings Universitet, SE - 581 83 Linköping, Sweden, vivvi{at}ida.liu.se

Nils-Göran Olve

Department of Computer and Information Science Linköping University, Sweden

Isabella Scandurra

Centre for eHealth, Uppsala University, Sweden Department of Medical Sciences, Uppsala University, Sweden

Sabine Koch

Centre for eHealth, Uppsala University, Sweden Department of Medical Sciences, Uppsala University, Sweden

The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming more established. In particular, ICT can enable information exchange, knowledge sharing and documentation at the point-of-care (POC). The aim of this study was to explore these effects using the Old@Home prototype. Old@Home was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency. The prototype was further seen to reduce professional isolation by providing a holistic overview of the care process. User centred design and implementation of Old@Home was considered key to facilitating acceptance of organizational changes. Participation of care professionals not only led to a better understanding of the needs of involved organizations, but also increased end-users' involvement and commitment, stimulating them to test and improve the prototype until the final version.

Key Words: elderly homecare • organizational effects • participatory design


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