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User participation in healthcare IT development: a developers' viewpoint in Finland
Susanna Martikainen1, Mikko Korpela1, Tuija Tiihonen1
1School of Computing, University of Eastern Finland, Kuopio, Finland.
International Journal of Medical Informatics
|January 3, 2014
Summary
Health IT system developers express willingness to collaborate with end-users, but communication gaps hinder effective user participation in health IT systems development. This leads to dissatisfaction with feedback implementation speed.
Area of Science:
- Health Informatics
- Human-Computer Interaction
- Software Engineering
Background:
- Physicians previously expressed criticism towards health information technology systems (HITS) and collaboration methods with developers.
- This study investigates the developers' perspective on end-user involvement in HITS development.
Purpose of the Study:
- To understand developers' current views on end-user participation in HITS development.
- To explore how developers prefer end-users to participate in HITS development.
- To compare developers' and physicians' views on collaboration in HITS development.
Main Methods:
- A web-based questionnaire was distributed to developers at a major HITS provider company in Finland.
- Quantitative and free-text questions from a prior physician study were adapted.
- Responses were analyzed using qualitative and basic quantitative methods.
Main Results:
- Developers reported high interest (90%) and consideration (81%) of user feedback, yet a majority (57%) felt corrections were too slow.
- Developers favored user participation through workplace presentations (76%) and user groups (75%).
- Significant discrepancies emerged between developer and physician views on interest in feedback, its consideration, and the preference for user groups.
Conclusions:
- A "willing but not able" dynamic exists between physicians and developers regarding collaboration.
- Breakdowns in communication, potentially due to intermediaries not being end-users, impede effective collaboration.
- There is a clear need to improve information flow between end-users and developers in HITS development.
Keywords:
Computer systems development methodsEnd-user participationFinlandMedical informatics applicationsOccupational groupsQuestionnairesSoftware designMore Related Videos
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