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Healthcare personnel perform essential "data work" to maintain information and communication technology (ICT) system integrations. Understanding this sociotechnical aspect is key for efficient hospital care and system interoperability.

Keywords:
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Area of Science:

  • Health Informatics
  • Sociology of Technology
  • Information Systems Research

Background:

  • Effective healthcare delivery relies on seamless integration and interoperability of diverse information and communication technology (ICT) systems.
  • Maintaining these complex ICT integrations involves significant, often invisible, daily efforts by healthcare personnel.
  • The sociotechnical perspective is vital for understanding the human element in health information system implementation.

Purpose of the Study:

  • To provide a sociotechnical understanding of the
  • data work
  • involved in integrating healthcare systems.
  • To explore how concepts like "information infrastructures" and "articulation work" shape daily practices.
  • To analyze the influence of social status on often-unseen articulation work within healthcare IT.

Main Methods:

  • Qualitative study focusing on the formative stages of a large-scale electronic medication management system implementation.
  • Analysis informed by theoretical concepts of information infrastructures and articulation work.
  • Examination of historical, national, and regional system decisions impacting local work.

Main Results:

  • Healthcare personnel engage in substantial "data work" to ensure ICT system integration and interoperability.
  • Social status can influence the visibility and recognition of crucial "articulation work" performed by staff.
  • Existing national and regional systems and historical decisions significantly shape local actors' daily tasks and integration maintenance.

Conclusions:

  • A sociotechnical approach is essential for understanding the complexities of healthcare ICT integration.
  • Recognizing and valuing the "articulation work" of healthcare personnel is critical for successful system implementation and maintenance.
  • Contextual factors, including historical decisions and existing infrastructure, profoundly impact the daily work of maintaining integrated health information systems.