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Representative Participation in a Large-Scale Health IT Project.

Øivind Klungseth Zahlsen1, Dag Svanæs1,2, Yngve Dahl1

  • 1Department of Computer Science, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway.

Computer Supported Cooperative Work : CSCW : an International Journal
|January 2, 2023
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Summary

Representative participation in large-scale IT projects can lead to a decline in user engagement. Project structures may shift participants from user representatives to technocrats, impacting collaborative design processes.

Keywords:
Large-scale IT projectsParticipatory designRepresentative participationStructural arrangementsUser involvement

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Area of Science:

  • Health Informatics
  • Information Systems Engineering
  • Participatory Design

Background:

  • User involvement is crucial for successful information technology (IT) system development.
  • Large-scale IT projects often rely on representative user participation rather than direct involvement.
  • The shift in power dynamics and implications of representative participation require further investigation.

Purpose of the Study:

  • To describe and analyze problems associated with representative participation in large-scale IT projects.
  • To examine the decline in interaction between active project participants and their advisory units.
  • To understand how project structures influence user roles and representation.

Main Methods:

  • Case study of an electronic health record implementation project in Norway.
  • Analysis of stakeholder interviews.
  • Application of analogies based on democratic organizational structures (participants-as-political-representatives and participants-as-technocrats).

Main Results:

  • Observed decline in interaction between health professionals in the project and their advisory units.
  • Project structural arrangements contributed to this decline.
  • Shift from broad user involvement to ad hoc, competence-oriented approaches, indicating a transition from user representative to technocrat roles.

Conclusions:

  • Project structure significantly impacts users' ability to consult colleagues.
  • Project structure influences the role and representation of participating users.
  • Effective representative participation necessitates a re-evaluation of project structures.