his.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Alternative names
Publications (10 of 18) Show all publications
Gustafsson Friberger, M. & Falkman, G. (2011). Collaboration processes, outcomes, challenges and enablers of distributed clinical communities of practice. Behavior and Information Technology, 32(6), 519-531
Open this publication in new window or tab >>Collaboration processes, outcomes, challenges and enablers of distributed clinical communities of practice
2011 (English)In: Behavior and Information Technology, ISSN 0144-929X, E-ISSN 1362-3001, Vol. 32, no 6, p. 519-531Article in journal (Refereed) Published
Abstract [en]

Modern healthcare's need for knowledge sharing and bridging the research–practice gap requires new forms of collaboration, in which clinicians of varying clinical and research expertise work together over geographical and organisational borders. To support such distributed communities of practice (CoPs), an understanding of their collaboration processes, outcomes, challenges and enablers is needed. The article examines these issues through a case study of a long-running CoP, the Swedish Oral Medicine Network (SOMNet). SOMNet's main form of collaboration is monthly telephone conference meetings centred on case consultations. Cases are submitted by the clinicians via a Web-based system. The methods used were interviews, observations, and a questionnaire. The work adds to previous research by studying a distributed CoP explicitly focused on supporting the transfer of scientific results from researchers to practitioners. We found that the regular meetings give a rhythm to the community. The centrality of cases means an immediate benefit for the submitter while the community is provided an authentic context for learning. SOMNet yields opportunities for help and learning for diverse expertise levels; the type of benefits is affected by the participant's degree of oral medicine knowledge and collaboration involvement. There are challenges in accommodating varying levels of expertise and encouraging those less experienced to participate. Enablers of the collaboration include the participation of experts, meeting facilitators and well-adapted ITs.

Place, publisher, year, edition, pages
Taylor & Francis, 2011
Keywords
communities of practice, clinical collaboration, knowledge translation, medical team meetings, medical informatics, dental informatics
National Category
Computer and Information Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-7403 (URN)10.1080/0144929X.2011.602426 (DOI)000320180500002 ()2-s2.0-84879345837 (Scopus ID)
Available from: 2013-03-11 Created: 2013-03-11 Last updated: 2018-01-11Bibliographically approved
Gustafsson, M. (2009). SOMWeb: Supporting a Distributed Clinical Community of Practice Using Semantic Web Technologies. (Doctoral dissertation). Chalmers University of Technology
Open this publication in new window or tab >>SOMWeb: Supporting a Distributed Clinical Community of Practice Using Semantic Web Technologies
2009 (English)Doctoral thesis, monograph (Other academic)
Abstract [en]

This thesis concerns supporting the collaboration and knowledge sharing of distributed clinicians of oral medicine, a sub-discipline of dentistry. The Swedish Oral Medicine Network (SOMNet) holds monthly telephone conferences where a group of clinicians discuss interesting and difficult cases, which distinguishes it from one-to-one teleconsultations. SOMNet can be seen as a distributed community of practice, that is, a group of people sharing a concern and who interact regularly to extend their individual and collective expertise. Related to this, several topics need further investigation: How can geographically distributed clinical collaboration be characterized? What is appropriate functionality for a Web-based system supporting such collaborations? What are the impacts of such systems on collaboration? Further, Semantic Web technologies, such as the Web Ontology Language (OWL), have been proposed as a means of enhancing knowledge sharing. What are benefits and limitations of using these technologies to encode domain knowledge in oral medicine and to support clinical collaboration, and what practical issues face developers? The developed system, SOMWeb, focuses on functionality for meetings and structured cases, and has been regularly used for three years. Interviews, observations, a questionnaire, system log analysis, and case analysis were used to study SOMNet's collaboration and identify system impacts. The documentation of the forms of collaboration in SOMNet can serve as a model for other groups of clinicians wishing to establish a distributed collaboration. SOMNet's meetings provide a necessary rhythm for the community and the cases give context to the clinicians' learning which point toward that the centrality of meetings and cases in a tool will benefit collaboration. Impacts on SOMNet's collaboration include enabling the participation of a wider range of clinics. Factors influencing this are the more accessible submission process as well as the increased tangibility of the collaboration. The thesis also provides recommendations for developers of systems supporting clinical collaboration and knowledge sharing. The use of OWL in examination descriptions has enabled reasoning over cases in the system to provide improved case browsing. At the same time, limitations were found in using OWL for examination templates. Based on the lessons learned in this development, the thesis provides recommendations for using Semantic Web technologies, which can be of value for other developers and to guide future research.

Place, publisher, year, edition, pages
Chalmers University of Technology, 2009. p. 200
Series
Doktorsavhandlingar vid Chalmers tekniska högskola. Ny serie,, ISSN 0346-718X ; 2972
Keywords
clinical collaboration, distributed communities of practice, knowledge management, medical informatics, online communities, ontologies, Semantic Web
National Category
Computer and Information Sciences Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-3207 (URN)978-91-7385-291-3 (ISBN)
Public defence
(English)
Available from: 2009-06-26 Created: 2009-06-26 Last updated: 2018-01-13Bibliographically approved
Gustafsson, M. & Falkman, G. (2008). Collaboration Patterns in a Medical Community of Practice. In: Proceedings of the 16th International Conference on Knowledge Engineering and Knowledge Management (EKAW 2008), 29th September–3rd October 2008, Acitrezza, Catania, Italy: Poster abstracts. Paper presented at EKAW 2008.
Open this publication in new window or tab >>Collaboration Patterns in a Medical Community of Practice
2008 (English)In: Proceedings of the 16th International Conference on Knowledge Engineering and Knowledge Management (EKAW 2008), 29th September–3rd October 2008, Acitrezza, Catania, Italy: Poster abstracts, 2008Conference paper, Poster (with or without abstract) (Refereed)
National Category
Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-9041 (URN)
Conference
EKAW 2008
Available from: 2014-05-01 Created: 2014-05-01 Last updated: 2018-01-11Bibliographically approved
Falkman, G., Gustafsson, M., Torgersson, O. & Jontell, M. (2008). Collaboration Patterns in an Online Community of Practice in Oral Medicine. In: eHealth Beyond the Horizon – Get IT There: Proceedings of MIE2008, The XXIst International Congress of the European Federation for Medical Informatics, Göteborg, Sweden, May 25–28, 2008. Paper presented at MIE2008 (pp. 175-180). Amsterdam: IOS Press
Open this publication in new window or tab >>Collaboration Patterns in an Online Community of Practice in Oral Medicine
2008 (English)In: eHealth Beyond the Horizon – Get IT There: Proceedings of MIE2008, The XXIst International Congress of the European Federation for Medical Informatics, Göteborg, Sweden, May 25–28, 2008, Amsterdam: IOS Press, 2008, p. 175-180Conference paper, Published paper (Refereed)
Abstract [en]

SOMWeb is an online collaboration system based on Semantic Web technologies, which is used for knowledge sharing and dissemination within an oral medicine community in Sweden. Based on a previous study of the use of SOMWeb, general patterns of interaction and communicative activities involved in community collaboration have been identified. The patterns for one such activity, distance consultation, are described and modeled using techniques from the Pragmatic Web. It is also shown how patterns could inform system design

Place, publisher, year, edition, pages
Amsterdam: IOS Press, 2008
Series
Studies in Health Technology and Informatics, ISSN 0926-9630 ; 136
Keywords
Collaboration, Information management-dissemination, Knowledge-based systems, Modeling, Dentistry, Human Factors
National Category
Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-2826 (URN)000274308700029 ()18487727 (PubMedID)2-s2.0-44349157897 (Scopus ID)978-1-58603-864-9 (ISBN)
Conference
MIE2008
Available from: 2009-03-04 Created: 2009-03-04 Last updated: 2018-01-13Bibliographically approved
Jontell, M., Falkman, G., Gustafsson, M. & Torgersson, O. (2008). Elektroniskt verktyg för klinik, utbildning och forskning. Tandläkartidningen, 100(12), 78-81
Open this publication in new window or tab >>Elektroniskt verktyg för klinik, utbildning och forskning
2008 (Swedish)In: Tandläkartidningen, ISSN 0039-6982, Vol. 100, no 12, p. 78-81Article in journal (Refereed) Published
Abstract [sv]

Att praktisera evidensbaserad odontologi innebär att integrera expertisen hos individuella kliniker med bästa vetenskapliga evidens från externa kunskapskällor.

National Category
Computer and Information Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-2407 (URN)
Available from: 2008-12-03 Created: 2008-12-01 Last updated: 2018-01-13Bibliographically approved
Falkman, G., Gustafsson, M., Jontell, M. & Torgersson, O. (2008). SOMWeb: A Semantic Web-Based System for Supporting Collaboration of Distributed Medical Communities of Practice. Journal of Medical Internet Research, 10(3), e25
Open this publication in new window or tab >>SOMWeb: A Semantic Web-Based System for Supporting Collaboration of Distributed Medical Communities of Practice
2008 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 10, no 3, p. e25-Article in journal (Refereed) Published
Abstract [en]

 Background: Information technology (IT) support for remote collaboration of geographically distributed communities of practice (CoP) in health care must deal with a number of sociotechnical aspects of communication within the community. In the mid-1990s, participants of the Swedish Oral Medicine Network (SOMNet) began discussing patient cases in telephone conferences. The cases were distributed prior to the conferences using PowerPoint and email. For the technical support of online CoP, Semantic Web technologies can potentially fulfill needs of knowledge reuse, data exchange, and reasoning based on ontologies. However, more research is needed on the use of Semantic Web technologies in practice.

 

Objectives: The objectives of this research were to (1) study the communication of distributed health care professionals in oral medicine; (2) apply Semantic Web technologies to describe community data and oral medicine knowledge; (3) develop an online CoP, Swedish Oral Medicine Web (SOMWeb), centered on user-contributed case descriptions and meetings; and (4) evaluate SOMWeb and study how work practices change with IT support.

Methods: Based on Java, and using the Web Ontology Language and Resource Description Framework for handling community data and oral medicine knowledge, SOMWeb was developed using a user-centered and iterative approach. For studying the work practices and evaluating the system, a mixed-method approach of interviews, observations, and a questionnaire was used.

Results: By May 2008, there were 90 registered users of SOMWeb, 93 cases had been added, and 18 meetings had utilized the system. The introduction of SOMWeb has improved the structure of meetings and their discussions, and a tenfold increase in the number of participants has been observed. Users submit cases to seek advice on diagnosis or treatment, to show an unusual case, or to create discussion. Identified barriers to submitting cases are lack of time, concern about whether the case is interesting enough, and showing gaps in one’s own knowledge. Three levels of member participation are discernable: a core group that contributes most cases and most meeting feedback; an active group that participates often but only sometimes contribute cases and feedback; and a large peripheral group that seldom or never contribute cases or feedback.

Conclusions: SOMWeb is beneficial for individual clinicians as well as for the SOMNet community. The system provides an opportunity for its members to share both high quality clinical practice knowledge and external evidence related to complex oral medicine cases. The foundation in Semantic Web technologies enables formalization and structuring of case data that can be used for further reasoning and research. Main success factors are the long history of collaboration between different disciplines, the user-centered development approach, the existence of a “champion” within the field, and nontechnical community aspects already being in place.

Place, publisher, year, edition, pages
Journal of Medical Internet Research, 2008
Keywords
Dental informatics, medical informatics applications, communications applications, community networks, group and organization interfaces, interdisciplinary communication, Internet, knowledge bases, online information services, user/machine systems
National Category
Computer and Information Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-3594 (URN)10.2196/jmir.1059 (DOI)000263213500006 ()2-s2.0-52449114463 (Scopus ID)
Available from: 2010-01-28 Created: 2010-01-28 Last updated: 2018-01-12Bibliographically approved
Gustafsson, M. & Falkman, G. (2008). Study of Use and Needs of an Online Community of Practice in Oral Medicine. In: eHealth beyond the horizon – get IT there: Poster abstracts of the 21st International Congress of the European Federation for Medical Informatics (MIE 2008), Göteborg, Sweden, May 25–28 2008. Paper presented at MIE 2008.
Open this publication in new window or tab >>Study of Use and Needs of an Online Community of Practice in Oral Medicine
2008 (English)In: eHealth beyond the horizon – get IT there: Poster abstracts of the 21st International Congress of the European Federation for Medical Informatics (MIE 2008), Göteborg, Sweden, May 25–28 2008, 2008Conference paper, Poster (with or without abstract) (Refereed)
National Category
Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-9040 (URN)
Conference
MIE 2008
Available from: 2014-05-01 Created: 2014-05-01 Last updated: 2018-01-11Bibliographically approved
Falkman, G., Gustafsson, M., Torgersson, O. & Jontell, M. (2008). The Origin, Representation, and Use of Collaboration Patterns in a Medical Community of Practice. In: Miltiadis D. Lytras, John M. Carroll, Ernesto Damiani, Robert D. Tennyson (Ed.), Emerging Technologies and Information Systems for the Knowledge Society: Proceedings of the First World Summit on the Knowledge Society, WSKS 2008, Athens, Greece, September 24–26, 2008. Paper presented at WSKS 2008 (pp. 403-412). Springer Berlin/Heidelberg
Open this publication in new window or tab >>The Origin, Representation, and Use of Collaboration Patterns in a Medical Community of Practice
2008 (English)In: Emerging Technologies and Information Systems for the Knowledge Society: Proceedings of the First World Summit on the Knowledge Society, WSKS 2008, Athens, Greece, September 24–26, 2008 / [ed] Miltiadis D. Lytras, John M. Carroll, Ernesto Damiani, Robert D. Tennyson, Springer Berlin/Heidelberg, 2008, p. 403-412Conference paper, Published paper (Refereed)
Abstract [en]

Founded on the Semantic Web technologies OWL and RDF, SOMWeb is an online community of practice that is used for knowledge sharing and dissemination within an oral medicine community in Sweden. It is shown how patterns for communication and collaboration within SOMWeb can be identified and represented in OWL, in terms of knowledge components, such as ontologies describing domain knowledge, user models, and organization models. It is described how patterns could be put into use and inform the design of future versions of SOMWeb.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2008
Series
LNAI: Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), ISSN 0302-9743;, ISSN 0302-9748 (Print) 1611-3349 (Online) ; 5288
National Category
Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-3609 (URN)10.1007/978-3-540-87781-3_44 (DOI)000259442700044 ()2-s2.0-56649086517 (Scopus ID)978-3-540-87780-6 (ISBN)
Conference
WSKS 2008
Available from: 2010-01-29 Created: 2010-01-29 Last updated: 2018-01-12Bibliographically approved
Gustafsson, M. & Falkman, G. (2007). Experiences in Modeling Clinical Examinations in Oral Medicine Using OWL. In: Proceedings of the OWLED 2007 Workshop on OWL: Experiences and Directions. Paper presented at 3rd International Workshop on OWL, OWLED 2007, Innsbruck, Austria, June 6-7, 2007 (pp. 1-10). CEUR-WS.org
Open this publication in new window or tab >>Experiences in Modeling Clinical Examinations in Oral Medicine Using OWL
2007 (English)In: Proceedings of the OWLED 2007 Workshop on OWL: Experiences and Directions, CEUR-WS.org , 2007, p. 1-10Conference paper, Published paper (Refereed)
Abstract [en]

This article describes the modeling of clinical examinations in oral medicine using OWL. Based on experiences from our previous work and knowledge model, requirements for an ontology for examinations in oral medicine are identified. OWL can be used to address most, but not all, of the requirements. We found a lack of guidance for several design choices and for development of OWL ontologies at different levels of sophistication. However, using OWL gives us the ability to come back and refine the knowledge model after initial deployment.

Place, publisher, year, edition, pages
CEUR-WS.org, 2007
Series
CEUR Workshop Proceedings, ISSN 1613-0073 ; 258
National Category
Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-2060 (URN)2-s2.0-84884630693 (Scopus ID)
Conference
3rd International Workshop on OWL, OWLED 2007, Innsbruck, Austria, June 6-7, 2007
Available from: 2008-05-19 Created: 2008-05-19 Last updated: 2018-01-12Bibliographically approved
Gustafsson, M. & Falkman, G. (2007). Modeling Contexts of Knowledge Sharing in an Online Community for Oral Medicine. In: CONTEXT '07 Doctorial Consortium Proceedings: . Paper presented at 6th International and Interdisciplinary Conference on Modeling and Using Context (CONTEXT '07), Roskilde University, Denmark, 20–24 August 2007 (pp. 30-43). Roskilde: Roskilde University
Open this publication in new window or tab >>Modeling Contexts of Knowledge Sharing in an Online Community for Oral Medicine
2007 (English)In: CONTEXT '07 Doctorial Consortium Proceedings, Roskilde: Roskilde University , 2007, p. 30-43Conference paper, Published paper (Refereed)
Abstract [en]

To support knowledge sharing between practitioners of oral medicine throughout Sweden, the SOMWeb system for community collaboration has been constructed, based on Semantic Web technologies. A large function of the system is to support the discussion of difficult and interesting cases at a monthly telephone conference. From our observations of these meetings, a the users’ responses to a questionnaire, and discussions with users, we find that many of the improvements that can be made to enable further use of the system relate to adding the use of context. Some initial thoughts on what would be relevant to represent in relation to context are given, such as the experience of the practitioner, the reason for adding a case to the system, and the current activity of the user. The long-term aims of this work is to identify aspects of context relevant to online communities of practice in healthcare, and to investigate how these contexts can be modeled using Semantic Web technologies.

Place, publisher, year, edition, pages
Roskilde: Roskilde University, 2007
Series
Computer Science Research Report ; 118
National Category
Computer Sciences
Research subject
Technology
Identifiers
urn:nbn:se:his:diva-2105 (URN)
Conference
6th International and Interdisciplinary Conference on Modeling and Using Context (CONTEXT '07), Roskilde University, Denmark, 20–24 August 2007
Available from: 2008-05-30 Created: 2008-05-30 Last updated: 2018-01-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4828-3009

Search in DiVA

Show all publications