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  • 1.
    Amorim, Joni A.
    et al.
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för informationsteknologi.
    Yano, Edgar T.
    Department of Computer Science, Instituto Tecnologico de Aeronautica, São José dos Campos, Brazil.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Andler, Sten F.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Gustavsson, Per M.
    Combitech, SAAB Group, Skövde.
    Awareness and training: Identification of relevant security skills and competencies2014Ingår i: Engineering Education in a Technology-Dependent World: Book of Abstracts / [ed] Claudio da Rocha Brito, Melany M. Ciampi, Guimarães: INTERTECH , 2014, , s. 57s. 37-Konferensbidrag (Refereegranskat)
    Abstract [en]

    In order to identify needed skills and competencies for privacy and security, we propose a systematic process that maps privacy and security threats to related controls that are required to prevent, detect or remove such threats. This work suggests how to apply the process, while discussing how games and simulations can be used both to develop the desired behavior and to monitor the current competency level.

  • 2.
    Amorim, Joni A.
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Saab Training Systems, Saab AB, Skövde, Sweden.
    Gustavsson, Per M.
    Saab Training Systems, Saab AB Skövde, Sweden.
    Andler, Sten F.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Privacy and Security in Cyberspace: Training Perspectives on the Personal Data Ecosystem2013Ingår i: European Intelligence and Security Informatics Conference (EISIC), Proceedings CD / [ed] Joel Brynielsson and Fredrik Johansson, IEEE conference proceedings, 2013, s. 139-142, artikel-id 6657140Konferensbidrag (Refereegranskat)
    Abstract [en]

    There is a growing understanding that privacy is an essential component of security. In order to decrease the probability of having data breaches, the design of information systems,  processes  and  architectures  should  incorporate considerations  related  to  both  privacy  and  security.  This incorporation may benefit from the offering of appropriate training. In this way, this paper intends to discuss how to better offer training while considering new developments that involve both multimedia production and the “gamification” of training. The paper suggests the use in conjunction of two frameworks: the EduPMO Framework, useful for the management of large scale projects  that  may  involve  a  consortium  of  organizations developing multimedia for the offering of training, and the Game Development Framework, useful for the identification of the main components of the serious game for training on privacy by design to be developed as part of the training offering.

  • 3.
    Backlund, Per
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Söderström, Eva
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Toms, Anders
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Persson, Anne
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Ontology driven business processes integration – a position paper2004Ingår i: Proceedings of the CAiSE*04 workshops: Enterprise Modelling and Ontologies for Interoperability, 2004, s. 280-283Konferensbidrag (Övrigt vetenskapligt)
  • 4.
    Bergström, Erik
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Information Classification Enablers2015Ingår i: Foundations and Practice of Security: 8th International Symposium, FPS 2015, Clermont-Ferrand, France, October 26-28, 2015, Revised Selected Papers / [ed] Garcia-Alfaro, Joaquin Kranakis, Evangelos Bonfante, Guillaume, Cham: Springer, 2015, Vol. 9482, s. 268-276Konferensbidrag (Refereegranskat)
    Abstract [en]

    This paper presents a comprehensive systematic literature review of information classification (IC) enablers. We propose a classification based on the well-known levels of management: strategic, tactical and operational. The results reveal that a large number of enablers could be adopted to increase the applicability of IC in organizations. The results also indicate that there is not one single enabler solving the problem, but rather several enablers can influence the adoption.

  • 5.
    Bergström, Erik
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Information Classification Issues2014Ingår i: Secure IT Systems: 19th Nordic Conference, NordSec 2014, Tromsø, Norway, October 15-17, 2014, Proceedings / [ed] Karin Bernsmed & Simone Fischer-Hübner, Springer, 2014, s. 27-41Konferensbidrag (Refereegranskat)
    Abstract [en]

    This paper presents an extensive systematic literature review with the aim of identifying and classifying issues in the information classification process. The classification selected uses human and organizational factors for grouping the identified issues. The results reveal that policy-related issues are most commonly described, but not necessarily the most crucial ones. Furthermore, gaps in the research field are identified in order to outline paths for further research.

  • 6.
    Bergström, Erik
    et al.
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för informationsteknologi.
    Anteryd, Fredrik
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Informationsklassificering och säkerhetsåtgärder2016Rapport (Övrigt vetenskapligt)
  • 7.
    Brodin, Martin
    et al.
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för informationsteknologi.
    Rose, Jeremy
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för informationsteknologi.
    Management issues for Bring Your Own Device2015Ingår i: Proceedings of 12th European, Mediterranean & Middle Eastern Conference on Information Systems 2015 (EMCIS2015) / [ed] Kostantinos Lambrinoudakis, Vincenzo Morabito & Marinos Themistocleous, European, Mediterranean & Middle Eastern Conference on Information Systems (EMCIS) , 2015Konferensbidrag (Refereegranskat)
    Abstract [en]

    Bring Your Own Device (BYOD) is an emerging research area focusing on the organisational adoption of (primarily mobile) devices used for both private and work purposes. There are many information security related problems concerning the use of BYOD and it should therefore be considered an issue of strategic importance for senior managers. This paper presents a systematic literature analysis using a BYOD strategic management framework to assess developing research trends. The analysis reveals early work in the analysis and design aspects of BYOD strategies, but a lack of research in operationalizing (planning, implementation and evaluating) strategy – the action phase. The resulting research agenda identifies twelve management issues for further research and four overall research directions that may stimulate future research.

  • 8.
    Hedström, Karin
    et al.
    Örebro University.
    Jäger, Kerstin
    Högskolan i Skövde, Institutionen för teknik och samhälle.
    Krasnizi, Hanife
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för kommunikation och information.
    Linderoth, Henrik
    Högskolan i Skövde, Institutionen för teknik och samhälle.
    Nohlberg, Marcus
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för kommunikation och information.
    Persson, Anne
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Forskningscentrum för Informationsteknologi. Högskolan i Skövde, Institutionen för kommunikation och information.
    Vårdens framtida informationssystem - Vision i form av en demonstrator: Slutrapport.2010Rapport (Övrig (populärvetenskap, debatt, mm))
  • 9.
    Huvila, Isto
    et al.
    Department of ALM, Uppsala University, Uppsala, Sweden / School of Business and Economics, Åbo Akademi University, Turku, Finland.
    Cajander, Åsa
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Daniels, Mats
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Patients' perceptions of their medical records from different subject positions2015Ingår i: Journal of the Association for Information Science and Technology, ISSN 2330-1635, E-ISSN 2330-1643, Vol. 66, nr 12, s. 2456-2470Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Better knowledge of the habits and preferences of patients helps one understand why and how patients might need or want to access health services online and offline. Such knowledge provides a basis for designing systems for providing complementary health information. This article discusses how patients' conceptualizations of their health-information-related preferences, motivations, and needs are linked to the perceived role of medical records as an informational artifact. We identified seven subject positions: (P1) Hypothetically positive to e-health services generally, (P2) Positive to reading medical records due to implications, (P3) Positive to all Internet use including medical records online, (P4) Distrustful and wants to be in control of health treatment, (P5) Worried about health, (P6) Wants communication with health care professionals, and (P7) Do not understand their medical record. These subject positions can explain the worry and enthusiasm documented in earlier literature. The diversity of subject positions implies that health care information services should be planned with different subject positions in mind rather than a simple demographic group. Special attention needs to be given to finding flexible solutions that address the opportunities and worries of the identified subject positions.

  • 10.
    Huvila, Isto
    et al.
    Department of ALM (Archives, Library & Information, Museum & Cultural Heritage Studies), Uppsala University, Sweden.
    Daniels, Mats
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Cajander, Åsa
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Patients reading their medical records: Differences in experiences and attitudes between regular and inexperienced readers2016Ingår i: Information research, ISSN 1368-1613, E-ISSN 1368-1613, Vol. 21, nr 1, artikel-id 706Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction. We report results of a study of how ordering and reading of printouts of medical records by regular and inexperienced readers relate to how the records are used, to the health information practices of patients, and to their expectations of the usefulness of new e-Health services and online access to medical records. Method. The study is based on a combined postal- and Web-survey of a simple random sample of 1000 patients who ordered a paper copy of their medical records from the Uppsala county council (Sweden) with a final analysed sample of 354 returned questionnaires. Analysis. The data were analysed using SPSS 21.0 using descriptive statistics, one-way analysis of variation (ANOVA) using Tamhane’s T2 test, chi-squared tests and logistic regression analysis. Results. The analysis shows that individuals who had ordered a copy of their medical records in the past perceive their usefulness in broader terms than first-timers. The regular readers are also most concerned about their health and the quality of care. Conclusions. It seems that in addition to certain demographic factors, many of the variations in the data can be explained in terms of adaptive structuration theory. This is a result of a parallel structuration of patients, medical records and the paper-based and online technologies of access, and consequently how patients perceive records and the different methods of accessing and using them.

  • 11.
    Huvila, Isto
    et al.
    Department of ALM, Uppsala University, Sweden / Information Studies, Åbo Akademi University, Turku, Finland.
    Hirvonen, Noora
    Information Studies, Åbo Akademi University, Turku, Finland / Information Studies, University of Oulu, Finland.
    Enwald, Heidi
    Information Studies, Åbo Akademi University, Turku, Finland / Information Studies, University of Oulu, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Differences in Health Information Literacy Competencies Among Older Adults, Elderly and Younger Citizens2019Ingår i: Information Literacy in Everyday Life: 6th European Conference, ECIL 2018, Oulu, Finland, September 24–27, 2018, Revised Selected Papers / [ed] Serap Kurbanoğlu, Sonja Špiranec, Yurdagül Ünal, Joumana Boustany, Maija Leena Huotari, Esther Grassian, Diane Mizrachi, Loriene Roy, Springer, 2019, Vol. 989, s. 136-143Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    To address the research gap on age-based differences in health information literacy (HIL), we investigated how younger (born 1960–) and older adults (1946–1960), and elderly citizens (–1945) differed from each other by their HIL competencies. Data were collected with an online survey of patients using the Swedish national electronic health record system. Altogether, 2,587 users responded. One-way ANOVA with post hoc tests revealed several differences between the groups: younger adults were less likely to value health information than older adults; older adults and elderly were least likely to compare information from multiple sources and had trouble in determining health information needs; older adults were most likely to have trouble understanding health terminology and the elderly to have difficulties in understanding medicinal package labels. The study shows that HIL is not necessarily improving or declining but adapting to challenges of advanced age. © 2019, Springer Nature Switzerland AG.

  • 12.
    Huvila, Isto
    et al.
    Uppsala Univ, Dept ALM, Informat Studies, Sweden.
    Moll, Jonas
    Uppsala Univ, Dept Informat Technol, Sweden.
    Enwald, Heidi
    Univ Oulu, Informat Studies, Finland.
    Hirvonen, Noora
    Univ Oulu, Informat Studies, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Cajander, Åsa
    Uppsala Univ, Dept Informat Technol, Human Comp Interact, Sweden.
    Age-related differences in seeking clarification to understand medical record information2019Ingår i: Information research, ISSN 1368-1613, E-ISSN 1368-1613, Vol. 24, nr 1, artikel-id isic1834Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction Patient accessible electronic health records can be used to inform and empower patients. However, their use may require complementary information seeking since they can be difficult to interpret. So far, relatively little is known of the information seeking that takes place in connection to health record use, and especially the way it varies in different age groups. A better understanding of patients' preferences of where and how to find explanatory information provides valuable input for the development of health information provision and counselling services. Method. The analysis is based on the results of a national survey of Swedish individuals (N=1,411) who had used a national patient accessible electronic health record system (Journalen). Analysis. The data were analysed in SPSS 24.0 using Kruskal-Wallis tests for detecting groupwise differences and Jonckheere-Terpstra tests for discovering age-related trends in the data. Findings. Older patients were more likely to use a telephone and younger patients to use socia l contacts to ask for clarification. Generally, older adults born between 1946-1960 appear as passive information seekers. Conclusion. Age gro ups differ in their preferences on how to seek clarification, which underlines the importance of a better understanding of individual differences in delivering not only technically but also intellectually accessible health information. Calling by telephone could be a habit of present older generations whereas, to a degree, searching information online could be a comparable habit of current younger generations.

  • 13.
    Hägglund, Maria
    et al.
    Health Informatics Centre, Karolinska Institutet, Sweden.
    Moll, Jonas
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Scandurra, Isabella
    Informatics, Örebro University School of Business, Örebro, Sweden.
    Timing It Right: Patients' Online Access to Their Record Notes in Sweden2018Ingår i: Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth. Proceedings of MIE2018 / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen, IOS Press, 2018, Vol. 247, s. 336-340Konferensbidrag (Refereegranskat)
    Abstract [en]

    In Sweden, and internationally, there is an ongoing debate about the effects of national implementations of Patient Accessible Electronic Health Records (PAEHRs). The purpose of this paper was to describe the current situation in Sweden and compare this with the expectations on reasonable waiting time for information access of users of the Swedish PAEHR. Data were collected from publicly available resources regarding current implementation in the 21 county councils, contrasted with patient experiences, gathered from a national online survey. The results indicate that patients have high expectations on immediate access to information, while this varies greatly in implementation across Sweden.

  • 14.
    Hägglund, Maria
    et al.
    Health Informatics Centre, Karolinska Institutet, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Koch, Sabine
    Health Informatics Centre, Karolinska Institutet, Sweden.
    Ålander, Ture
    Department of Public Health and Caring Sciences (IFV), Uppsala University.
    Scandurra, Isabella
    Informatics, School of Business, Örebro University, Sweden.
    Developing and implementing national eHealth services for patients: an interactive exploration of challenges andpotential solutions2015Ingår i: Digital Healthcare Empowering Europeans: Proceedings of MIE2015 / [ed] Ronald Cornet, Lăcrămioara Stoicu-Tivadar, Alexander Hörbst, Carlos Luis Parra Calderón, Stig Kjær Andersen, Mira Hercigonja-Szekeres, IOS Press, 2015Konferensbidrag (Refereegranskat)
    Abstract [en]

    In this workshop, examples and experiences from ongoing work todevelop and implement eHealth services for citizens will be provided. Challengesand potential solutions based on different international contexts will be discussedin interactive sessions. The results will form a report suggesting strategies andactivities that could provide potential solutions to the identified challenges.

  • 15.
    Iwaya, Leonardo
    et al.
    Department of Mathematics and Computer Science, Karlstad University, Sweden.
    Fischer-Hübner, Simone
    Department of Mathematics and Computer Science, Karlstad University, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Martucci, Leonardo
    Department of Mathematics and Computer Science, Karlstad Universitet, Sweden.
    mHealth: A privacy threat analysis for public health surveillance systems2018Ingår i: 2018 IEEE 31st International Symposium on Computer-Based Medical Systems (CBMS), (2018) / [ed] B Kane, J Hollmen, C McGregor, P Soda, IEEE , 2018, s. 42-47Konferensbidrag (Refereegranskat)
    Abstract [en]

    Community Health Workers (CHWs) have been usingMobile Health Data Collection Systems (MDCSs) for supportingthe delivery of primary healthcare and carrying out public healthsurveys, feeding national-level databases with families’ personaldata. Such systems are used for public surveillance and to managesensitive data (i.e., health data), so addressing the privacy issuesis crucial for successfully deploying MDCSs. In this paper wepresent a comprehensive privacy threat analysis for MDCSs,discuss the privacy challenges and provide recommendationsthat are specially useful to health managers and developers. Weground our analysis on a large-scale MDCS used for primarycare (GeoHealth) and a well-known Privacy Impact Assessment(PIA) methodology. The threat analysis is based on a compilationof relevant privacy threats from the literature as well as brainstormingsessions with privacy and security experts. Among themain findings, we observe that existing MDCSs do not employadequate controls for achieving transparency and interveinability.Thus, threatening fundamental privacy principles regarded asdata quality, right to access and right to object. Furthermore, itis noticeable that although there has been significant research todeal with data security issues, the attention with privacy in itsmultiple dimensions is prominently lacking.

  • 16.
    Iwaya, Leonardo
    et al.
    Department of Mathematics and Computer Science, Karlstad University, Karlstad, Sweden.
    Fischer-Hübner, Simone
    Department of Mathematics and Computer Science, Karlstad University, Karlstad, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Martucci, Leonardo A.
    Department of Mathematics and Computer Science, Karlstad University, Karlstad, Sweden.
    Mobile Health Systems for Community-Based Primary Care: Identifying Controls and Mitigating Privacy Threats2019Ingår i: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 7, nr 3, s. 1-16, artikel-id e11642Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Community-based primary care focuses on health promotion, awareness raising, and illnesses treatment and prevention in individuals, groups, and communities. Community Health Workers (CHWs) are the leading actors in such programs, helping to bridge the gap between the population and the health system. Many mobile health (mHealth) initiatives have been undertaken to empower CHWs and improve the data collection process in the primary care, replacing archaic paper-based approaches. A special category of mHealth apps, known as mHealth Data Collection Systems (MDCSs), is often used for such tasks. These systems process highly sensitive personal health data of entire communities so that a careful consideration about privacy is paramount for any successful deployment. However, the mHealth literature still lacks methodologically rigorous analyses for privacy and data protection.

    Objective: In this paper, a Privacy Impact Assessment (PIA) for MDCSs is presented, providing a systematic identification and evaluation of potential privacy risks, particularly emphasizing controls and mitigation strategies to handle negative privacy impacts.

    Methods: The privacy analysis follows a systematic methodology for PIAs. As a case study, we adopt the GeoHealth system, a large-scale MDCS used by CHWs in the Family Health Strategy, the Brazilian program for delivering community-based primary care. All the PIA steps were taken on the basis of discussions among the researchers (privacy and security experts). The identification of threats and controls was decided particularly on the basis of literature reviews and working group meetings among the group. Moreover, we also received feedback from specialists in primary care and software developers of other similar MDCSs in Brazil.

    Results: The GeoHealth PIA is based on 8 Privacy Principles and 26 Privacy Targets derived from the European General Data Protection Regulation. Associated with that, 22 threat groups with a total of 97 subthreats and 41 recommended controls were identified. Among the main findings, we observed that privacy principles can be enhanced on existing MDCSs with controls for managing consent, transparency, intervenability, and data minimization.

    Conclusions: Although there has been significant research that deals with data security issues, attention to privacy in its multiple dimensions is still lacking for MDCSs in general. New systems have the opportunity to incorporate privacy and data protection by design. Existing systems will have to address their privacy issues to comply with new and upcoming data protection regulations. However, further research is still needed to identify feasible and cost-effective solutions.

  • 17.
    Johannesson, Paul
    et al.
    Stockholm University/KTH, Department of Computer and Systems Sciences, Sweden.
    Perjons, Erik
    Stockholm University/KTH, Department of Computer and Systems Sciences, Sweden.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Design Solutions for Interoperability using a Process Manager2006Ingår i: Interoperability of Enterprise Software and Applications: INTEROP-ESA'2005 / [ed] Dimitri Konstantas, Jean-Paul Bourrières, Michel Léonard and Nacer Boudjlida, Springer, 2006, s. 397-408Konferensbidrag (Refereegranskat)
    Abstract [en]

    The healthcare domain is in urgent need for solutions to making clinical and administrative systems, possibly belonging to different healthcare units, interoperable and hence making them deliver timely and correct information as needed in particular situations. Process manager technology allows making all actors (humans or information systems) involved in healthcare processes communicate along these processes. This paper argues that process manager technology is essential for achieving interoperability in healthcare, but that some serious problems need to be overcome to realise its full potential. A number of design solutions to address these problems are proposed.

  • 18.
    Kabilan, Vandana
    et al.
    Department of Computer and Systems Sciences, Royal Institute of Technology and Stockholm University.
    Johannesson, Paul
    Department of Computer and Systems Sciences, Royal Institute of Technology and Stockholm University.
    Ruohomaa, Sini
    Department of Computer Science, University of Helsinki.
    Moen, Pirjo
    Department of Computer Science, University of Helsinki.
    Herrmann, Andrea
    University of Heidelberg.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Weigand, Hans
    Tilburg University.
    Introducing the Common Non-Functional Ontology2007Ingår i: Enterprise Interoperability II: New Challenges and Approaches / [ed] Ricardo J. Gonçalves, Jörg P. Müller, Kai Mertins, Martin Zelm, 2007, s. 633-645Konferensbidrag (Refereegranskat)
    Abstract [en]

    Enterprise systems interoperability is impeded by the lack of a cohesive, integrated perspective on non-functional aspects (NFA). We propose to respond to the fragmentation in NFA research by supporting a shared, common understanding. For this purpose:- first, we propose a common NFA ontology, which generalizes and integrates the different non-functional aspects under a common top-level ontology. Second, we introduce a series of specialized ontologies on specific non-functional aspects, such as trust, risk, privacy, threat and misuse. By fostering a consensual and shared view of the non-functional aspects domain, we aim to move closer to enhancing semantic enterprise interoperability. This shared perspective on what non-functional aspects are and how they relate to the other 'functional' aspects of enterprise systems, is the key towards enterprise interoperability.

  • 19.
    Krasniqi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Persson, Anne
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Patients' Experiences of Communicating with Healthcare - an Information Exchange Perspective2011Ingår i: Proceedings of the 15th International Symposium on Health Information Management Research (ISHIMR 2011) / [ed] Bath, P. A., Mettler, T., Raptis, D. A. & Sen, B. A., University of Zurich , 2011, s. 241-251Konferensbidrag (Refereegranskat)
    Abstract [en]

    Aims: To explore on how patients experience the information exchange with healthcare organizations and how this relates to the six areas that constitute good quality care.Method: A qualitative approach inspired by Grounded Theory was adopted. Seven interviews with patients were carried out in the homes of patients.Conclusion: Healthcare does not always meet the requirements of Health and Medical Services Act with regard to good quality health. An effective exchange of information between health professionals and patients was found as a key issue for creating the conditions for good quality care.

  • 20.
    Kävrestad, Joakim
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Nohlberg, Marcus
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Johani, Karonen
    Högskolan i Skövde.
    Kowalski, Stewart
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Spiraling out in control: A Video Cartesian Dialectic on a Socio-technical Approach to Teaching Privacy, Information- and Cyber Security (PICS)2019Ingår i: Socio-Technical Perspective in IS Development 2019: Proceedings of the 5th International Workshop on Socio-Technical Perspective in IS Development (STPIS 2019) co-located with 27th European Conference on Information Systems (ECIS 2019) / [ed] Stewart Kowalski, Peter Bednar, Alexander Nolte, Ilia Bider, CEUR-WS , 2019, Vol. 2398, s. 153-155Konferensbidrag (Refereegranskat)
  • 21.
    Olve, Nils-Göran
    et al.
    Linköping University.
    Nelzén, Olle
    Skaraborg Hospital Skövde, Region Västra Götaland.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    An IT tool for healthcare processes: economic effects in managing leg ulcers2008Ingår i: Proceedings of the 14th Conference on Information and Software Technologies (IT 2008), Kaunas universitet, Lithuania , 2008, s. 225-232Konferensbidrag (Refereegranskat)
    Abstract [en]

    Healthcare often involves cooperation between several actors: primary care, hospitals, relatives etc. For elderly patients living in their own homes, integration with social care is also mandatory, as home healthcare teams andsocial care workers contribute to a unified “homecare”. Correct and updated information about patients, the treatment provided, and planned activities is crucial for successful cooperation in such cases, yet ICT tools for collaboration between all actors involved are not commonly used. Initial findings from one project to develop a process management tool for this type of situation (treatment of leg ulcers) are discussed from a multiactor economic perspective. It is argued that evaluations should identify the consequences for each among the most important collaborating organisations. Such evaluations could be used to predict the impact of the proposed changes, and to redesign projects accordingly. Such evaluations may also be used to define what could be achieved with process changes in general, aside from direct process related effects that can only be assessed when new ICT tools are actually introduced.

  • 22.
    Perjons, Erik A.
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Efficient and Secure Process and IT Integration in Healthcare2006Ingår i: Knowledge in Organizations I: Development and Design, Systems and Applications, Foundations and Methodologies / [ed] Sven Carlsson, Björn Cronquist, Harald Kjellin, Benkt Wangler, Högskolan i Skövde , 2006, nr 1, s. 11-20Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    This paper presents a method based on process manager technology for making all actors (humans or information systems) involved in healthcare processes to communicate along these processes. The method utilizes straightforward and yet executable process diagrams. Furthermore, the paper suggests a number of additional features to the method that may cater for the representation of security and quality requirements, as well as enhanced efficiency of the healthcare processes.

  • 23.
    Perjons, Erik
    et al.
    Dept. of Computer/Systems Sciences, Stockholm University/KTH, S-164 40 Kista, Sweden.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Wäyrynen, Jaana
    Dept. of Computer/Systems Sciences, Stockholm University/KTH, S-164 40 Kista, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Introducing a Process Manager in Healthcare: An experience report2005Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 11, nr 1, s. 45-61Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To be efficient and patient focused, healthcare units need to be process oriented and integrated with the processes and IT systems of other healthcare units. A process manager facilitates integration of different systems by using graphical and executable process models. The process manager also communicates directly with healthcare personnel via desktop computers and mobile devices. This article reports on a Swedish project where a prototype system was developed and tested with several healthcare units. The experience shows several advantages and opportunities. For example, current information about patients can be transferred automatically between healthcare units; resource intensive manual tasks can be replaced with automated tasks; and long-term process monitoring and quality assessment can be enabled. However, introducing a process manager requires attention to issues of security, ethics and legality. Healthcare units may also show differences in security awareness and IT maturity, which could obstruct the introduction of a process manager.

  • 24.
    Perjons, Erik
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Efficient and Secure Process and IT-integration in Healthcare Using Process Manager Technology2005Ingår i: BIR 2005: proceedings of the 4th International Conference on Business Informatics Research / [ed] Per Backlund, Sven Carlsson, Eva Söderström, Skövde: Skövde University , 2005, s. 87-95Konferensbidrag (Refereegranskat)
  • 25.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Cajander, Åsa
    Uppsala Universitet.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Huvila, Isto
    Uppsala Universitet.
    Cancerpatienter och användningen av journal via nätet2015Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    I tre år har patienter i landstinget i Uppsala kunnat läsa sina journaler via nätet och haft tillgång till en rad eHälsotjänster såsom att följa remisser, se läkemedelslista och den lista med namn på vårdpersonal som använt deras journal. Att patienter skulle kunna fara illa när de får svåra besked via sin journal på nätet var en av många farhågor som Uppsala Allmänna Läkarföreningen (UAL) hade när projektet med direktåtkomst sjösattes hösten 2012 inom ramen för ett EU-projekt, SUSTAINS. Andra farhågor som UAL hade gällde att patienterna inte skulle förstå texten i journalen, och att de skulle bli oroade utan att ha möjlighet att fråga någon vårdpersonal om t ex provsvar. För att ta reda på patientens upplevelser av och förväntningar på e-tjänsten ”Min journal” genomfördes en intervjustudie med 30 cancerpatienter på Onkologen, Akademiska sjukhuset i Uppsala som en del av det Vinnovafinansierade DOME-projektet. Resultatet av intervjuerna ger en bra bild av varför patienter läser sin journal och använder eHälsotjänster samt varför man väljer att inte läsa sin journal. Bland annat framgår av resultatet att en stor majoritet av patienterna är positiva till tjänsten och upplever att det finns en nytta med att kunna läsa sin journal. Bland annat tycks tillgången till journalen förbättra möjligheten till förberedelser inför ett läkarbesök och öka tryggheten och delaktigheten i den egna vården. Även de patienter som inte har erfarenheter av att läsa sin journal via nätet ser en viktig nytta med tjänsten. Vidare upplever några patienter en oro över att obehöriga ska få tillgång till informationen. Det finns dock en underliggande förväntan hos samtliga patienter att e-tjänsten håller hög säkerhetsnivå. Av studien kan man dra slutsatsen att det finns ett behov av att studera hur e-tjänsten ”Min journal” kan länkas med övriga eHälsotjänster som ett led i att effektivisera tillgången till information.

  • 26.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Cajander, Åsa
    Department of Information Technology, Uppsala University.
    Huvila, Isto
    Department of ALM, Uppsala University.
    Cancer Patients’ Attitudes and Experiences of Online Access to their Electronic Medical Records: A Qualitative Study2018Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 24, nr 2, s. 115-124Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patients’ access to their online medical records serves as one of the cornerstones in the efforts to increase patient engagement and improve healthcare outcomes. The aim of this paper is to provide in-depth understanding of cancer patients’ attitudes and experiences of online medical records, as well as an increased understanding of the complexities of developing and launching e-Health services. The study result confirms that online access can help patients prepare for doctor visits and to understand their medical issues. In contrast to the fears of many physicians the study shows that online access to medical records did not generate substantial anxiety, concerns or increased phone calls to the hospital

  • 27.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Cajander, Åsa
    Uppsala University, Department of Information Technology, Uppsala, Sweden.
    Huvila, Isto
    Uppsala University, Department of ALM, Åbo Akademi University, Finland.
    Cancer Patients’ Attitudes and Experiences of Online Medical Records2015Ingår i: Proceedings of the 17th International Symposium on Health Information Management Research – ISHIMR 2015, 2015, s. 19-25Konferensbidrag (Refereegranskat)
    Abstract [en]

    Patients’ access to their online medical records serves as one of the cornerstones in the efforts to increase patient engagement and improve healthcare outcomes. The aim of this paper is therefore to provide in-depth understanding of cancer patients’ attitudes and experiences of online medical records, as well as an increased understanding of the complexities of developing and launching eHealth services. The study result confirms that online access can help patients prepare for doctor visits and to understand their medical issues. In contrast to the fears of many physicians the study shows that online access to medical records did not generate substantial anxiety, concerns or increased phone calls to the hospital.

  • 28.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Persson, Anne
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Challenges and Opportunities with Information System Support for Healthcare Processes: a Healthcare Practitioner Perspective2015Ingår i: Proceedings of the 8th IADIS International Conference Information Systems 2015, IS 2015, 2015, s. 61-69Konferensbidrag (Refereegranskat)
    Abstract [en]

    Healthcare processes require the cooperation of different healthcare providers and medical disciplines. In such an environment, the quality and safety of care rely heavily on the ability to exchange information from one software to another, and from one person to another. However, information systems that support a seamless flow of information along healthcare processes are not broadly used in healthcare environments. Usually, healthcare organizations have their own autonomously developed information systems that do not support the cooperation of different organizational units and medical disciplines. This has led to the fragmentation of the patients’ information in proprietary heterogeneous systems across healthcare organizations. The aim of this paper is to: (1) explore how healthcare practitioners´ in Sweden experience information system support in their daily work activities, and (2) present and illustrate how key design principles of a process support system prototype can support healthcare practitioners in their work practice. An important conclusion from this research is that a process support as the one described in this paper creates new opportunities to organize and coordinate healthcare

  • 29.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Persson, Anne
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Towards effective and efficient information system support for healthcare processes: A healthcare practitioner perspective2015Ingår i: IADIS International Journal on Computer Science and Information System, ISSN 1646-3692, E-ISSN 1646-3692, Vol. 10, nr 1, s. 80-96Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Healthcare processes require the cooperation of different healthcare providers and medical disciplines. In such an environment, the quality and safety of care rely heavily on the ability to exchange information from one software to another, and from one person to another. However, information systems that support a seamless flow of information along healthcare processes are not broadly used in healthcare environments. Usually, healthcare organizations have their own autonomously developed information systems that do not support the cooperation of different organizational units and medical disciplines. This has led to the fragmentation of the patients’ information in proprietary heterogeneous systems across healthcare organizations. The aim of this paper is to: (1) explore how healthcare practitioners´ in Sweden experience information system support in their daily work activities, and (2) present and illustrate how key design principles of a process support system prototype can support healthcare practitioners in their work practice. An important conclusion from this research is that a process support as the one described in this paper creates new opportunities to organize and coordinate healthcare.

  • 30.
    Scandurra, Isabella
    et al.
    Uppsala University, Department of Information Technology, Sweden.
    Hägglund, Maria
    Karolinska Institutet, Health Informatics Centre, Sweden.
    Persson, Anne
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Disturbing or Facilitating?: On the Usability of Swedish eHealth Systems 20132014Ingår i: e-Health - For Continuity of Care / [ed] Christian Lovis, Brigitte Séroussi, Arie Hasman, Louise Pape-Haugaard, Osman Saka, Stig Kjær Andersen, IOS Press, 2014, s. 221-225Konferensbidrag (Refereegranskat)
  • 31.
    Scandurra, Isabella
    et al.
    Department of Information Technology, Uppsala University, Sweden.
    Hägglund, Maria
    Health Informatics Centre, Karolinska Institutet, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Experiences of Novel e-Health Services for Patients - Pros, Cons and Future Challenge. Workshop2013Ingår i: Proceedings of the 14th World Congress on Medical and Health Informatics (MEDINFO 2013), IOS Press, 2013, s. 1254-Konferensbidrag (Refereegranskat)
    Abstract [en]

    It is crucial to involve the patient in the development of patient accessible eHealth systems. But who, how and when? Patient involvement in development of e-health services for citizens has gained little attention to date. It is important to highlight the experiences, pros and cons, and explore new issues and future challenges that arise for all different stakeholders involved in e-health development.

    One source of inspiration for this workshop is the European funded SUSTAINS project which aims to deploy e-health services with the patient as an important actor. Another is the Swedish research project My Care Pathways where focus is on development of new e-health services that enable the patient to follow and interact with their care processes.

    This workshop aims to discuss the experiences made in ongoing European deployment projects of online e-health services as well as methods to improve patient participation in such development based on current evaluations and future needs.

    The objective is to collect and disseminate various experiences from novel e-health service deployment in Europe; during the workshop active participation is desired via twitter and other eLearning tools, and afterwards the results of the workshop are published on easily accessible web sites.

  • 32.
    Scandurra, Isabella
    et al.
    Uppsala University, Department of Information Technology.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Cajander, Åsa
    Uppsala University, Department of Information Technology.
    Towards National Deployment of Online Medical Records and eHealth Services2014Ingår i: Vitalis - Nordens ledande eHälsomöte: Vetenskapliga papers presenterade vid Vitalis konferens, Svenska Mässan, Göteborg, 8-10 april 2014, Göteborg: Göteborgs universitet, 2014, s. 16-19Konferensbidrag (Refereegranskat)
    Abstract [en]

    Information and Communication Technology for health and wellbeing ('eHealth') is becoming increasingly important to deliver top-quality care to European citizens. There are a number of currently ongoing national and international efforts related to public access to eHealth services. In Sweden, the action research project DOME (Deployment of Online Medical Records and eHealth Services) aims to study and contribute to ongoing national deployment projects. This paper presents the DOME project's objectives, goals and methods as well as expected results regarding the national deployment of online medical records.

  • 33.
    Scandurra, Isabella
    et al.
    Uppsala University.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Persson, Anne
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Hägglund, Maria
    Karolinska institutet.
    Building Usability into National eHealth Strategies: an Action Research Approach2013Ingår i: Proceedings of the 4th international workshop on Infrastructures for Healthcare: Action Research, Intervention and Participatory Design 2013, 2013Konferensbidrag (Refereegranskat)
    Abstract [en]

    Many healthcare organizations are currently committed to organizational change and quality improvement projects. Unfortunately, little effort is put into health information system development according to usability requirements and methodology, leading to bottlenecks in the eHealth systems when implemented into daily practice. This paper presents a national initiative to build usability of eHealth systems into the Swedish national eHealth strategy and its action plan to ensure impact on practice. Action researchers within the health informatics domain collaborated with representatives of different care professions to propose high-priority changes necessary to improve the usability of health information systems.

  • 34.
    Scandurra, Isabella
    et al.
    Uppsala University, Department of Information Technology.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Persson, Anne
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Hägglund, Maria
    Karolinska institutet, Health Informatics Centre; Sweden.
    Challenges in Applying a Participatory Approach in a Nation-wide Project -The Case of ‘Usability of Swedish eHealth Systems 2013’2013Ingår i: Past History and Future Challenges of Human Work Interaction Design (HWID): Generating cross-domain knowledge about connecting work analysis and interaction design / [ed] Torkil Clemmensen, Bengt Sandblad, Arminda Lopes & Jose Abdelnour-Nocera, Cape Town: INTERACT , 2013, s. 33-38Konferensbidrag (Refereegranskat)
    Abstract [en]

    Many healthcare organizations are currently committed to organizational change and quality improvement projects. Unfortunately, little effort is put into health information system development according to usability requirements and methodology, leading to bottlenecks in the eHealth systems when implemented into daily practice. This paper presents the experiences of applying a participatory approach in a nation-wide project. The aim of this national initiative was to build usability of eHealth systems into the Swedish national eHealth strategy and its action plan to ensure impact on practice. Action researchers within the health informatics domain collaborated with representatives of different care professions to propose high-priority changes necessary to improve the usability of health information systems. Reflections from the first phase of this initiative are further explored in terms of methodological challenges and recommendations, whereof one recommendation is to increase the use of HI-U specialists – health informaticians with usability and human work interaction design expertise within national and local eHealth development.

  • 35.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Eriksson, Nomie
    Högskolan i Skövde, Institutionen för handel och företagande. Högskolan i Skövde, Forskningsspecialiseringen Framtidens Företagande.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Managing healthcare information: analyzing trust2016Ingår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 29, nr 7, s. 786-800Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose– The purpose of this paper is to analyze two case studies with a trust matrix tool, to identify trust issues related to electronic health records. Design/methodology/approach– A qualitative research approach is applied using two case studies. The data analysis of these studies generated a problem list, which was mapped to a trust matrix. Findings– Results demonstrate flaws in current practices and point to achieving balance between organizational, person and technology trust perspectives. The analysis revealed three challenge areas, to: achieve higher trust in patient-focussed healthcare; improve communication between patients and healthcare professionals; and establish clear terminology. By taking trust into account, a more holistic perspective on healthcare can be achieved, where trust can be obtained and optimized. Research limitations/implications– A trust matrix is tested and shown to identify trust problems on different levels and relating to trusting beliefs. Future research should elaborate and more fully address issues within three identified challenge areas. Practical implications– The trust matrix’s usefulness as a tool for organizations to analyze trust problems and issues is demonstrated. Originality/value– Healthcare trust issues are captured to a greater extent and from previously unchartered perspectives.

  • 36.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Rose-Mharie, Åhlfeldt
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Marrying e-business with IT strategy: A long-lasting relationship?2007Ingår i: Proceedings of the IADIS International Conference e-Commerce 2007 (e-Commerce), IADIS , 2007, s. 147-154Konferensbidrag (Refereegranskat)
    Abstract [en]

    IT/IS are very essential from a strategic point of view, as is electronic business (e-business). Strategic e-business can mean competitive advantage, more efficient and well-structured links between partners, and a more coherent set of supporting information and communication technologies (ICT). Current research literature has no common approach on IT from a strategic point of view. There is no uniform theory or common focus, but rather a dispersed collection of issues and perspectives under consideration. This aim of this paper is to identify in what way e-business and strategic management relate and what areas that are still unexplored. The results can be used to spur further research, as well as to enable organizations to prepare for a long-term planning.

  • 37.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Developing an IT strategy: The case of SMEs2008Ingår i: Proceedings of the ICT, Society and Human Beings 2008 at AIDIS Multi conference on Computer Science and Information Systems, 2008, s. 163-172Konferensbidrag (Refereegranskat)
    Abstract [en]

     

    IT strategies can serve as key tools that move an organization towards its business vision, and towards growth and prosperity. Today, most large organizations have an IT strategy, even if these not always are used the way intended – if being used at all. Instead, strategies become “shelf warmers”, collecting dust in a manager’s office. The situation is even worse for smaller organizations, since they rarely have the competences needed to create the document, or the structure in place presupposed by research to implement and use the strategy. This paper reports on initial results from a small project on simplified management of IT strategies to enable true usage and benefits. We analyze the IT strategy content described in literature against empirical data. The result is a set of recommendations for firstly, industry in its strategy creation process; and secondly, research in giving indications of research gaps that need further elaboration.

     

  • 38.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    IT Strategy and Strategic Concepts: An Overview2009Ingår i: Proceedings of the 8th ISOneWorld 2009 Conference, Information Institute , 2009Konferensbidrag (Refereegranskat)
    Abstract [en]

    Even though the word "strategy" is used extensively in literature, very few works exist that explore what strategies as documents are and how they are used. Many organizations know they should have an IT strategy, and many have created one - but do not use it in the optimal sense. It can be a tool for driving an organization towards its goals, and that they are a way for organizations to ensure that the technology they invest in is relevant for their purposes. Merging the process and document perspectives constitutes a great research challenge for the future. This paper explores how the concept "strategy" is treated in scientific literature, and creates an overview model of how these concepts are used in scientific literature.

  • 39.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Towards a framework for strategy management2009Ingår i: Proceedings of the 8th ISOneWorld 2009 Conference, Information Institute , 2009Konferensbidrag (Refereegranskat)
    Abstract [en]

    IT architectures are of central importance to organizations today, and it is therefore essential to think and plan strategically for their composition, acquisition, maintenance, and evolution. IT strategies thereby become an important tool for organizational growth. However, even if strategies exist to some extent, primarily in large organizations, they are rarely used, disseminated or updated in a systematic way. This paper provides a strategy framework comprised of: strategy types, an extended strategic management process, and recommendations for how to manage various strategies. The overview can be used as a roadmap for organizations to facilitate their overall strategic planning.

  • 40.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Eriksson, Nomie
    Högskolan i Skövde, Institutionen för teknik och samhälle.
    Standardisation as a Means to Improve Information Security in Process-Oriented Distributed Healthcare2008Ingår i: Proceedings of the 13th EURAS Workshop on Standardisation (EURAS2008) / [ed] Jakobs, Kai & Söderström, Eva, Aachen: Mainz , 2008, s. 233-244Konferensbidrag (Refereegranskat)
    Abstract [en]

     

     

    Regardless of who we are, where we are, and when we get sick, we expect the healthcare sectors to take care of us. And we expect it to treat us with respect. Not the least, this concerns treating our personal information with care. However, the reality is that most healthcare institutions work separately, and that the flow of patient information therefore is less than optimal. This paper aims to investigate how current standards map against the concept of information security, and how process-orientation can be used in conjunction with standards to create secure information flows in healthcare. It does so by describing information security and process-orientation, and investigates how standards for information security apply in a process-oriented, distributed healthcare sector. The result shows that a dual focus is needed,on document and process standardisation, and that healthcare is facing great challenges in order to make this work.

     

     

  • 41.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Eriksson, Nomie
    Högskolan i Skövde, Institutionen för teknik och samhälle.
    Standards for information security and processes in healthcare2009Ingår i: Journal of Systems and Information Technology, ISSN 1328-7265, E-ISSN 1758-8847, Vol. 11, nr 3, s. 295-308Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose - Regardless of who or where we are and when we get sick, we expect healthcare to make us well and to handle us and our information with care and respect. Today, most healthcare institutions work separately, making the flow of patient information sub-optimal and the use of common standards practically unheard of. The purpose of this paper is to emphasise the use of standards to improve information security in process-oriented distributed healthcare. Design/methodology/approach - The paper introduces a real-life case which is analysed to highlight how and where standards can and should be used in order to improve information security in process-oriented distributed healthcare. Findings - In total, 11 flaws or problems in information security and process-orientation are identified. From these, six changes are suggested which address how information is handled, and how organizational routines should be standardized. Research limitations/implications - The case setting is Swedish healthcare, but problems can be shared across international borders. The purpose is to highlight the issues at hand. Practical implications - If suggested changes are implemented, healthcare processes will be more streamlined and focused on patients. Routines will be standardized and uncertainties thus removed in terms of how to act in certain situations. Originality/value - Healthcare and academia has yet to address both document and process issues concerning standardization in distributed healthcare. There are also few actual cases from a patient perspective. This paper provides lessons learned from a real-life case, where results may impact how standardization is addressed in healthcare organizations.

  • 42.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Eriksson, Nomie
    Högskolan i Skövde, Institutionen för teknik och samhälle.
    Trusting Digitized Patient-Related Information: The Need for a New Approach2011Ingår i: Proceedings of the 5th International Symposium on Human Aspects of Information Security and Assurance (HAISA 2011) / [ed] Steven Furnell, Nathan Clarke, Plymouth Center for Security, Comunications & Network Research, University of Plymouth , 2011, s. 119-129Konferensbidrag (Refereegranskat)
    Abstract [en]

    Trust the receiving increasing attention nowadays, particularly since new technology enables communication and collaboration like it has never been seen before. However, trust is a fuzzy concept that needs further examination and attention from multiple levels. For examples, security is very important from a user's point of view in trusting that technology will function in accordance with the user's intended and requested function. This paper reviews the concept of patient safety, which thus far has been discussed and defined from a narrow technical perspective. We demonstrate that it is much more complex, and that it is not primarily the technical issues that are problematic, but rather the cultural, process-related and personnel issues. Our results point to a need for a new approach, which takes the patient's view of healthcare and the patient-related digital information as its focus. The discussion is made from a Swedish perspective, but the issues are international. The needs for information and knowledge in healthcare are obvious. Without clear definitions of concepts and roles, a good information flow or process cannot be designed. Our discussion shows that trusted digital patient information gives an opportunity for a patient-focused healthcare. Multidimensional trust must be addressed on all levels; organization, person and technology. More empirical research into trust in digital patient-related information is necessary, to develop a model for patient safety from a trust perspective that encompasses all levels of trust.

  • 43.
    Wangler, Benkt
    et al.
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Perjons, Erik
    Process Oriented Information Systems Architectures in Healthcare2003Ingår i: Health Informatics Journal, ISSN 1460-4582, Vol. 9, nr 4, s. 253-265Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In order to create value for customers efficiently and to avoid unnecessary or redundant activity, organizations need IT support that interacts well with their business processes. In addition, healthcare organizations require transparent communication between the various actors and between IT systems. A new type of process oriented integration architecture has been developed using software devices known as process managers. These use simple graphical models to visualize business process integration and facilitate its management and monitoring. This article discusses the benefits and difficulties of introducing process manager technology into healthcare, based on a project to integrate IT systems over the patient process and across several organizations. Particular problems are caused by communication across organizational boundaries, e.g. due to security issues. However, the technology is able to manage and monitor processes and to make communication simpler and safer.

  • 44.
    Winge, Monica
    et al.
    Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
    Johansson, Lars-Åke
    Alkit Communications, Gothenburg, Sweden.
    Waterworth, Eva
    Department of Informatics, Umeå University, Sweden.
    Wangler, Benkt
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Interorganisational Collaboration in Home Care: A First Discussion of Requirements2007Ingår i: Proceedings of the 12th International Symposium on Health Information Management Research (ISHIMR 2007, Sheffield, UK), 2007, s. 43-50Konferensbidrag (Refereegranskat)
  • 45.
    Yano, Edgar Toshiro
    et al.
    ITA Instituto Tecnológico de Aeronáutica, Brazil.
    de Abreu, Welton
    ITA Instituto Tecnológico de Aeronáutica, Brazil.
    Gustavsson, Per M.
    Combitech, Sweden / Swedish National Defence College / George Mason University, USA.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    A framework to support the development of Cyber Resiliency with Situational Awareness Capability2015Ingår i: 20th ICCRTS Proceedings: C2, Cyber, and Trust, International Command and Control Institute , 2015Konferensbidrag (Refereegranskat)
    Abstract [en]

    Cybersecurity success is essentially the result of an effective risk management process. However, this process is being challenged by the inherent complexity of systems, developed with vulnerable components and protocols, and the crescent sophistication of attackers, now backed by well-resourced criminal organizations and nations. With this scenario of uncertainties and high volume of events, it is essential the ability of cyber resiliency. Cyber resiliency is the ability of a system, organization, mission, or business process to anticipate, withstand, recover from, and adapt capabilities in the face of adversary conditions, stresses, or attacks on the cyber resources it needs to function. In the present work, it is presented a framework for cyber resiliency where a segmentation strategy and the Intrusion Kill Chain (IKC) attack model, developed by Lockheed-Martin, are central elements. Segmentation allows the construction of a layered defense, where the highest-priority assets are in the inner layers and the attackers are forced to surpass several layers to reach them. The IKC attack model is a model of seven phases that the attackers must perform to achieve their goals. Each segment is supposed to be designed with the best efforts to prevent, detect and contain an IKC. According to the Situational Awareness (SA) model of Endsley, the Level of Perception is achieved through sensors connected to the controls of prevention, detection and containment of IKC in different segments. The Level of Understanding is obtained by identifying the segments impacted by the attackers, and the Level of Projection by the identification of the next segments to be attacked and defense actions required to contain this advance. The use of the framework leads to the development of a structured set of defense mechanisms, and supports the development of SA capability to allow defenders to make correct decisions in order to maintain the mission even under a heavy attack

  • 46.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Digitaliseringen och säkerheten2019Ingår i: Perspektiv på digitalisering / [ed] Natalie Besér, Stockholm: Åtta45 , 2019, s. 102-108Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 47.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Information Security in a Distributed Healthcare Domain: Exploring the Problems and Needs of Different Healthcare Providers2006Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
  • 48.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Information Security in a Heterogeneous Healthcare Domain2006Ingår i: Interoperability of Enterprise Software and Applications: INTEROP-ESA’2005 / [ed] Dimitri Konstantas, Jean-Paul Bourrières, Michel Léonard, Nacer Boudjlida, Springer London, 2006, s. 103-114Konferensbidrag (Refereegranskat)
  • 49.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Information Security in Distributed Healthcare: Exploring the Needs for Achieving Patient Safety and Patient Privacy2008Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    In healthcare, patient information is a critical factor. The right information at the right time is a necessity in order to provide the best possible care for a patient. Patient information must also be protected from unauthorized access in order to protect patient privacy. It is furthermore common for patients to visit more than one healthcare provider, which implies a need for cross border healthcare and continuity in the patient process.

    This thesis is focused on information security in healthcare when patient information has to be managed and communicated between various healthcare actors and organizations. The work takes a practical approach with a set of investigations from different perspectives and with different professionals involved. Problems and needs have been identified, and a set of guidelines and recommendations has been suggested and developed in order to improve patient safety as well as patient privacy.

    The results show that a comprehensive view of the entire area concerning patient information management between different healthcare actors is missing. Healthcare, as well as patient processes, have to be analyzed in order to gather knowledge needed for secure patient information management.

    Furthermore, the results clearly show that there are deficiencies both at the technical and the administrative level of security in all investigated healthcare organizations.

    The main contribution areas are: an increased understanding of information security by elaborating on the administrative part of information security, the identification of information security problems and needs in cross border healthcare, and a set of guidelines and recommendations in order to advance information security measures in healthcare.

  • 50.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Information Security in Home Healthcare2002Ingår i: Conference Proceedings of AiCE2002, Sydney, September 30th, 2002: Third Australian Institute of Computer Ethics Conference: Computer Ethics: Its impact upon Australia / [ed] Matthew Warren and John Barlow, Geelong: School of Information Technology, Deakin University , 2002, s. 6-15Konferensbidrag (Refereegranskat)
12 1 - 50 av 71
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