Högskolan i Skövde

his.sePublikationer
Ändra sökning
Avgränsa sökresultatet
12 1 - 50 av 86
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • apa-cv
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 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, Forskningsmiljön Informationsteknologi.
    Anteryd, Fredrik
    Högskolan i Skövde, Institutionen för informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Information Classification Policies: An Exploratory Investigation2018Ingår i: Proceedings of the Annual Information Institute Conference / [ed] G. Dhillon, S. Samonas, Washington, DC: Information Institute , 2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    InfoSec policies are considered a key mechanism in information security, and most organizations have one. However, the large majority of security policy research has focused on what policies should include rather than how they are accomplished in practice. To contribute to overcoming the lack of knowledge regarding this crucial aspect, this paper investigates information security policies based on what underlying approaches information classification practices are built on and the perceived ease of turning the policy into practice. To do so, a survey was sent to 284 Swedish government agencies, and 80 of their internal policies were collected as data. The data were analyzed both qualitatively, and qualitatively. The results show that information classification adoption rates are low despite being mandatory and that agencies are struggling in closing the gap between standards and practice. Furthermore, the results also show that information classification policies need to be more specific and give more actionable advice regarding, e.g., how information life-cycle management is included in practice, and where the responsibility for classification is put in the organization.

    Ladda ner fulltext (pdf)
    fulltext
  • 5.
    Bergström, Erik
    et al.
    School of Engineering, Jönköping University, Sweden.
    Karlsson, Fredrik
    School of Business, Örebro University, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Developing an information classification method2021Ingår i: Information and Computer Security, E-ISSN 2056-4961, Vol. 29, nr 2, s. 209-239Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The purpose of this paper is to develop a method for information classification. The proposed method draws on established standards, such as the ISO/IEC 27002 and information classification practices. The long-term goal of the method is to decrease the subjective judgement in the implementation of information classification in organisations, which can lead to information security breaches because the information is under- or over-classified. Design/methodology/approach: The results are based on a design science research approach, implemented as five iterations spanning the years 2013 to 2019. Findings: The paper presents a method for information classification and the design principles underpinning the method. The empirical demonstration shows that senior and novice information security managers perceive the method as a useful tool for classifying information assets in an organisation. Research limitations/implications: Existing research has, to a limited extent, provided extensive advice on how to approach information classification in organisations systematically. The method presented in this paper can act as a starting point for further research in this area, aiming at decreasing subjectivity in the information classification process. Additional research is needed to fully validate the proposed method for information classification and its potential to reduce the subjective judgement. Practical implications: The research contributes to practice by offering a method for information classification. It provides a hands-on-tool for how to implement an information classification process. Besides, this research proves that it is possible to devise a method to support information classification. This is important, because, even if an organisation chooses not to adopt the proposed method, the very fact that this method has proved useful should encourage any similar endeavour. Originality/value: The proposed method offers a detailed and well-elaborated tool for information classification. The method is generic and adaptable, depending on organisational needs.

  • 6.
    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] Joaquin Garcia-Alfaro, Evangelos Kranakis, Guillaume Bonfante, Cham: Springer, 2015, Vol. 9482, s. 268-276Kapitel i bok, del av antologi (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.

  • 7.
    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, Cham: 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.

  • 8.
    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)
    Ladda ner fulltext (pdf)
    fulltext
  • 9.
    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.

    Ladda ner fulltext (pdf)
    Management issues for Bring Your Own Device
  • 10.
    Bärkås, Annika
    et al.
    Department of Women's and Children's Health, Uppsala University, Sweden.
    Kharko, Anna
    Department of Women's and Children's Health, Uppsala University, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Hägglund, Maria
    Department of Women's and Children's Health, Uppsala University, Sweden.
    Patients' Experiences of Demanded Access to Online Health Records2024Ingår i: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 310, s. 1424-1425Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patient-Accessible Electronic Health Records (PAEHR) is particularly controversial in mental healthcare. We aim to explore if there is any association between patients with mental health conditions and the experience of someone demanding access to their PAEHR. A chi-square test showed a significant association between group belonging and experiences of someone demanding access to the PAEHR.

    Ladda ner fulltext (pdf)
    fulltext
  • 11.
    Bärkås, Annika
    et al.
    Department of Women's and Children's Health, Uppsala University, Sweden.
    Kharko, Anna
    Department of Women's and Children's Health, Uppsala University, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Hägglund, Maria
    Department of Women's and Children's Health, Uppsala University, Sweden.
    Patients' Experiences of Unwanted Access to Their Online Health Records2023Ingår i: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 302, s. 356-357Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patient-Accessible Electronic Health Records (PAEHR) are particularly disputed in mental healthcare. We aim to explore if there is any association between patients having a mental health condition and someone unwanted seeing their PAEHR. A chi-square test showed a statistically significant association between group belonging and experiences of someone unwanted seeing their PAEHR.

    Ladda ner fulltext (pdf)
    fulltext
  • 12.
    Eriksson, Nomie
    et al.
    Högskolan i Skövde, Institutionen för handel och företagande. Högskolan i Skövde, Forskningsmiljön Framtidens företagande.
    Söderström, Eva
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Patient Empowerment and its Connection to Trust2022Ingår i: Proceedings of the 18th International Symposium on Health Information Management Research / [ed] Peter Bath; Päivi Jokela; Laura Sbaffi, Kalmar: Linnaeus University; University of Sheffield , 2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    Patient Empowerment (PE) allows patients to be more active in managing their own health and quality of life. The aim of this paper is to analyze how trust affects PE, in the context of healthcare information systems. An interview study was conducted concerning patients’ online access to electronic healthcare records. Results show that PE requires that patients trust the information that healthcare professionals and their electronic health record systems provide. Without trust, patients cannot control their own participation in relation to the healthcare professionals. This may result in a diminished ability to participate in the healthcare processes regarding their own care. Practical implications include acquired knowledge about and awareness of how trust influences PE, with particular emphasis on healthcare professionals. A trust model is presented that illustrates the trustor-trustee dimensions of PE. This model has both theoretical and practical implications in its illustration of how trust and PE connect.  

    Ladda ner fulltext (pdf)
    fulltext
  • 13.
    Hagström, Josefin
    et al.
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Blease, Charlotte
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden ; Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States.
    Cajander, Åsa
    Department of Information Technology, Uppsala University, Sweden.
    Rexhepi, Hanife
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Moll, Jonas
    Centre for Empirical Research on Information Systems (CERIS), Informatics, School of Business, Örebro University, Sweden.
    Kane, Bridget
    Business School, Karlstad University, Sweden.
    Scandurra, Isabella
    Centre for Empirical Research on Information Systems (CERIS), Informatics, School of Business, Örebro University, Sweden.
    Hägglund, Maria
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden.
    Security and Privacy of Online Record Access: A Survey of Adolescents' Views and Experiences in Sweden2024Ingår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Ensuring security of online health records and patients' perceptions of security are concerns in adolescent healthcare. Little is known about adolescents' perceptions about healthcare's ability to protect online health records. This article explores adolescents' perspectives on security and privacy of their online health records, potential differences based on gender and health, attitudes to sharing information, and perceptions of what constitutes sensitive information. Methods: This study included a subset of items from a national online patient survey conducted in Sweden (January-February 2022), focusing on respondents aged 15–19 years. Gender and health status differences were calculated using the Kruskal-Wallis test. Results: Of 218 adolescent respondents (77.1% female), a minority had security and privacy concerns. A notable proportion (41.3%) wished to control who could see their records, and those who reported better perceived health were more likely to want to manage access to their electronic health record (H = 13.569, p = .009). Most had not experienced unauthorized access to their records (75.2%) and had never shared health information on other online applications (85.8%). More than half (56.0%) perceived some information as sensitive, where mental health was the most common (76.0%). Most felt that reading their notes improved their trust for their healthcare professional (65.6%) and supported better communication with healthcare professionals (66.5%). Discussion: In this national survey, adolescents generally reported few concerns about patient portals. Findings emphasize the need for security and privacy protection and to empower adolescents with greater control over access to their health information housed in electronic health record systems. 

    Ladda ner fulltext (pdf)
    fulltext
  • 14.
    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))
    Ladda ner fulltext (pdf)
    VFI - slutrapport
  • 15.
    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.

  • 16.
    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, 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.

  • 17.
    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.

  • 18.
    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, 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.

  • 19.
    Hägglund, Maria
    et al.
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden.
    Kharko, Anna
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden ; School of Psychology, Faculty of Health, University of Plymouth, United Kingdom.
    Hagström, Josefin
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden .
    Bärkås, Annika
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden.
    Blease, Charlotte
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden ; Department of Medicine, Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
    Cajander, Åsa
    Department of Information Technology, Uppsala University, Sweden.
    DesRoches, Catherine
    Department of Medicine, Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
    Fagerlund, Asbjørn Johansen
    Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway.
    Haage, Barbara
    E-Medicine Centre, Department of Health Technologies, Tallinn University of Technology, Estonia.
    Huvila, Isto
    Department of Archives, Libraries & Museums, Uppsala University, Sweden.
    Hörhammer, Iiris
    Department of Computer Science, Aalto University, Espoo, Finland.
    Kane, Bridget
    Business School, Karlstad University, Sweden.
    Klein, Gunnar O.
    Centre for Empirical Research on Information Systems, School of Business, Örebro University, Sweden.
    Kristiansen, Eli
    Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway.
    Luks, Kerli
    E-Medicine Centre, Department of Health Technologies, Tallinn University of Technology, Estonia.
    Moll, Jonas
    Centre for Empirical Research on Information Systems, School of Business, Örebro University, Sweden.
    Muli, Irene
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden.
    Raphaug, Eline Hovstad
    Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway.
    Rexhepi, Hanife
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Riggare, Sara
    Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Sweden ; Medtech Science & Innovation Centre, Uppsala University Hospital, Sweden.
    Ross, Peeter
    E-Medicine Centre, Department of Health Technologies, Tallinn University of Technology, Estonia.
    Scandurra, Isabella
    Centre for Empirical Research on Information Systems, School of Business, Örebro University, Sweden.
    Simola, Saija
    Department of Computer Science, Aalto University, Espoo, Finland.
    Soone, Hedvig
    E-Medicine Centre, Department of Health Technologies, Tallinn University of Technology, Estonia.
    Wang, Bo
    Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway.
    Ghorbanian Zolbin, Maedeh
    Department of Computer Science, Aalto University, Espoo, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Kujala, Sari
    Department of Computer Science, Aalto University, Espoo, Finland.
    Johansen, Monika Alise
    Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway ; Department of Clinical Medicine, Telemedicine and E-health Research Group, Arctic University of Norway, Tromsø, Norway.
    The NORDeHEALTH 2022 Patient Survey: Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia2023Ingår i: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 25, artikel-id e47573Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Although many surveys have been conducted on patients accessing their own health records in recent years, there is a limited amount of nationwide cross-country data available on patients' views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project, NORDeHEALTH. OBJECTIVE: We aimed to investigate the sociodemographic characteristics and experiences of patients who accessed their electronic health records (EHRs) through national patient portals in Norway, Sweden, Finland, and Estonia. METHODS: A cross-sectional web-based survey was distributed using the national online health portals. The target participants were patients who accessed the national patient portals at the start of 2022 and who were aged ≥15 years. The survey included a mixture of close-ended and free-text questions about participant sociodemographics, usability experience, experiences with health care and the EHR, reasons for reading health records online, experience with errors, omissions and offense, opinions about security and privacy, and the usefulness of portal functions. In this paper, we summarized the data on participant demographics, past experience with health care, and the patient portal through descriptive statistics. RESULTS: In total, 29,334 users completed the survey, of which 9503 (32.40%) were from Norway, 13,008 (44.35%) from Sweden, 4713 (16.07%) from Finland, and 2104 (7.17%) from Estonia. National samples were comparable according to reported gender, with about two-thirds identifying as women (19,904/29,302, 67.93%). Age distributions were similar across the countries, but Finland had older users while Estonia had younger users. The highest attained education and presence of health care education varied among the national samples. In all 4 countries, patients most commonly rated their health as "fair" (11,279/29,302, 38.48%). In Estonia, participants were more often inclined to rate their health positively, whereas Norway and Sweden had the highest proportion of negative health ratings. Across the whole sample, most patients received some care in the last 2 years (25,318/29,254, 86.55%). Mental health care was more common (6214/29,254, 21.24%) than oncological care (3664/29,254, 12.52%). Overall, most patients had accessed their health record "2 to 9 times" (11,546/29,306, 39.4%), with the most frequent users residing in Sweden, where about one-third of patients accessed it "more than 20 times" (4571/13,008, 35.14%). CONCLUSIONS: This is the first large-scale international survey to compare patient users' sociodemographics and experiences with accessing their EHRs. Although the countries are in close geographic proximity and demonstrate similar advancements in giving their residents online records access, patient users in this survey differed. We will continue to investigate patients' experiences and opinions about national patient-accessible EHRs through focused analyses of the national and combined data sets from the NORDeHEALTH 2022 Patient Survey. 

    Ladda ner fulltext (pdf)
    fulltext
  • 20.
    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.

    Ladda ner fulltext (pdf)
    Timing It Right – Patients' Online Access to Their Record Notes in Sweden
  • 21.
    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.

    Ladda ner fulltext (pdf)
    fulltext
  • 22.
    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, Forskningsmiljön 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.

  • 23.
    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.

    Ladda ner fulltext (pdf)
    fulltext
  • 24.
    Iwaya, Leonardo H.
    et al.
    Department of Mathematics and Computer Science, Karlstad University, Sweden / Australian e-Health Research Centre, CSIRO, Marsfield, Australia.
    Li, Jane
    Australian e-Health Research Centre, CSIRO, Marsfield, Australia.
    Fischer-Hübner, Simone
    Department of Mathematics and Computer Science, Karlstad University, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Martucci, Leonardo A.
    Department of Mathematics and Computer Science, Karlstad University, Sweden.
    E-Consent for Data Privacy: Consent Management for Mobile Health Technologies in Public Health Surveys and Disease Surveillance2019Ingår i: MEDINFO 2019: Health and Wellbeing e-Networks for All / [ed] Lucila Ohno-Machado, Brigitte Séroussi, IOS Press, 2019, Vol. 264, s. 1223-1227Konferensbidrag (Refereegranskat)
    Abstract [en]

    Community health workers in primary care programs increasingly use Mobile Health Data Collection Systems (MDCSs) to report their activities and conduct health surveys, replacing paper-based approaches. The mHealth systems are inherently privacy invasive, thus informing individuals and obtaining their consent is important to protect their rights to privacy. In this paper, we introduce an e-Consent tool tailored for MDCSs. It is developed based on the requirement analysis of consent management for data privacy and built upon the solutions of Participant-Centered Consent toolkit and Consent Receipt specification. The e-Consent solution has been evaluated in a usability study. The study results show that the design is useful for informing individuals on the nature of data processing, allowing them to make informed decisions.

    Ladda ner fulltext (pdf)
    fulltext
  • 25.
    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.

  • 26.
    Kabilan, Vandana
    et al.
    Department of Computer and Systems Sciences, Royal Institute of Technology and Stockholm University, Stockholm, Sweden.
    Johannesson, Paul
    Department of Computer and Systems Sciences, Royal Institute of Technology and Stockholm University, Stockholm, Sweden.
    Ruohomaa, Sini
    Department of Computer Science, University of Helsinki, Finland.
    Moen, Pirjo
    Department of Computer Science, University of Helsinki, Finland.
    Herrmann, Andrea
    University of Heidelberg, Germany.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för kommunikation och information.
    Weigand, Hans
    Tilburg University, The Netherlands.
    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, Springer, 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.

  • 27.
    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.

  • 28.
    Kävrestad, Joakim
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Nohlberg, Marcus
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Karonen, Johani
    Högskolan i Skövde.
    Kowalski, Stewart
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön 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)
    Ladda ner fulltext (pdf)
    fulltext
  • 29.
    Moll, Jonas
    et al.
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Rexhepi, Hanife
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Cajander, Åsa
    Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Grünloh, Christiane
    KTH Royal Institute of Technology, Stockholm, Sweden / Institute of Informatics, TH Köln University of Applied Sciences, Gummersbach, Germany.
    Huvila, Isto
    Department of ALM, Uppsala University, Uppsala, Sweden.
    Hägglund, Maria
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Myreteg, Gunilla
    Department of Information Technology, Uppsala University, Uppsala, Sweden / Department of Business Studies, Uppsala University, Uppsala, Sweden.
    Scandurra, Isabella
    Örebro University School of Business, Örebro, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningscentrum för Informationsteknologi.
    Patients’ Experiences of Accessing Their Electronic HealthRecords: National Patient Survey in Sweden2018Ingår i: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 20, nr 11, artikel-id e278Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Internationally, there is a movement toward providing patients a Web-based access to their electronic health records (EHRs). In Sweden, Region Uppsala was the first to introduce patient-accessible EHRs (PAEHRs) in 2012. By the summer of 2016, 17 of 21 county councils had given citizens Web-based access to their medical information. Studies on the effect of PAEHRs on the work environment of health care professionals have been conducted, but up until now, few extensive studies have been conducted regarding patients’ experiences of using PAEHRs in Sweden or Europe, more generally.

    Objective: The objective of our study was to investigate patients’ experiences of accessing their EHRs through the Swedish national patient portal. In this study, we have focused on describing user characteristics, usage, and attitudes toward the system.

    Methods: A national patient survey was designed, based on previous interview and survey studies with patients and health care professionals. Data were collected during a 5-month period in 2016. The survey was made available through the PAEHR system, called Journalen, in Sweden. The total number of patients that logged in and could access the survey during the study period was 423,141. In addition to descriptive statistics reporting response frequencies on Likert scale questions, Mann-Whitney tests, Kruskal-Wallis tests, and chi-square tests were used to compare answers between different county councils as well as between respondents working in health care and all other respondents.

    Results: Overall, 2587 users completed the survey with a response rate of 0.61% (2587/423,141). Two participants were excluded from the analysis because they had only received care in a county council that did not yet show any information in Journalen. The results showed that 62.97% (1629/2587) of respondents were women and 39.81% (1030/2587) were working or had been working in health care. In addition, 72.08% (1794/2489) of respondents used Journalen about once a month, and the main reason for use was to gain an overview of one’s health status. Furthermore, respondents reported that lab results were the most important information for them to access; 68.41% (1737/2539) of respondents wanted access to new information within a day, and 96.58% (2454/2541) of users reported that they are positive toward Journalen.

    Conclusions: In this study, respondents provided several important reasons for why they use Journalen and why it is important for them to be able to access information in this way—several related to patient empowerment, involvement, and security. Considering the overall positive attitude, PAEHRs seem to fill important needs for patients.

    Ladda ner fulltext (pdf)
    fulltext
  • 30.
    Nurgalieva, Leysan
    et al.
    Trinity College Dublin, Ireland / University of Trento, Italy.
    Cajander, Åsa
    Uppsala University, Sweden.
    Moll, Jonas
    Örebro University, Sweden.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Huvila, Isto
    Uppsala University, Sweden / Åbo Akademi University, Finland.
    Marchese, Maurizio
    University of Trento, Italy.
    ‘I do not share it with others. No, it’s for me, it’s my care’: On sharing of patient accessible electronic health records2020Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 26, nr 4, s. 2554-2567Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explores patients’ perspectives on sharing their personal health data, which is traditionally shared through discussions with peers and relatives. However, other possibilities for sharing have emerged through the introduction of online services such as Patient Accessible Electronic Health Records (PAEHR). In this article, we investigate strategies that patients adopt in sharing their PAEHR. Data were collected through a survey with 2587 patients and through 15 semi-structured interviews with cancer patients. Results show that surprisingly few patients share their information, and that older patients and patients with lower educational levels share more frequently. A large majority of patients trust the security of the system when sharing despite the high sensitivity of health information. Finally, we discuss the design implications addressing identified problems when sharing PAEHR, as well as security and privacy issues connected to sharing.

    Ladda ner fulltext (pdf)
    fulltext
  • 31.
    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.

  • 32.
    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.

  • 33.
    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.

  • 34.
    Perjons, Erik
    et al.
    Department of Computer and Systems Sciences, Stockholm University/KTH, Forum 100, Kista, Sweden.
    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. 87-96Konferensbidrag (Refereegranskat)
  • 35.
    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.

    Ladda ner fulltext (pdf)
    fulltext
  • 36.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Huvila, Isto
    Uppsala University, Sweden ; Åbo Akademi University, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Cajander, Åsa
    Uppsala University, Sweden.
    Cancer patients’ information seeking behavior related to online electronic healthcare records2021Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 27, nr 3, s. 1-12Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patients’ online access to their EHR together with the rapid proliferation of medical information on the Internet has changed how patients use information to learn about their health. Patients’ tendency to turn to the Internet to find information about their health and care is well-documented. However, little is known about patients’ information seeking behavior when using online EHRs. By using information horizons as an analytical tool this paper aims to investigate the information behavior of cancer patients who have chosen to view their EHRs (readers) and to those who have not made that option (non-readers). Thirty interviews were conducted with patients. Based on information horizons, it seems that non-reading is associated with living in a narrower information world in comparison to readers. The findings do not suggest that the smallness would be a result of active avoidance of information, or that it would be counterproductive for the patients. The findings suggest, however, that EHRs would benefit from comprehensive linking to authoritative health information sources to help users to understand their contents. In parallel, healthcare professionals should be more aware of their personal role as a key source of health information to those who choose not to read their EHRs. 

    Ladda ner fulltext (pdf)
    fulltext
  • 37.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Huvila, Isto
    Department of ALM, Uppsala University, Sweden ; Information Studies, Åbo Akademi University, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Cajander, Åsa
    Department of Information Technology, Uppsala University, Sweden.
    Cancer patients' information seeking behaviour related to online electronic healthcare records2022Ingår i: Proceedings of the 18th International Symposium on Health Information Management Research / [ed] Peter Bath; Päivi Jokela; Laura Sbaffi, Kalmar: Linnaeus University; University of Sheffield , 2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    Patients’ online access to their EHR together with the rapid proliferation of medical information on theInternet has changed the way patients use the information to learn about their health. It is welldocumented that patients often turn to the Internet to find information about their health and care.However, little is known about patients´ information seeking behaviour when using online EHRs. Byusing information horizons as an analytical tool this paper aims to investigate the informationbehaviour of cancer patients who have chosen to view their EHRs (readers) and to those who havenot made that option (non-readers). Thirty interviews were conducted with patients. Based oninformation horizons, it seems that non-reading is associated with living in a narrower informationworld in comparison to readers. The findings do not suggest that the smallness would be a result of anactive avoidance of information, or that it would be counterproductive for the patients.

    Ladda ner fulltext (pdf)
    fulltext
  • 38.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Moll, Jonas
    Örebro University School of Business, Sweden.
    Huvila, Isto
    Uppsala University, Sweden ; Åbo Akademi University, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Do you want to receive bad news through your patient accessible electronic health record?: A national survey on receiving bad news in an era of digital health2021Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 27, nr 3, artikel-id 14604582211035817Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Despite the fact that patient accessible electronic health records (PAEHRs) have been around for many years in several countries, there is a lack of research investigating patient’s preferences for receiving bad news, including through PAEHRs. Little is also known about the characteristics of the patients who prefer to receive bad news through the PAEHR in terms of, for example medical diagnosis, age and educational level. This study, based on a national patient survey in Sweden (N = 2587), investigated this. Results show that, generally, receiving bad news by reading in the PAEHR is still among the least preferred options. Additionally, a higher proportion of men want to receive bad news in the PAEHR compared to women (p = 0.001), and the same goes for those who are not working/have worked in healthcare (p = 0.007). An effect of disease groups was also found, showing that diabetes patients in particular, want to receive bad news through the PAEHR. 

    Ladda ner fulltext (pdf)
    fulltext
  • 39.
    Rexhepi, Hanife
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Moll, Jonas
    Örebro University School of Business, Sweden.
    Huvila, Isto
    Department of ALM, Uppsala University, Sweden ; Information Studies, Åbo Akademi University, Finland.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Do you want to receive bad news through your patient accessible electronic health record?: A national survey on receiving bad news in an era of digital health2022Ingår i: Proceedings of the 18th International Symposium on Health Information Management Research / [ed] Peter Bath; Päivi Jokela; Laura Sbaffi, Kalmar: Linnaeus University; University of Sheffield , 2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    Despite the fact that patient accessible electronic health records (PAEHRs) have been around for manyyears in several countries, there is a lack of research investigating patient´ preferences for receiving badnews, including through PAEHRs. Little is also known about the characteristics of the patients who preferto receive bad news through the PAEHR in terms of e.g. medical diagnosis, age and educational level.This study, based on a national patient survey in Sweden (N=2587), investigated this. Results showthat, generally, receiving bad news by reading in the PAEHR is still among the least preferred options.Additionally, a higher proportion of men want to receive bad news in the PAEHR compared to women(p=0.001), and the same goes for those who are not working/have worked in healthcare (p=0.007). Aneffect of disease groups was also found, showing that diabetes patients in particular, want to receivebad news through the PAEHR.

    Ladda ner fulltext (pdf)
    fulltext
  • 40.
    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

  • 41.
    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.

  • 42.
    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

  • 43.
    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 Systems, 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.

    Ladda ner fulltext (pdf)
    fulltext
  • 44.
    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)
  • 45.
    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.

  • 46.
    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.

  • 47.
    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.

  • 48.
    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.

  • 49.
    Söderström, Eva
    et al.
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    Eriksson, Nomie
    Högskolan i Skövde, Institutionen för handel och företagande. Högskolan i Skövde, Forskningsmiljön Framtidens företagande.
    Åhlfeldt, Rose-Mharie
    Högskolan i Skövde, Institutionen för informationsteknologi. Högskolan i Skövde, Forskningsmiljön Informationsteknologi.
    A Holistic Approach of how to handle Patient Information to support Seamless and Secure care2021Ingår i: Proceedings of the 7th International Workshop on Socio-Technical Perspective in IS Development (STPIS 2021): Virtual conference in Trento, Italy, October 11-12, 2021 / [ed] Peter Bednar; Alexander Nolte; Mikko Rajanen; Anna Sigridur Islind; Helena Vallo Hult; Fatema Zaghloul; Aurelio Ravarini; Alessio Maria Braccini, CEUR-WS , 2021, Vol. 3016, s. 198-203, artikel-id 17Konferensbidrag (Refereegranskat)
    Abstract [en]

    Healthcare, like society in general, is facing great changes and challenges. Rapid development and uptake of digital technologies bring about the need to change. With the COVID-19 pandemic, the amount of healthcare meetings taking place online has surged. This means, among other things, that there are more healthcare actors involved in a patient’s care, and that information relating to a patient needs to be shared across borders now more than ever need to be improved. However, this is currently not done seamlessly, and there are many hinders and obstacles to overcome. This research aims at enabling a holistic approach on how to handle patient information in order to support seamless and secure care along the whole patient process. In doing so, drivers and hinders need to be identified, and a socio-technical framework with concrete guidelines will be developed. These results will be a first step towards filling this research gap, and will connect several perspectives in order to make the results truly actionable and holistic.

    Ladda ner fulltext (pdf)
    fulltext
  • 50.
    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.

12 1 - 50 av 86
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • apa-cv
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf