IDEAS home Printed from https://ideas.repec.org/a/eee/teinso/v62y2020ics0160791x20302670.html
   My bibliography  Save this article

Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons

Author

Listed:
  • Hämäläinen, Antti
  • Hirvonen, Helena

Abstract

Electronic Health Records (EHRs) in Long-Term Care (LTC) of older persons are expected to improve resident-centered care by reducing ambiguities in information coordination between LTC workers and organisations. While there are research findings concerning such intended outcomes, we are interested in analysing what sort of other, possibly unanticipated outcomes the use of EHRs in LTC may produce. We argue that the scrutiny of EHRs in LTC requires an understanding of their implementation as socio-technical processes, whereby EHRs are perceived as performative artifacts of LTC rather than technological tools or passive objects. While EHRs have been extensively studied in health-care settings, few studies have concentrated on eldercare settings. We aim to fill these gaps by drawing from a qualitative interview study (n = 25) conducted with Finnish LTC workers in 2018. Using thematic content analysis, we analyse how LTC workers negotiate and interpret socio-technical practices of EHR-use at their workplace. Our findings suggest that, along with improving workers’ accountability, EHRs are also considered disorganised, unrefined and burdening, thereby disrupting both the intended effects of EHRs and the continuity and the nuanced characteristics of caring.

Suggested Citation

  • Hämäläinen, Antti & Hirvonen, Helena, 2020. "Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons," Technology in Society, Elsevier, vol. 62(C).
    • Handle: RePEc:eee:teinso:v:62:y:2020:i:c:s0160791x20302670
    DOI: 10.1016/j.techsoc.2020.101316
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0160791X20302670
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.techsoc.2020.101316?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Raza, Syed Arshad, 2021. "Managing ethical requirements elicitation of complex socio-technical systems with critical systems thinking: A case of course-timetabling project," Technology in Society, Elsevier, vol. 66(C).
    2. Esmaeilzadeh, Pouyan, 2022. "Identification of barriers affecting the use of health information exchange (HIE) in clinicians' practices: An empirical study in the United States," Technology in Society, Elsevier, vol. 70(C).
    3. Mutanu, Leah & Gupta, Khushi & Gohil, Jeet, 2022. "Leveraging IoT solutions for enhanced health information exchange," Technology in Society, Elsevier, vol. 68(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:teinso:v:62:y:2020:i:c:s0160791x20302670. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: https://www.journals.elsevier.com/technology-in-society .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.