Sharing behavior in emergencies: An instantiation of a utility-focused prototype of a secure mobile near-real-time content device in pre-hospital and hospital settings

摘要

The implementation of healthcare information technology largely exhibits a 'lack of fit' with medical practice workflow, especially when data collection devices interfere with care during emergencies. Employing the design science paradigm and interpretive theory building, we examine the credibility, utility, and sharing of near-auto generated, near-real-time content regarding motor vehicle accidents. We began constructing a mobile security information model and building a mobile prototype to study the dynamics of contents sharing in the pre-hospital and hospital settings. From our focus group interviews, we learned that the most valuable feature of the prototype was the ability to capture and transmit data, audio, photo, and video contents prior to the arrival of the patient to the hospital: contents that inform clinical decisions regarding diagnostic preparedness, triaging, and therapeutic activities. We theorize that a credible content incentivizes sharing attitude and instrumental use which influence sharing behavior. We plan further observations to refine the proposition.