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Inter-professional electronic documents and child health: A study of persisting non-electronic communication in the use of electronic documents

机译:专业间的电子文档和儿童健康:关于在使用电子文档时持续进行非电子通信的研究

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摘要

Information and communication technologies are widely used in health and social care settings to replace previous means of record keeping, assessment and communication. Commentary on the strengths and weaknesses of such systems abound, thus it is useful to examine how they are used in practice. This article draws on findings from two separate studies, conducted between 2005 and 2007, which examined how child health and welfare professionals use electronic documents in Finland and England. Known respectively as Miranda and CAF, these systems are different in terms of structure and function but in their everyday use common features are identified, notably the continued use of and reliance on non-electronic means of communication. Based on interviews with professionals, three forms of non-electronic communication are described: alternative records, phone calls and letters, which facilitate the sharing of the electronic record. Finally, the electronic documents are further analysed as potential boundary objects which aim to create common understanding between sites and professionals.
机译:信息和通信技术被广泛用于健康和社会护理环境中,以取代以前的记录保存,评估和通信方式。对此类系统的优缺点的评论很多,因此检查实践中如何使用它们很有用。本文基于2005年至2007年进行的两项独立研究得出的结论,这些研究考察了儿童健康和福利专业人士如何在芬兰和英国使用电子文档。这些系统分别称为Miranda和CAF,它们在结构和功能上有所不同,但在日常使用中具有共同的特征,尤其是继续使用和依赖非电子通信手段。根据与专业人员的访谈,描述了三种非电子通信形式:替代记录,电话和信件,这些形式有助于共享电子记录。最后,将电子文档作为潜在的边界对象进行进一步分析,目的是在站点和专业人员之间建立共识。

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