Negotiating professional knowledge and responsibility in cross-sectoral telemedicine

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

In ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec-tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facilitating local access to specialized competences at central hospitals through ICT systems and establishes new virtual spaces for cross-sectoral cooperation between hospital and municipal health care workers. In an explorative ethnographic study, comprising interviews and participant observation, of telemedicine-based interaction between community nurses and specialized hospi-tal nurses, we show how the ‘tele-ulcer’ system becomes a site for professional development for community nurses, although a hierarchization of professional knowledge also takes place. Further-more, extensive articulation work is necessary to make the tele-ulcer system work. We illuminate how contradictory divisions of responsibility may result from the design of the sociotechnical sys-tem, leaving professionals to deal with risks and insecurity
OriginalsprogEngelsk
TidsskriftNordic Journal of Working Life Studies
Vol/bindNJWLS 2019-S5
Sider (fra-til)13-32
ISSN2245-0157
StatusUdgivet - 2 mar. 2019

Citer dette

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abstract = "In ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec-tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facilitating local access to specialized competences at central hospitals through ICT systems and establishes new virtual spaces for cross-sectoral cooperation between hospital and municipal health care workers. In an explorative ethnographic study, comprising interviews and participant observation, of telemedicine-based interaction between community nurses and specialized hospi-tal nurses, we show how the ‘tele-ulcer’ system becomes a site for professional development for community nurses, although a hierarchization of professional knowledge also takes place. Further-more, extensive articulation work is necessary to make the tele-ulcer system work. We illuminate how contradictory divisions of responsibility may result from the design of the sociotechnical sys-tem, leaving professionals to deal with risks and insecurity",
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Negotiating professional knowledge and responsibility in cross-sectoral telemedicine. / Kamp, Annette; Hansen, Agnete Meldgaard.

I: Nordic Journal of Working Life Studies, Bind NJWLS 2019-S5, 02.03.2019, s. 13-32.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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AB - In ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec-tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facilitating local access to specialized competences at central hospitals through ICT systems and establishes new virtual spaces for cross-sectoral cooperation between hospital and municipal health care workers. In an explorative ethnographic study, comprising interviews and participant observation, of telemedicine-based interaction between community nurses and specialized hospi-tal nurses, we show how the ‘tele-ulcer’ system becomes a site for professional development for community nurses, although a hierarchization of professional knowledge also takes place. Further-more, extensive articulation work is necessary to make the tele-ulcer system work. We illuminate how contradictory divisions of responsibility may result from the design of the sociotechnical sys-tem, leaving professionals to deal with risks and insecurity

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