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Patient Sociotechnical Assemblages: The Distributed Cognition of Health Information Management- [electronic resource]
Patient Sociotechnical Assemblages: The Distributed Cognition of Health Information Manage...
Patient Sociotechnical Assemblages: The Distributed Cognition of Health Information Management- [electronic resource]

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자료유형  
 학위논문(국외)
자관 청구기호  
기본표목-개인명  
표제와 책임표시사항  
Patient Sociotechnical Assemblages: The Distributed Cognition of Health Information Management - [electronic resource] / Willis, Matthew A.
발행, 배포, 간사 사항  
[Sl] : Syracuse University , 2016
    형태사항  
    1 online resource(262 p)
    일반주기  
    Source: Dissertation Abstracts International, Volume: 77-12(E), Section: B.
    일반주기  
    Adviser: Jennifer Stromer-Galley.
    학위논문주기  
    Thesis (Ph.D.)--Syracuse University, 2016.
    요약 등 주기  
    요약Personal health records (PHR) are shifting the capabilities and responsibilities of both patients and providers. Influenced by health IT, concepts like patient-centered care, meaningful use, and patient empowerment are commonplace in the healthcare system. As the popularity of personal health records increases, medical providers, healthcare organizations, and health information system stakeholders require a thorough understanding of how patients use these patient facing information portals in conjunction with other artifacts, objects, and practices to manage and maintain their health.
    요약 등 주기  
    요약Exploring health information management as a distributed sociotechnical assemblage is the conceptual approach of this research. A distributed cognition perspective lends insight to drawing boundaries and establishing connections of personal health information management practices in conjunction with PHR use. The Department of Veterans Affairs provides a unique setting to further understand PHR use and personal health information management practice through the observation of U.S. military veterans enrolled in the My HealtheVet PHR. This context and conceptual framework lead to the research questions for the proposed study: RQ1a: What are the personal health information management practices of veterans who use a personal health record? RQ1b: What health information management practices become distributed beyond the veteran patient? RQ2a: What health information management assemblages emerge from the distributed work of Veterans that use a personal health record? RQ2b: What are key functions of the health information management assemblages of veterans?
    요약 등 주기  
    요약Through the use of semi-structured in depth interviews, observations, and surveys, data were collected on 22 patients along with their primary care providers and caretakers. Results from a two cycle qualitative coding analysis and analytical cognitive mapping technique reveal bundles of practices for creating reminders, organizing information, and creating information for asking questions and working with primary care providers. Distributed practices emerged that detail the managing of medication, information that is socially distributed, and patient-provider communication through secure messaging. Three health information management assemblage components emerged from the analysis: health events and experiential information, information techniques, and technology and material practices. Each of these components is understood by the ways they become stabilized or destabilized. This research contributes to implications for the design of patient-focused personal health records and informs clinical practice of patient-centered care. The research also makes conceptual and empirical contributions to the practice of health information management and a patient-centered care model of healthcare delivery.
    주제명부출표목-일반주제명  
    주제명부출표목-일반주제명  
    주제명부출표목-일반주제명  
    부출표목-단체명  
    Syracuse University The School of Information Studies
      기본자료저록  
      Dissertation Abstracts International. 77-12B(E).
      기본자료저록  
      Dissertation Abstract International
      전자적 위치 및 접속  
       원문정보보기
      소장사항  
      20170404 2017

      MARC

       008170601s2016        us          esm        001c    eng
      ■001MOKWON01252696
      ■00520170418115029
      ■007cr  
      ■020    ▼a9781339978420
      ■035    ▼a(MiAaPQ)AAI10142558
      ■040    ▼aMiAaPQ▼cMiAaPQ
      ■090    ▼a전자도서(박사논문)        
      ■1001  ▼aWillis,  Matthew  A.
      ■24510▼aPatient  Sociotechnical  Assemblages:  The  Distributed  Cognition  of  Health  Information  Management▼h[electronic  resource]▼cWillis,  Matthew  A.
      ■260    ▼a[Sl]▼bSyracuse  University▼c2016
      ■300    ▼a1  online  resource(262  p)
      ■500    ▼aSource:  Dissertation  Abstracts  International,  Volume:  77-12(E),  Section:  B.
      ■500    ▼aAdviser:  Jennifer  Stromer-Galley.
      ■5021  ▼aThesis  (Ph.D.)--Syracuse  University,  2016.
      ■520    ▼aPersonal  health  records  (PHR)  are  shifting  the  capabilities  and  responsibilities  of  both  patients  and  providers.  Influenced  by  health  IT,  concepts  like  patient-centered  care,  meaningful  use,  and  patient  empowerment  are  commonplace  in  the  healthcare  system.  As  the  popularity  of  personal  health  records  increases,  medical  providers,  healthcare  organizations,  and  health  information  system  stakeholders  require  a  thorough  understanding  of  how  patients  use  these  patient  facing  information  portals  in  conjunction  with  other  artifacts,  objects,  and  practices  to  manage  and  maintain  their  health.
      ■520    ▼aExploring  health  information  management  as  a  distributed  sociotechnical  assemblage  is  the  conceptual  approach  of  this  research.  A  distributed  cognition  perspective  lends  insight  to  drawing  boundaries  and  establishing  connections  of  personal  health  information  management  practices  in  conjunction  with  PHR  use.  The  Department  of  Veterans  Affairs  provides  a  unique  setting  to  further  understand  PHR  use  and  personal  health  information  management  practice  through  the  observation  of  U.S.  military  veterans  enrolled  in  the  My  HealtheVet  PHR.  This  context  and  conceptual  framework  lead  to  the  research  questions  for  the  proposed  study:  RQ1a:  What  are  the  personal  health  information  management  practices  of  veterans  who  use  a  personal  health  record?  RQ1b:  What  health  information  management  practices  become  distributed  beyond  the  veteran  patient?  RQ2a:  What  health  information  management  assemblages  emerge  from  the  distributed  work  of  Veterans  that  use  a  personal  health  record?  RQ2b:  What  are  key  functions  of  the  health  information  management  assemblages  of  veterans?
      ■520    ▼aThrough  the  use  of  semi-structured  in  depth  interviews,  observations,  and  surveys,  data  were  collected  on  22  patients  along  with  their  primary  care  providers  and  caretakers.  Results  from  a  two  cycle  qualitative  coding  analysis  and  analytical  cognitive  mapping  technique  reveal  bundles  of  practices  for  creating  reminders,  organizing  information,  and  creating  information  for  asking  questions  and  working  with  primary  care  providers.  Distributed  practices  emerged  that  detail  the  managing  of  medication,  information  that  is  socially  distributed,  and  patient-provider  communication  through  secure  messaging.  Three  health  information  management  assemblage  components  emerged  from  the  analysis:  health  events  and  experiential  information,  information  techniques,  and  technology  and  material  practices.  Each  of  these  components  is  understood  by  the  ways  they  become  stabilized  or  destabilized.  This  research  contributes  to  implications  for  the  design  of  patient-focused  personal  health  records  and  informs  clinical  practice  of  patient-centered  care.  The  research  also  makes  conceptual  and  empirical  contributions  to  the  practice  of  health  information  management  and  a  patient-centered  care  model  of  healthcare  delivery.
      ■590    ▼aSchool  code:  0659.
      ■650  4▼aInformation  technology
      ■650  4▼aHealth  care  management
      ■650  4▼aSocial  research
      ■690    ▼a0489
      ■690    ▼a0769
      ■690    ▼a0344
      ■71020▼aSyracuse  University▼bThe  School  of  Information  Studies.
      ■7730  ▼tDissertation  Abstracts  International▼g77-12B(E).
      ■773    ▼tDissertation  Abstract  International
      ■790    ▼a0659
      ■791    ▼aPh.D.
      ■792    ▼a2016
      ■793    ▼aEnglish
      ■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T14488555▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
      ■980    ▼a20170404▼f2017

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