Embedding and Integrating a Digital Patient Management Platform Into Everyday Primary Care Routines: Qualitative Case Study
Frennert, Susanne LU
; Erlingsdottir, Gudbjörg
LU
; Muhic, Mirella
LU
; Rydenfält, Christofer
LU
; Milos Nymberg, Veronica
LU
and Ekman, Björn
LU
(2022)
In JMIR Formative Research
6(2).
- Abstract
- Background:
Traditional primary care is characterized by patient consultations via phone and physical visits. However, the current development in Swedish primary care is to blend digital solutions with traditional solutions. This paper addresses this development by examining the normalization of embedding and integrating a digital health care platform into everyday care routines in a primary care clinic. The digital health care platform enables both synchronous (video calls) and asynchronous (chat) communication, as well as self-registration of patient data using automated questions and forms requiring the patient’s input.
Objective:
This study aims to explore the work that health care professionals (HCPs) have to... (More) - Background:
Traditional primary care is characterized by patient consultations via phone and physical visits. However, the current development in Swedish primary care is to blend digital solutions with traditional solutions. This paper addresses this development by examining the normalization of embedding and integrating a digital health care platform into everyday care routines in a primary care clinic. The digital health care platform enables both synchronous (video calls) and asynchronous (chat) communication, as well as self-registration of patient data using automated questions and forms requiring the patient’s input.
Objective:
This study aims to explore the work that health care professionals (HCPs) have to undertake to implement and sustain a digital health care platform as part of their everyday work practice.
Methods:
HCPs were observed and interviewed to assess their individual and collective engagement and the mechanisms involved in the implementation of the digital platform and its effects on everyday work routines. The normalization process theory (NPT) was used to frame the data analysis.
Results:
The analysis identified several themes related to the four NPT constructs: coherence, cognitive participation, collective action, and reflexive monitoring. The use of these constructs enabled the analysis to identify ways of supporting implementation. For example, it showed the benefits of having implementation champions and scheduling work hours for HCPs to use the platform. The analysis also revealed a theme of materiality that deviated from the NPT constructs, as NPT gives ontological priority to human actors and social structures.
(Less) - Abstract (Swedish)
- Background:
Traditional primary care is characterized by patient consultations via phone and physical visits. However, the current development in Swedish primary care is to blend digital solutions with traditional solutions. This paper addresses this development by examining the normalization of embedding and integrating a digital health care platform into everyday care routines in a primary care clinic. The digital health care platform enables both synchronous (video calls) and asynchronous (chat) communication, as well as self-registration of patient data using automated questions and forms requiring the patient’s input.
Objective:
This study aims to explore the work that health care professionals (HCPs) have to... (More) - Background:
Traditional primary care is characterized by patient consultations via phone and physical visits. However, the current development in Swedish primary care is to blend digital solutions with traditional solutions. This paper addresses this development by examining the normalization of embedding and integrating a digital health care platform into everyday care routines in a primary care clinic. The digital health care platform enables both synchronous (video calls) and asynchronous (chat) communication, as well as self-registration of patient data using automated questions and forms requiring the patient’s input.
Objective:
This study aims to explore the work that health care professionals (HCPs) have to undertake to implement and sustain a digital health care platform as part of their everyday work practice.
Methods:
HCPs were observed and interviewed to assess their individual and collective engagement and the mechanisms involved in the implementation of the digital platform and its effects on everyday work routines. The normalization process theory (NPT) was used to frame the data analysis.
Results:
The analysis identified several themes related to the four NPT constructs: coherence, cognitive participation, collective action, and reflexive monitoring. The use of these constructs enabled the analysis to identify ways of supporting implementation. For example, it showed the benefits of having implementation champions and scheduling work hours for HCPs to use the platform. The analysis also revealed a theme of materiality that deviated from the NPT constructs, as NPT gives ontological priority to human actors and social structures.
(Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/88aafca2-7ba9-4bc8-acc1-ec3d1835098e
- author
- Frennert, Susanne
LU
; Erlingsdottir, Gudbjörg
LU
; Muhic, Mirella
LU
; Rydenfält, Christofer
LU
; Milos Nymberg, Veronica
LU
and Ekman, Björn
LU
- organization
- publishing date
- 2022-03-18
- type
- Contribution to journal
- publication status
- published
- subject
- in
- JMIR Formative Research
- volume
- 6
- issue
- 2
- article number
- e30527
- publisher
- JMIR Publications Inc.
- external identifiers
-
- pmid:35191845
- scopus:85126150158
- ISSN
- 2561-326X
- DOI
- 10.2196/30527
- project
- Förbättrade arbets- och patientflöden i primärvården med digitalt Flow
- language
- English
- LU publication?
- yes
- id
- 88aafca2-7ba9-4bc8-acc1-ec3d1835098e
- date added to LUP
- 2022-02-28 10:52:13
- date last changed
- 2022-06-11 04:05:15
@article{88aafca2-7ba9-4bc8-acc1-ec3d1835098e,
abstract = {{Background:<br/>Traditional primary care is characterized by patient consultations via phone and physical visits. However, the current development in Swedish primary care is to blend digital solutions with traditional solutions. This paper addresses this development by examining the normalization of embedding and integrating a digital health care platform into everyday care routines in a primary care clinic. The digital health care platform enables both synchronous (video calls) and asynchronous (chat) communication, as well as self-registration of patient data using automated questions and forms requiring the patient’s input.<br/><br/>Objective:<br/>This study aims to explore the work that health care professionals (HCPs) have to undertake to implement and sustain a digital health care platform as part of their everyday work practice.<br/><br/>Methods:<br/>HCPs were observed and interviewed to assess their individual and collective engagement and the mechanisms involved in the implementation of the digital platform and its effects on everyday work routines. The normalization process theory (NPT) was used to frame the data analysis.<br/><br/>Results:<br/>The analysis identified several themes related to the four NPT constructs: coherence, cognitive participation, collective action, and reflexive monitoring. The use of these constructs enabled the analysis to identify ways of supporting implementation. For example, it showed the benefits of having implementation champions and scheduling work hours for HCPs to use the platform. The analysis also revealed a theme of materiality that deviated from the NPT constructs, as NPT gives ontological priority to human actors and social structures.<br/>}},
author = {{Frennert, Susanne and Erlingsdottir, Gudbjörg and Muhic, Mirella and Rydenfält, Christofer and Milos Nymberg, Veronica and Ekman, Björn}},
issn = {{2561-326X}},
language = {{eng}},
month = {{03}},
number = {{2}},
publisher = {{JMIR Publications Inc.}},
series = {{JMIR Formative Research}},
title = {{Embedding and Integrating a Digital Patient Management Platform Into Everyday Primary Care Routines: Qualitative Case Study}},
url = {{http://dx.doi.org/10.2196/30527}},
doi = {{10.2196/30527}},
volume = {{6}},
year = {{2022}},
}