The global healthcare industry is charging ahead on the path to practice-wide and nationwide computerization on the heels of developments in electronic health record, medical imaging, and ubiquitous computing fields. While the prospects for benefits such as increased quality of care and increased return on investments abound, the critical need to deal with the underlying socio-technical implications of these technologies and how they affect workflow, coordination, and collaboration in medical practice must be addressed by systems designers, healthcare decision makers, and care providers.
Medical computer supported cooperative work, or medical CSCW is a term that may be used to describe this area of research.
Methodology
Much of the research in CSCW is based on ethnographic methods for investigating organizational and technological settings. These methods include qualitative data collection through observation, participant observation, and semi-structured interviews, as well as analysis using a grounded theory approach. [1]
Health care, or healthcare, is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. The term includes work done in providing primary care, secondary care, and tertiary care, as well as in public health.
Computer-supported cooperative work (CSCW) is the study of how people utilize technology collaboratively, often towards a shared goal. CSCW addresses how computer systems can support collaborative activity and coordination. More specifically, the field of CSCW seeks to analyze and draw connections between currently understood human psychological and social behaviors and available collaborative tools, or groupware. Often the goal of CSCW is to help promote and utilize technology in a collaborative way, and help create new tools to succeed in that goal. These parallels allow CSCW research to inform future design patterns or assist in the development of entirely new tools.
Health informatics is the study and implementation of computer structures and algorithms to improve communication, understanding, and management of medical information. It can be viewed as branch of engineering and applied science.
An electronic health record (EHR) is the systematized collection of patient and population electronically stored health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.
Collaborative editing is the process of multiple people editing the same document simultaneously. This technique may engage expertise from different disciplines, and potentially improve the quality of documents and increase productivity.
Paul Dourish is a computer scientist best known for his work and research at the intersection of computer science and social science. Born in Scotland, he holds the Steckler Endowed Chair of Information and Computer Science at the University of California, Irvine, where he joined the faculty in 2000, and where he directs the Steckler Center for Responsible, Ethical, and Accessible Technology. He is a Fellow of the AAAS, the ACM, and the BCS, and is a two-time winner of the ACM CSCW "Lasting Impact" award, in 2016 and 2021.
The Clinical Practice Research Datalink (CPRD) is an observational and interventional research service that operates as part of the UK Department of Health. It is jointly funded by the National Institute for Health and Care Research(NIHR) and the Medicines and Healthcare products Regulatory Agency (MHRA). CPRD is working closely with the extensive primary care, topic specific and comprehensive NIHR research networks and with NHS Digital.
Role-Based Collaboration (RBC) represents an emerging research area.
Rebecca Elizabeth "Beki" Grinter is a professor in the School of Interactive Computing in the College of Computing at the Georgia Institute of Technology. She is affiliated with the RIM@GT, the GVU Center and the Scheller College of Business. Grinter's research lies generally in the fields of human-computer interaction (HCI) and computer-supported cooperative work (CSCW). She has chaired and published papers in top-tier academic conferences in these fields. Her research and expert opinion on technology have also been reported in major news media sources.
Jonathan Grudin was a researcher at Microsoft from 1998 to 2022 and is affiliate professor at the University of Washington Information School working in the fields of human-computer interaction and computer-supported cooperative work. Grudin is a pioneer of the field of computer-supported cooperative work and one of its most prolific contributors. His collaboration distance to other researchers of human-computer interactions has been described by the "Grudin number". Grudin is also well known for the "Grudin Paradox" or "Grudin Problem", which states basically with respect to the design of collaborative software for organizational settings, "What may be in the managers' best interests may not be in the interests of individual contributors, and therefore not used." He was awarded the inaugural CSCW Lasting Impact Award in 2014 on the basis of this work. He has also written about the publication culture and history of human-computer interactions. His book From Tool to Partner, The Evolution of Human-Computer Interaction was published in 2017.
Health information technology (HIT) is health technology, particularly information technology, applied to health and health care. It supports health information management across computerized systems and the secure exchange of health information between consumers, providers, payers, and quality monitors. Based on a 2008 report on a small series of studies conducted at four sites that provide ambulatory care – three U.S. medical centers and one in the Netherlands, the use of electronic health records (EHRs) was viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system.
Group information management (GIM) is an extension of personal information management (PIM) "as it functions in more public spheres" as a result of peoples' efforts to share and co-manage information, and has been a topic of study for researchers in PIM, human–computer interaction (HCI), and computer supported cooperative work (CSCW). People acquire, organize, maintain, retrieve and use information items to support individual needs, but these PIM activities are often embedded in group or organizational contexts and performed with sharing in mind. The act of sharing moves personal information into spheres of group activity and also creates tensions that shape what and how the information is shared. The practice and the study of GIM focuses on this interaction between personal information and group contexts.
Outcomes research is a branch of public health research which studies the end results of the structure and processes of the health care system on the health and well-being of patients and populations. According to one medical outcomes and guidelines source book - 1996, Outcomes research includes health services research that focuses on identifying variations in medical procedures and associated health outcomes. Though listed as a synonym for the National Library of Medicine MeSH term "Outcome Assessment ", outcomes research may refer to both health services research and healthcare outcomes assessment, which aims at health technology assessment, decision making, and policy analysis through systematic evaluation of quality of care, access, and effectiveness.
Steve Whittaker is a Professor in human-computer interaction at the University of California Santa Cruz. He is best known for his research at the intersection of computer science and social science in particular on computer mediated communication and personal information management. He is a Fellow of the Association for Computing Machinery (ACM), and winner of the CSCW 2018 "Lasting Impact" award. He also received a Lifetime Research Achievement Award from SIGCHI, is a Member of the SIGCHI Academy. He is Editor of the journal Human-Computer Interaction.
Collaborative information seeking (CIS) is a field of research that involves studying situations, motivations, and methods for people working in collaborative groups for information seeking projects, as well as building systems for supporting such activities. Such projects often involve information searching or information retrieval (IR), information gathering, and information sharing. Beyond that, CIS can extend to collaborative information synthesis and collaborative sense-making.
Sara Beth (Greene) Kiesler is the Hillman Professor Emerita of Computer Science and Human Computer Interaction in the Human-Computer Interaction Institute at Carnegie Mellon University. She is also a program director in the Directorate for Social, Behavioral & Economic Sciences at the US National Science Foundation, where her responsibilities include programs on Secure and Trustworthy Cyberspace, The Future of Work at the Human-Technology Frontier, Smart and Connected Communities, and Securing American Infrastructure. She received an M.A. degree in psychology from Stanford in 1963, and a Ph.D., also in psychology, from Ohio State University in 1965.
Clinical point of care (POC) is the point in time when clinicians deliver healthcare products and services to patients at the time of care.
Christian Heath is Professor of Work and Interaction at King's College London. He is known for his research in which he uses video to analyse social interaction in everyday settings in particular the workplace.
Victoria Bellotti is a Senior CI researcher in the Member Experience Team at Netflix. Previously, she was a user experience manager for growth at Lyft and a research fellow at the Palo Alto Research Center. She is known for her work in the area of personal information management and task management, but from 2010 to 2018 she began researching context-aware peer-to-peer transaction partner matching and motivations for using peer-to-peer marketplaces which led to her joining Lyft. Victoria also serves as an adjunct professor in the Jack Baskin School of Engineering at University of California Santa Cruz, on the editorial board of the Personal and Ubiquitous Computing and as an associate editor for the International Journal of HCI. She is a researcher in the Human–computer interaction community. In 2013 she was awarded membership of the ACM SIGCHI Academy for her contributions to the field and professional community of human computer interaction.
Carl Gutwin is a Canadian computer scientist, professor and the director of the Human–computer interaction (HCI) Lab at the University of Saskatchewan. He is also a co-theme leader in the SurfNet research network and was a past holder of a Canada Research Chair in Next-Generation Groupware. Gutwin is known for his contributions in HCI ranging from the technical aspects of systems architectures, to the design and implementation of interaction techniques, and to social theory as applied to design. Gutwin was papers co-chair at CHI 2011 and was a conference co-chair of Computer Supported Cooperative Work (CSCW) 2010.