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Efficiency in Treatment Discussions: A Field Study of Time Related Aspects in Multi-Disciplinary Team Meetings
KTH, School of Computer Science and Communication (CSC), Human - Computer Interaction, MDI.ORCID iD: 0000-0002-8200-2418
KTH, School of Computer Science and Communication (CSC), Human - Computer Interaction, MDI.
CLINTEC, Karolinska Institutet, Stockholm.
CLINTEC, Karolinska Institutet, Stockholm.
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2009 (English)In: 2009 22ND IEEE INTERNATIONAL SYMPOSIUM ON COMPUTER-BASED MEDICAL SYSTEMS   , 2009, 88-95 p.Conference paper, Published paper (Refereed)
Abstract [en]

We present a field study of multi-disciplinary team meetings where decisions on treatment of patients with diseases in the upper part of the abdomen are made. These meetings are important for knowledge dissemination and learning. We have studied how different time related aspects affect the efficiency during these meetings. Time is relevant because several physicians attend these meetings, and they have tight schedules as it is. Our analysis focuses on the conversation during the team meetings, and on how aspects such as indistinct discussions, lack of relevant competence and information, and the structuring of medical information affect time efficiency.

Place, publisher, year, edition, pages
2009. 88-95 p.
Series
IEEE International Symposium on Computer-Based Medical Systems, ISSN 1063-7125
National Category
Computer Science Medical Laboratory and Measurements Technologies
Identifiers
URN: urn:nbn:se:kth:diva-29686ISI: 000278974800016Scopus ID: 2-s2.0-70449657721ISBN: 978-1-4244-4879-1 (print)OAI: oai:DiVA.org:kth-29686DiVA: diva2:398575
Conference
22nd IEEE International Symposium on Computer-Based Medical Systems
Note
QC 20110218Available from: 2011-02-18 Created: 2011-02-11 Last updated: 2013-03-26Bibliographically approved
In thesis
1. Case-based presentation in medical multidisciplinary team meetings: Applied research in CSCW and IxD
Open this publication in new window or tab >>Case-based presentation in medical multidisciplinary team meetings: Applied research in CSCW and IxD
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Advanced medical technology is widely used in modern healthcare, as more and more specialised examinations and treatments are performed on patients. In the case of particularly complex diseases, a number of medical specialists, each an expert in their own field, must collaboratively make diagnoses and plan for treatment. In multidisciplinary team meetings (MDTM), the medical specialists present their pieces of the puzzle, stitch them together and in consensus make a decision. A large amount of information from several sources must be taken into account, but the digital tools to support this decision-making are lacking.

This thesis describes research in which engineers and medical specialists have cooperatively developed such a tool. The main research question concerns improving patient information visualisation to support the collaborative work in MDTMs; a secondary question concerns the role of interaction design in medical work. Several design activities have been conducted together with the medical specialists by utilising research methods derived from computer- supported cooperative work (CSCW) and interaction design (IxD). The new tool has been evaluated in two simulated MDTMs and even though it was developed with the users, the results cut both ways.

Case-based presentation of patients in MDTMs has a positive effect, as more information can be displayed during discussions. It helps the participants keep a shared focus on the patient, her medical history, results from examinations, and decisions made in the meeting. It is a new and aggregated view of the patient and an example of how patient information visualisation can be improved. On the other hand introducing new technology and new ways of interacting with information, in the meetings was not considered entirely positive. The participants have different roles and tasks in the meeting, and the tools should support these without distracting the shared focus.

This practical way of working (conducting field studies, design activities and evaluations) together with ingenious medical specialists can make a difference. By exploring and concretising stakeholders’ needs and making long-term commitments, the interaction designer can take a central position in the deve- lopment of digital, collaborative tools for medical work.

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2013. viii, 77 p.
Series
Trita-CSC-A, ISSN 1653-5723 ; 2013:04
National Category
Human Computer Interaction
Identifiers
urn:nbn:se:kth:diva-119810 (URN)978-91-7501-680-1 (ISBN)
Public defence
2013-04-19, Kollegiesalen, Brinellvägen 8, KTH, Stockholm, 13:15 (English)
Opponent
Supervisors
Funder
Vinnova
Note

QC 20130326

Available from: 2013-03-26 Created: 2013-03-22 Last updated: 2013-03-26Bibliographically approved

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Groth, Kristina

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