Change search
ReferencesLink to record
Permanent link

Direct link
References to personal experiences and scientific evidence during medical multi-disciplinary team meetings
KTH, School of Computer Science and Communication (CSC), Human - Computer Interaction, MDI.
KTH, School of Computer Science and Communication (CSC), Human - Computer Interaction, MDI.ORCID iD: 0000-0002-8200-2418
2011 (English)In: Behavior and Information Technology, ISSN 0144-929X, E-ISSN 1362-3001, Vol. 30, no 4, 455-466 p.Article in journal (Refereed) Published
Abstract [en]

We present a field study of medical multi-disciplinary team meetings (MDTMs) where decisions are made concerning the diagnosis and treatment of patients suffering from diseases in the upper abdomen. The study shows how evidence is referred to during weekly team meetings; this evidence is related both to scientific studies and to personal experiences of similar cases. We focus on the conversations during the meetings, on the complicated nature of the cases and on the details in the discussions that led the meeting participants to refer to scientific evidence or previous cases. We identify possibilities for improving the use of already documented information from medical records, in order to identify clinically relevant similarities and to bring additional information into the treatment discussion.

Place, publisher, year, edition, pages
2011. Vol. 30, no 4, 455-466 p.
Keyword [en]
computer supported cooperative work (CSCW), medical multi-disciplinary team meetings, evidence-based medicine. decision-making
National Category
Computer and Information Science
URN: urn:nbn:se:kth:diva-36256DOI: 10.1080/0144929X.2011.553746ISI: 000291971300003ScopusID: 2-s2.0-79960362122OAI: diva2:430481
QC 20110711Available from: 2011-07-11 Created: 2011-07-11 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.
Trita-CSC-A, ISSN 1653-5723 ; 2013:04
National Category
Human Computer Interaction
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)

QC 20130326

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

Open Access in DiVA

No full text

Other links

Publisher's full textScopus

Search in DiVA

By author/editor
Frykholm, OscarGroth, Kristina
By organisation
Human - Computer Interaction, MDI
In the same journal
Behavior and Information Technology
Computer and Information Science

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 77 hits
ReferencesLink to record
Permanent link

Direct link