Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine
In ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec- tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facili...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Aalborg University
2019-03-01
|
| Series: | Nordic Journal of Working Life Studies |
| Subjects: | |
| Online Access: | https://tidsskrift.dk/njwls/article/view/112691 |
| _version_ | 1818387677463969792 |
|---|---|
| author | Annette Kamp Agnete Meldgaard Hansen |
| author_facet | Annette Kamp Agnete Meldgaard Hansen |
| author_sort | Annette Kamp |
| collection | DOAJ |
| description | In ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec- tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facilitating local access to specialized competences at central hospitals through ICT systems and establishes new virtual spaces for cross-sectoral cooperation between hospital and municipal health care workers. In an explorative ethnographic study, comprising interviews and participant observation, of telemedicine-based interaction between community nurses and specialized hospi- tal nurses, we show how the ‘tele-ulcer’ system becomes a site for professional development for community nurses, although a hierarchization of professional knowledge also takes place. Further- more, extensive articulation work is necessary to make the tele-ulcer system work.We illuminate how contradictory divisions of responsibility may result from the design of the sociotechnical sys- tem, leaving professionals to deal with risks and insecurity. |
| first_indexed | 2024-12-14T04:13:45Z |
| format | Article |
| id | doaj.art-c358bdbe1cba4e77979f57c5271a35a9 |
| institution | Directory Open Access Journal |
| issn | 2245-0157 |
| language | English |
| last_indexed | 2024-12-14T04:13:45Z |
| publishDate | 2019-03-01 |
| publisher | Aalborg University |
| record_format | Article |
| series | Nordic Journal of Working Life Studies |
| spelling | doaj.art-c358bdbe1cba4e77979f57c5271a35a92022-12-21T23:17:36ZengAalborg UniversityNordic Journal of Working Life Studies2245-01572019-03-019S510.18291/njwls.v9iS5.112691Negotiating Professional Knowledge and Responsibility in Cross-sectoral TelemedicineAnnette Kamp0Agnete Meldgaard Hansen1Roskilde UniversityRoskilde UniversityIn ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec- tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facilitating local access to specialized competences at central hospitals through ICT systems and establishes new virtual spaces for cross-sectoral cooperation between hospital and municipal health care workers. In an explorative ethnographic study, comprising interviews and participant observation, of telemedicine-based interaction between community nurses and specialized hospi- tal nurses, we show how the ‘tele-ulcer’ system becomes a site for professional development for community nurses, although a hierarchization of professional knowledge also takes place. Further- more, extensive articulation work is necessary to make the tele-ulcer system work.We illuminate how contradictory divisions of responsibility may result from the design of the sociotechnical sys- tem, leaving professionals to deal with risks and insecurity.https://tidsskrift.dk/njwls/article/view/112691Health, Working Environment & WellbeingLearning & CompetenciesIdentity, Meaning & CultureOrganization & Management |
| spellingShingle | Annette Kamp Agnete Meldgaard Hansen Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine Nordic Journal of Working Life Studies Health, Working Environment & Wellbeing Learning & Competencies Identity, Meaning & Culture Organization & Management |
| title | Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine |
| title_full | Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine |
| title_fullStr | Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine |
| title_full_unstemmed | Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine |
| title_short | Negotiating Professional Knowledge and Responsibility in Cross-sectoral Telemedicine |
| title_sort | negotiating professional knowledge and responsibility in cross sectoral telemedicine |
| topic | Health, Working Environment & Wellbeing Learning & Competencies Identity, Meaning & Culture Organization & Management |
| url | https://tidsskrift.dk/njwls/article/view/112691 |
| work_keys_str_mv | AT annettekamp negotiatingprofessionalknowledgeandresponsibilityincrosssectoraltelemedicine AT agnetemeldgaardhansen negotiatingprofessionalknowledgeandresponsibilityincrosssectoraltelemedicine |