Context Sensitive Health Informatics Redesigning Healthcare Work

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Context Sensitive Health Informatics: Redesigning Healthcare Work

Health informatics applications will be a cornerstone of the next generation healthcare delivery system. These applications will support the delivery of safe, patient-centered care, and collaborative care delivery. The complexity of modern healthcare is delivered by many different specialties, to many different patients with complex diseases and comorbidity. A one size fits all approach is not adequate to reach the triple aim of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of healthcare. Health informatics applications must rather be built to be adaptable and sensitive to the complex contexts where they will be used. The health informatics community has long been interested in the role that context plays in the design, implementation and evaluation of Health IT. We have come to realize that context is not just a passive characteristic that impacts Health IT usage but rather is embedded in the core of the users, processes and outcomes that Health IT interacts with. Therefore, we need better approaches to study and understand its impact on Health IT usage in different healthcare settings. This book contains the conference papers from CSHI 2017 - Delivering 21st Century Healthcare - Building a Quality-and-Efficiency Driven System. It contains papers on a variety of topics that are divided into four sections: Theoretical approaches to investigate context sensitive health informatics to generate robust evidence, Redesigning healthcare work practices, Patient participation in healthcare design and redesign, and Human factors and usability. The 2017 CSHI conference continues our efforts to develop robust scientific evidence on context and Health IT.
Context Sensitive Health Informatics: Sustainability in Dynamic Ecosystems

The digital transformation of healthcare delivery remains a work in progress, and contextual variation continues to be one of the barriers to the development of sustainable health information technology. Context-sensitive health informatics concerns health information technologies and their environments, which may be people such as patients, users, designers and evaluators, but also non-human constructs such as organizations, work practices, guidelines and protocols, or buildings and markets. This book presents papers from CSHI 2019, the international conference on Context Sensitive Health Informatics, held in Lille, France, on 23 and 24 August 2019. The subtitle of the conference was Sustainability in Dynamic Ecosystems, and the thirty papers included here are divided into six sections: understanding organizational contexts; towards sustainable EHR; different contexts for medication errors and patient safety; methods and models to study contexts for health information systems; citizens in health contexts; and designing and evaluating in contexts. Two keynote speeches from the conference are also included. With its focus on context sensitivity and sustainability in digital healthcare, the book will be of interest to all those working in the field of health informatics.
Context Sensitive Health Informatics: Many Places, Many Users, Many Contexts, Many Uses

Context is key in the design, implementation and evaluation of health information technology. Healthcare systems around the world are in transition; adopting technologies to deal with the problems of aging populations, increased numbers of chronically ill patients and limited resources. But a 'one size fits all' approach is not the answer, and may limit those local healthcare system innovations that are so crucial to the development of health informatics. Even the most advanced systems will fail to achieve the desired outcomes if context is not taken into account. This book presents the proceedings of the Context Sensitive Health Informatics (CSHI) conference, held in Curitiba, Brazil, in August 2015. Context sensitive health informatics is about health information technologies and their environments, and the 26 papers included here examine how health informatics systems are developed, implemented and evaluated in a complex environment of many places, many users, many uses and in many contexts. The book is divided into four themes: different users in different contexts; evaluating for context through usability testing and ensuring patient safety; organizational and social issues in different places; and understanding different contexts using theory. This overview of the research and experience critical to ensuring the successful introduction and adaptation of healthcare systems to new countries, contexts and healthcare settings will be of interest to all those involved in improving the quality of healthcare worldwide.