Alignment of concerns: a design rationale for patient participation in eHealth

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The emergence of patient-centered eHealth systems introduces new challenges, where patients come to play an increasingly important role. Realizing the promises requires an in-depth understanding of not only the technology, but also the needs of both clinicians and patients. However, insights from medical phenomenology bring forth how physicians and patients focus on different aspects of illness and that they often have starkly divergent concerns. This has important implications for the design of eHealth systems that seek to engage patients as active participants. We emphasize the crucial importance of acknowledging these fundamental differences between patients' and physicians' everyday projects and we illustrate it by three case examples from a participatory design project of constructing a personal health record for chronic heart patients and their clinicians. We summarize our suggestion as a design rationale for successful eHealth, termed 'alignment of concerns'.
Original languageEnglish
Title of host publication2014 47th Hawaii International Conference on System Sciences (HICSS)
Number of pages10
Publication date2014
ISBN (Electronic)978-1-4799-2504-9
Publication statusPublished - 2014
EventHawaii International Conference on System Sciences (HICSS) 2014 - Hawaii, United States
Duration: 6 Jan 20149 Jan 2014
Conference number: 47


ConferenceHawaii International Conference on System Sciences (HICSS) 2014
LandUnited States

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