Digital_Transformations_in_Healthcare_Professional's_Work - #36
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| The article's main argument discusses the question how users of digital information systems (IS) in hospitals perceive the support of technology as advantageous or obstructive in their daily routines. The examined IS focus on features and use cases such as those that coordinate surgeries and manage the prioritization of patients based on their diseases to improve the internal process flows. The aforementioned benefits manifest in an improved operating model and smoother chains of activities provided by the additional knowledge within the IS. The article, in particular, sheds light on the visibility management approach which centers around the idea of the illustration of processes and workflows to increase the overall operational transparency. However, the majority of participants criticizes the resulting increase in transparency since it is accompanied by a perceived feeling of control which leads to a reduction of the individual’s autonomy. The alleged loss of autonomy is not applicable in critical situations because, ultimately, the decision-making power is always held by the physicians during their surgical interventions. In summary, the usage of IS is evaluated ambiguously by the users in a hospital due to the materialized positive benefits in process flows on the one hand and the biased perception of an increased monitoring of the individual on the other hand. | ||
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| Discuss the (R) Relationship between the argument in the study and the theoretical arguments put forward in the other articles that you have read from this research area. |
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Try to highlight two or three of the most important factors that are found to contribute to and two or three that harm individuals' autonomy need experiences.
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Contribution to Individual's autonomy:
-personal development contributes to the physicians' ability to better use their autonomy in hot situations.
-Responsibility grows through visibility management as it leads to greater transparency in process flows
Harms Individual's autonomy:
-new technologies due to a higher level of controll
-new technologies that automatically make decisions about surgical procedures for physicians.
->affected by visibility management
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Huber, C., & Gärtner, C. (2018). Digital transformations in healthcare professionals’ work: Dynamics of autonomy, control and accountability. Management Revue, 29(2), 139-161.
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Could you please explain the harm factors again? Here in the comment it says that new technologies could potentially make decisions on themselves but it also says in the summary above that the last decision is always in the physician's hands...are we talking about technologies of the future here?
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The new information systems (IS) make everyday decisions that used to be made by doctors, so doctors have been deprived of some of their autonomy (at least that's how they feel). Only in the case of really urgent decisions can they still put their autonomy above that of the IS.
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| Finally, formulate two (Q) Questions that originate from the findings of the presented research and arguments. For instance, think about issues that are not addressed in this particular literature or about what could be a relevant future research question based on the findings or limitations of the presented study. | ||
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| 1.How do professionals know to what extent they can or cannot use their autonomy? |
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Try to make some suggestions... What is this contingent on?
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It appears that physicians use their autonomy according to their feelings, even if they do not follow the protocol at that moment. In addition, the situation plays a role. Because in important situations they tend to use their autonomy more than in legitimate situations. Through the control of bosses, they are likely to be aware of the extent of a rule break and know in which moments they are above the Information System.
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What is the digital Information System (IS)? How is it used in hospitals? |
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The information system is a tool on the computers in the hospital and is used to schedule and coordinate surgeries, for example, it also sets the times for the surgeries and assigns the doctors to the surgeries. |
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