Health care categories have politics too: Unpacking the managerial agendas of electronic triage systems
Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review
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Health care categories have politics too : Unpacking the managerial agendas of electronic triage systems. / Bjørn, Pernille; Balka, Ellen.
ECSCW 2007 - Proceedings of the 10th European Conference on Computer Supported Cooperative Work. Kluwer Academic Publishers Group, 2007. p. 371-390 (ECSCW 2007 - Proceedings of the 10th European Conference on Computer Supported Cooperative Work).Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review
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TY - GEN
T1 - Health care categories have politics too
T2 - 10th European Conference on Computer Supported Cooperative Work, ECSCW 2007
AU - Bjørn, Pernille
AU - Balka, Ellen
PY - 2007
Y1 - 2007
N2 - While investigating the resistance to the electronic triage system, ETRIAGE, at the emergency department of British Columbia Children's Hospital, we revisit the well-known CSCW-debate about THE COORDINATOR concerning the politics of standardized categories. Examining the history as well as the design of ETRIAGE, we reveal four basic assumptions about triage work in emergency departments, which are reflected in the design of the ETRIAGE application and related to the managerial agenda of controlling costs in hospitals. We find that ETRIAGE has an embedded surveillance-capability, which challenges the professional authority of nurses' work and removes discretion from the individual. We argue that the resistance towards ETRIAGE should be understood in terms of experienced nurses' disputing the assumptions about their professional practice that are embodied within such systems rather than general resistance to change or resistance to technology.
AB - While investigating the resistance to the electronic triage system, ETRIAGE, at the emergency department of British Columbia Children's Hospital, we revisit the well-known CSCW-debate about THE COORDINATOR concerning the politics of standardized categories. Examining the history as well as the design of ETRIAGE, we reveal four basic assumptions about triage work in emergency departments, which are reflected in the design of the ETRIAGE application and related to the managerial agenda of controlling costs in hospitals. We find that ETRIAGE has an embedded surveillance-capability, which challenges the professional authority of nurses' work and removes discretion from the individual. We argue that the resistance towards ETRIAGE should be understood in terms of experienced nurses' disputing the assumptions about their professional practice that are embodied within such systems rather than general resistance to change or resistance to technology.
UR - http://www.scopus.com/inward/record.url?scp=50849130094&partnerID=8YFLogxK
U2 - 10.1007/978-1-84800-031-5_20
DO - 10.1007/978-1-84800-031-5_20
M3 - Article in proceedings
AN - SCOPUS:50849130094
SN - 9781848000308
T3 - ECSCW 2007 - Proceedings of the 10th European Conference on Computer Supported Cooperative Work
SP - 371
EP - 390
BT - ECSCW 2007 - Proceedings of the 10th European Conference on Computer Supported Cooperative Work
PB - Kluwer Academic Publishers Group
Y2 - 24 September 2007 through 28 September 2007
ER -
ID: 285806708