Disputation: Elise Østmo
Doctoral candidate Elise Østmo at the Department of informatics, Faculty of Mathematics and Natural Sciences, is defending the thesis Coordinating Patient Information in HIV/AIDS Care with Hybrid Health Information Systems for the degree of Philosophiae Doctor.
The University of Oslo is closed. The PhD defence and trial lecture will therefore be fully digital and streamed directly using Zoom. The host of the session will moderate the technicalities while the chair of the defence will moderate the disputation.
Ex auditorio questions: the chair of the defence will invite the audience to ask ex auditorio questions either written or oral. This can be requested by clicking 'Participants -> Raise hand'.
"Compare and contrast relevant theories and concepts for understanding the design and use of health IS in developing countries"
Main research findings
Continuity of health care has in recent years received increased attention. To achieve ‘seamless’ care over time and across service providers, and to reducing redundancy related to duplicated information in parallel systems, electronic patient records have been recommended.
Low-income countries need systems to monitor diseases such as HIV/AIDS, as well as being able to follow a patient on individual level. The global vision is to introduce electronic systems to meet these needs. Human, physical and financial resources form however special challenges in these countries, where often the most essential resources are lacking, showing a gap between vision and reality.
This thesis questions the vision of integrated electronic system as a means to provide robust systems and complete patient records. An ethnographic case study within Primary Health Care in South Africa, gives a rich description of health work practices within HIV/AIDS care and treatment. In the process of creating a patient record, collection and coordination of patient data are performed using paper and electronic artefacts in combination, adapted to the resources available. Based on these findings, it is argued that a certain degree of redundancy contributes to more robust systems. A re-vision of the policies and goals for integrated electronic records is suggested, and principles for designing hybrid health information systems are presented.
Contact information to Department: Mozhdeh Sheibani Harat