Transforming patients to consumers: evaluating national healthcare portals

International Journal of Public Sector Management - Tập 23 Số 4 - Trang 331-339 - 2010
AgnetaRanerup1
1Department of Applied IT, University of Gothenburg, Gothenburg, Sweden

Tóm tắt

PurposeOne prominent translation of patient‐centred care is public sector consumerism by which patients may influence the services provided by acting like consumers. The focus of this study is the extent to which technological devices in national public healthcare portals in the UK and three Nordic countries transform patients so that they can act as healthcare consumers.Design/methodology/approachThe paper applies a comparative case study methodology.FindingsAs national healthcare portals, Norway's technological devices, to some extent, and the devices in the UK and Denmark, to a greater extent, equip patients to act as consumers. At present, Sweden's technological devices are much more limited. In Denmark and the UK, these devices that use quality indicators are in the forefront in the development of national healthcare portals.Originality/valueA theoretical framework is applied that emphasizes the role of technological devices in the construction of calculating consumers as described by Michel Callon. This perspective, which promotes patient‐centred care, enhances the understanding of fundamental design issues related to the role of technology as the individual forms his/her relationship with healthcare systems.

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Tài liệu tham khảo

Andreasson, H., Bujnowska‐Fedak, M., Chronaki, C., Dumitru, R., Pudule, I., Santana, S., Voss, H. and Wynn, R. (2007), “European citizens' use of e‐health services: a study of seven countries”, BMC Public Health, Vol. 7 No. 53, available at: www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1855923.

Anttiroiko, A. (2004), “Introduction to democratic e‐governance”, in Mälkiä, M., Anttiroiko, A‐V. and Savolainen, R. (Eds), E‐transformation in Governance: New Directions in Government Politics, Idea Group, Hershey, PA, pp. 22‐49.

Archer, M. and Tritter, J. (2000), Rational Choice Theory. Resisting Colonization, Routledge, London and New York, NY.

Blomgren, M. (2007), “The drive for transparency: organizational field transformation in Swedish healthcare”, Public Administration, Vol. 85 No. 1, pp. 7‐82.

Callon, M. (1986), “Some elements of a sociology of translation: domestication of the scallops and the fishermen of St Brieuc Bay”, in Law, J. (Ed.), Power, Action, and Belief, Routledge & Kegan Paul, London, pp. 196‐233.

Callon, M. (1998), “The embeddedness of economic markets in economics”, in Callon, M. (Ed.), The Laws of the Market, Blackwell Publishers, Oxford, pp. 1‐57.

Callon, M. and Muniesa, F. (2005), “Economic markets as calculative collective devices”, Organization Studies, Vol. 26 No. 8, pp. 1229‐50.

Docherty, C. and Docherty, W. (2005), “Patients' preferences for involvement in clinical decision‐making within secondary care and factors that influence their preferences”, Journal of Nursing Management, Vol. 13, pp. 119‐27.

Edwards, A. and Elwyn, E. (2001), Evidence‐Based Patient Choice, Oxford University Press, Oxford.

Glenton, C., Paulsen, E. and Oxman, A. (2005), “Portals to wonderland: health portals lead to confusing information about the effects of health care”, Medical Informatics and Decision Making, Vol. 5 No. 7, available at: www.doaj.org/doaj?func=abstract&id=114813.

Greener, I. (2003), “Patient choice in the NHS: the view from economic sociology”, Social Theory & Health, Vol. 1, pp. 72‐89.

Landstingsförbundet (2000), Recommendation about Choice in Healthcare (Rekommendation om valmöjligheter inom hälso‐ och sjukvården. Dnr Lf924/00), Landstingsförbundet, Stockholm.

Mead, N. and Bower, P. (2000), “Patient‐centredness: a conceptual framework and review of the empirical literature”, Social Science & Medicine, Vol. 51, pp. 1087‐110.

Newman, J. and Kuhlmann, E. (2007), “Consumers enter the political stage? The modernization of healthcare in Britain and Germany”, Journal of European Social Policy, Vol. 17 No. 2, pp. 99‐111.

Nicholas, D., Huntington, P., Williams, P. and Dobrowolski, T. (2004), “Re‐appraising information seeking behaviour in a digital environment. Bouncers, checkers, returners and the like”, Journal of Documentation, Vol. 60 No. 1, pp. 24‐42.

Potter, J. (1988), “Consumerism and the public sector: how well does the coat fit?”, Public Administration, Vol. 66, pp. 149‐64.

Rygh, L.H. and Mörland, B. (2006), “Hunting for good quality indicators [Jakten på de gode kvalitetsindikatorene]”, Tidsskrift for Den Norsk Lægeforening, Vol. 21, pp. 2822‐5.

Scott, A. (2001), “Health economics and patient choice”, in Edwards, A. and Elwyn, E. (Eds), Evidence‐Based Patient Choice, Oxford University Press, Oxford, pp. 66‐77.

Vrangbæk, K., Østergren, K., Winblad‐Spångberg, U. and Okkels, B. (2007), “Patients' reactions to free choice of hospitals in Norway, Denmark, and Sweden”, Health Economics, Policy and Law, Vol. 2, pp. 125‐52.

SVR (2007), Healthcare on the Web 1.0, SVR, Stockholm.

Winblad‐Spångberg, U. (2003), From decision to practice: the role of the physician in implementing patient choice in Swedish health care ([Från beslut till verklighet: Läkarnas roll vid implementeringen av valfrihetsreformer i hälso‐ och sjukvården]), Institutionen för folkhälso‐ och vårdvetenskap, Uppsala Universitet, Uppsala.

Yin, R.K. (1994), Case Study Research: Design and Methods, 2nd ed., Sage, London.

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International Journal of Public Sector Management

Tập 23 Số 4

331-339

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