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The Virtual Clinic: Two-sided Affordances in Consultation Practice
University West, School of Business, Economics and IT, Divison of Informatics. Reykjavik University, School of Computer Science, Reykjavik , Iceland. (LINA)ORCID iD: 0000-0002-4563-0001
University West, School of Business, Economics and IT, Divison of Informatics. (LINA)ORCID iD: 0000-0002-6101-3054
University West, School of Business, Economics and IT, Division of Media and Design. (LINA)
University of Gothenburg, Department of Applied IT, Gothenburg , Sweden.
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2019 (English)In: Computer Supported Cooperative Work, ISSN 0925-9724, E-ISSN 1573-7551, Vol. 28, no 3-4, p. 435-468Article in journal (Refereed) Published
Abstract [en]

Telecare has the potential to increase the quality of care while also decreasing costs. However, despite great potential, efficiency in care practices and cost reduction remain hypothetical. Within computer supported cooperative work (CSCW), one focus of telecare research has been on awareness support in distributed real-time communication in comparison to physical meetings since face-to-face consultations have been known as the “gold standard” of conducting care. Research has shown that it is hard to maintain qualities such as awareness through video-mediated meetings. In this research, the goal has not been to mimic the qualities of face-to-face consultations but rather to document the qualities of three types of patient meetings (consultations) and to understand in what kinds of situations each consultation type is a viable option. In this paper, we focus on the essential qualities of i) face-to-face consultations, ii) video-based consultations, and iii) telephone consultations and shed light on their affordances. The research contribution includes an extension of the affordance lens to incorporate socio-technical, two-sided affordances, that constitute important aspects for understanding complexity when heterogeneous actors co-existing in a practice, where affordances can differ for different “sides” in the complex practice—a view that is fruitful when dealing with heterogeneous actors and a set of analog and digital tools in a practice.

Place, publisher, year, edition, pages
2019. Vol. 28, no 3-4, p. 435-468
Keywords [en]
telecare, telehealth, virtual clinic, affordances, practice, qualities, two-sided affordances, multi-sided affordances, consultations
National Category
Information Systems, Social aspects
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
URN: urn:nbn:se:hv:diva-13910DOI: 10.1007/s10606-019-09350-3ISI: 000473162800006Scopus ID: 2-s2.0-85066158115OAI: oai:DiVA.org:hv-13910DiVA, id: diva2:1320566
Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2019-10-16Bibliographically approved

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Islind, Anna SigridurLundh Snis, UlrikaLindroth, Tomas
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