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Title: Health Care Categories have Politics too: Unpacking the Managerial Agendas of Electronic Triage Systems
Authors: Bjørn, Pernille
Balka, Ellen
Issue Date: 2007
Publisher: Springer, London
metadata.dc.relation.ispartof: ECSCW 2007: Proceedings of the 10th European Conference on Computer-Supported Cooperative Work
metadata.mci.reference.pages: 391-410
Series/Report no.: ECSCW
Abstract: While investigating the resistance to the electronic triage system, ETRIAGE, at the emergency department of British Columbia Children’s Hospital, we revisit the wellknown 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.
metadata.dc.identifier.doi: 10.1007/978-1-84800-031-5_20
ISBN: 978-1-84800-031-5
metadata.mci.conference.sessiontitle: Full Papers
metadata.mci.conference.location: Limerick, Ireland 24-28 September 2007
Appears in Collections:ECSCW 2007: Proceedings of the 10th European Conference on Computer-Supported Cooperative Work

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