Cooperating To Build and Manage Patients’ Trajectories
Résumé
The world faces an increase of the vulnerable population, calling for multidisciplinary and inter-organizational collaboration to manage healthcare. Governments invest in creating standardized health information systems (HIS) that enhance communication and data exchange. Standardization speeds up the deployment of HIS on a national level but often does not support current cooperative practices, which impedes the appropriation by healthcare actors. This paper discusses the need to shift the focus from designing new systems to studying the existing ones and augmenting them to enhance their acceptance and use. We present the case of Parcéo, a regional standardized system that aims to promote cooperation among healthcare workers in the Grand-Est region of France. We analyze its ability to support awareness, and we discuss how a practice-centered approach can help to augment it to ensure its appropriation.