Organizational effects of information and communication technology (ICT) in elderly homecare: a case study

Abstract

The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming a self-evident part of home healthcare services. Especially, when it comes to information exchange, knowledge sharing and documentation at the point-of-care (POC), ICT is an enabling technique. The aim of this study was to explore the effects from the use of the OLD@HOME-prototype.The results shown that the OLD@HOME prototype was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency. The prototype was further seen to reduce professional isolation by providing a holistic overview of the care process. User centred design and implementation of the OLD@HOME prototype was considered a key issue to facilitate acceptance of organizational changes. Participation of care professionals not only led to a better understanding of the needs of involved organizations, it also increased end-users' involvement and commitment, stimulating them to test and improve the prototype until the final version.

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