Datafication: the Flavor and Scent of Data.

This paper deals with data handling in health care on three distinct and different levels. The three levels can be classified in the following way: ethical level based on principles, political level based on negotiations and relations, and phenomenological level based on relation in between the physical and digital world. The paper takes an outset in a recent report, published in October 2021, from the Lancet and Financial Times Commission on governing health futures 2030 (ethical level), and a recent publication (2020) and exhibition at the Biennale of Architecture in Venice (2021) on Data Publics (political level), and finally makes an attempt to frame our being with digital technology on a philosophical and phenomenological level.

People Centeredness, Chronic Conditions and Diversity Sensitive eHealth: Exploring Emancipation of the 'Health Care System' and the 'Patient' in Health Informatics.

Health care systems struggle to consistently deliver integrated high-quality, safe, and patient-centered care to all in an economically sustainable manner. Inequity of access to health care services and variation in diagnostic and treatment outcomes are common. Further, as health care systems become ever more complex, iatrogenesis and counter productivity have emerged as real dangers.

How Can Health Information Technologies Contribute to Improve Health Care Services for High-Need Patients?

This paper discusses how health information technologies like tele-care, tele-health and tele-medicine can improve the condition for high-need patients, specifically in relation to access. The paper addresses specifically the values of timeliness and equity and how tele technological solutions can support and enhance these values. The paper introduces to the concept of scaffolding, which constitutes the framework for dynamic, appropriate, caring and embracing approaches for engaging and involving high-need patients that are vulnerable and exposed.

Nursing Telehealth, Caring from a Distance.

Tele-technology in the health care system is prognosed to be able to produce better health, better care at lower cost (Triple aim). This paper will discuss the validity of this prognosis, which in many ways is considered as some sort of diagnosis of the conditions concerning triple aim in relation to Tele-technology. Tele-technology in the health care system covers three different types of technological settings: telecare, telehealth and telemedicine.

The Question Concerning Narration of Self in Health Informatics.

Narration is central, even crucial, when it comes to embracing the whole individual, continuity of care, and responsible (ethical) handling of the technological construction of the self that takes place in health informatics. This paper will deal with the role of narratives in the construction of health informatics platforms and how different voices should have space for speech on these platforms. Theoretically the paper takes an outset in the actant model for narratives by the French-Lithuanian theorist of linguistics and literature A.

Challenges in Improving Health Care by Use of Health Informatics Technology.

This chapter discusses the complementary role of Techno-Anthropological methodologies in relation to classical quantitative and qualitative methodologies. The chapter addresses the importance of evidencing the problems in health informatics and how these problems are framed in order to find appropriate solutions. It is the claim that problem based learning approaches (PBL) and inter-disciplinary teamwork is paramount in order to meet the current challenges of development and implementation of health informatics in the health care system.

How standards will degrade the concepts of the art of medicine.

The paper is dealing with the problematic positioning of the whole health care system towards the concept of standard. There is a constant quest for standards, and a prediction of how everyday language gradually will disappear. It is the assumption and conjecture of this paper that as we outdo everyday language from our communication in the system we lose major part of meaning-construction concerning health and life of the patient/citizen.

How to dwell in an EHR. The question concerning architecture EHR.

The article deals with architecture and EHRs on a conceptual and philosophical level. Architecture is seen as the essential human expression of being, exemplified through the thoughts and writings of the German architect Gottfried Semper, the American architect Philip Johnson and the German philosopher Martin Heidegger. It is the assumption of the article that the current versions of EHR architectures are the result of a technical and systemic perspective on architecture, as opposed to the thoughts of Semper, Johnson and Heidegger.

Methodology for analysis of work practice with video observation.

Prior to developing and implementing health informatics systems it is essential to acquire information about the work practice. Interviews are often used but they don't always capture important details. In this project we used video cameras to observe the work practice of two medical secretaries at Department of Urology at Arhus University Hospital, Skejby.