A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care. / Mønsted, Troels; Hertzum, Morten; Søndergaard, Jens.

In: Computer Supported Cooperative Work, 2020.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Mønsted, T, Hertzum, M & Søndergaard, J 2020, 'A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care', Computer Supported Cooperative Work.

APA

Mønsted, T., Hertzum, M., & Søndergaard, J. (Accepted/In press). A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care. Computer Supported Cooperative Work.

Vancouver

Mønsted T, Hertzum M, Søndergaard J. A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care. Computer Supported Cooperative Work. 2020.

Author

Mønsted, Troels ; Hertzum, Morten ; Søndergaard, Jens. / A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care. In: Computer Supported Cooperative Work. 2020.

Bibtex

@article{54a204545e3b410292860c7f1581bf0e,
title = "A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care",
abstract = "Systems for preventive care seek to provide healthcare services to citizens at risk of developing disease. In doing so they wrestle with identifying the citizens at risk of developing lifestyle-related disease and with reshaping the existing healthcare infrastructure into effective health offers for these citizens. In this study we analyze how a system for preventive care was enacted through a pilot implementation. The temporariness of the pilot implementation was, we argue, central to its contribution toward bootstrapping the system. By being temporary the pilot implementation became a means of acquiring clinical evidence for the cost-effectiveness of the system prior to committing to its long-term and large-scale use. The temporariness also legitimized temporary solutions to issues that otherwise made it difficult to bring actors, practices, and technologies into alignment. Once aligned, even if merely temporarily, the resurfacing of these issues after the pilot implementation will be shaped by the experiences from the pilot implementation. In this way pilot implementations have a generative role in infrastructure evolution; they are not merely tests but help bootstrap systems by making alignment manifest and benefits salient. We discuss this generative side of learning in pilot implementations and the extent to which they can enact a system by bootstrapping it.",
keywords = "Faculty of Humanities, Alignment, Bootstrapping, healthcare information systems, Pilot implementation, preventive care, temporary organizations",
author = "Troels M{\o}nsted and Morten Hertzum and Jens S{\o}ndergaard",
year = "2020",
language = "English",
journal = "Computer Supported Cooperative Work",
issn = "0925-9724",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - A Socio-Temporal Perspective on Pilot Implementation: Bootstrapping Preventive Care

AU - Mønsted, Troels

AU - Hertzum, Morten

AU - Søndergaard, Jens

PY - 2020

Y1 - 2020

N2 - Systems for preventive care seek to provide healthcare services to citizens at risk of developing disease. In doing so they wrestle with identifying the citizens at risk of developing lifestyle-related disease and with reshaping the existing healthcare infrastructure into effective health offers for these citizens. In this study we analyze how a system for preventive care was enacted through a pilot implementation. The temporariness of the pilot implementation was, we argue, central to its contribution toward bootstrapping the system. By being temporary the pilot implementation became a means of acquiring clinical evidence for the cost-effectiveness of the system prior to committing to its long-term and large-scale use. The temporariness also legitimized temporary solutions to issues that otherwise made it difficult to bring actors, practices, and technologies into alignment. Once aligned, even if merely temporarily, the resurfacing of these issues after the pilot implementation will be shaped by the experiences from the pilot implementation. In this way pilot implementations have a generative role in infrastructure evolution; they are not merely tests but help bootstrap systems by making alignment manifest and benefits salient. We discuss this generative side of learning in pilot implementations and the extent to which they can enact a system by bootstrapping it.

AB - Systems for preventive care seek to provide healthcare services to citizens at risk of developing disease. In doing so they wrestle with identifying the citizens at risk of developing lifestyle-related disease and with reshaping the existing healthcare infrastructure into effective health offers for these citizens. In this study we analyze how a system for preventive care was enacted through a pilot implementation. The temporariness of the pilot implementation was, we argue, central to its contribution toward bootstrapping the system. By being temporary the pilot implementation became a means of acquiring clinical evidence for the cost-effectiveness of the system prior to committing to its long-term and large-scale use. The temporariness also legitimized temporary solutions to issues that otherwise made it difficult to bring actors, practices, and technologies into alignment. Once aligned, even if merely temporarily, the resurfacing of these issues after the pilot implementation will be shaped by the experiences from the pilot implementation. In this way pilot implementations have a generative role in infrastructure evolution; they are not merely tests but help bootstrap systems by making alignment manifest and benefits salient. We discuss this generative side of learning in pilot implementations and the extent to which they can enact a system by bootstrapping it.

KW - Faculty of Humanities

KW - Alignment

KW - Bootstrapping

KW - healthcare information systems

KW - Pilot implementation

KW - preventive care

KW - temporary organizations

M3 - Journal article

JO - Computer Supported Cooperative Work

JF - Computer Supported Cooperative Work

SN - 0925-9724

ER -

ID: 234159590