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A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas

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Abstract

CSCW as a field has been concerned since its early days with healthcare, studying how healthcare work is collaboratively and practically achieved and designing systems to support that work. Reviewing literature from the CSCW Journal and related conferences where CSCW work is published, we reflect on the contributions that have emerged from this work. The analysis illustrates a rich range of concepts and findings towards understanding the work of healthcare but the work on the larger policy level is lacking. We argue that this presents a number of challenges for CSCW research moving forward: in having a greater impact on larger-scale health IT projects; broadening the scope of settings and perspectives that are studied; and reflecting on the relevance of the traditional methods in this field - namely workplace studies - to meet these challenges.

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Notes

  1. While there are a range of terms used such as electronic health record (EHR), electronic patient record (EPR), electronic medical record (EMR), patient chart and so on, we use electronic patient record (EPR) here for consistency.

  2. https://www.cms.gov/NationalHealthExpendData/25_NHE_Fact_Sheet.asp

  3. We recognise that the strict definition and differentiation of terms such as telemedicine, telehealth, telecare, telemonitoring and so on are subject to ongoing debate. We use the terms loosely here to refer to mediated interaction.

  4. Future CSCW studies could also learn from such guidelines to better frame studies to be understood by audiences coming from such a CCT perspective.

  5. We are grateful to one of our reviewers for articulating these points so clearly for us.

  6. We are grateful yet again to one of our reviewers for making this point.

  7. We recognise of course that there is potential for bias in our selection of studies that excluded for example ambulatory care.

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Acknowledgements

We are indebted to four anonymous peer reviewers for their generous time and effort in providing detailed and insightful comments on drafts of this paper – beyond the call of duty! They have helped us to significantly develop both the structure and arguments of this paper. Thanks too to Kjeld Schmidt and Liam Bannon for editing this Jubilee collection.

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  1. Institute for Design and Assessment of Technology, Vienna University of Technology, Argentinierstrasse 8, 1040, Vienna, Austria

    Geraldine Fitzpatrick

  2. Department of Clinical Medicine, Telemedicine and e-health research group, University of Tromsø, 9038, Tromsø, Norway

    Gunnar Ellingsen

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Fitzpatrick, G., Ellingsen, G. A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas. Comput Supported Coop Work 22, 609–665 (2013). https://doi.org/10.1007/s10606-012-9168-0

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