Nurses are key to building effective teams in primary care, but it has proved difficult to develop 'teams' in a service based on a small-business model. Current organisational arrangements fragment the different clinical professionals into tribes who have different employers and managers. This book brings together the work of pioneers in the field, to provide models for the future. As the need to define the primary care team becomes more urgent, this book is essential reading for all nursing professionals in primary care, nursing management, general practitioners, and primary care leaders at health authorities and Primary Care Organisations. 'The authors present an understanding of the context within which change is taking place, the elements to be addressed in the change process and a challenge for the future direction and pace of change.' From the Foreword by Marion Bull, Chief Nursing Officer, Welsh Office
Table of Contents
Section 1: Overview of human factors in healthcare technology utilization. An application of human factors to teledermatology. Section 2: Cultural and insitutional context of e-Health. e-Health for doctors in rural and urban India. Section 3: Technological innovation in e-Health. Structures surrounding electronic health systems: effects of legal and administrative structures on development of IT in health care services: focus on Finland. Secure, remote, ubiquitous access of electronic records. Using ICT to better support the fragmentary nature of health care. Section 4: Change management in e-Health. Do health professionals use IT? Implementation of a telerehabilitation system using change management principles. Section 5: Actors, networks and alliance in e-Health. The three rivers telehealth network: creation of a disturbed network. A comparative study of the diffusion of computerized health records among general practitioners in Australia and Sweden. Developing strategic alliances for telemedicine. Section 6: Mental models and the clinical perspective in e-Health. Telemedicine in emergencies. Telehealth advances for diabetes. Evaluating the human dimension of primary care telemedicine encounters. Section 7: Organizational learning and success in e-Health. ICT supported cooperative work: health care and the concept of learning organizations. Organizational learning and culture in the managerial implementation of clinical e-Health systems: an international perspective.