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Computer Supported Cooperative Work (CSCW)

, Volume 10, Issue 2, pp 163–188 | Cite as

Work Practices Surrounding PACS: The Politics of Space in Hospitals

  • Hilda Tellioğlu
  • Ina Wagner
Article

Abstract

This paper uses a case study of collaborative work practices within the radiology department of a hospital, for examining the usefulness of spatial approaches to collaboration. It takes a socio-political perspective on understanding the shaping effects of spatial arrangements on work practices, and seeks to identify some of the key CSCW issues that can be addressed in spatial terms. We analyse the spatial settings or layers (physical, digital and auditory) within which work takes place, and the qualities of connections between them, examining in how far they support (professional) boundaries or help maintain a sense of context. Guiding themes are the relationships between space and the visibility of work, and how to accommodate social world needs through spatial arrangements.

CSCW ethnographic case study health care space 

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References

  1. Benford, Steve et al. (1998): Understanding and Constructing Shared Spaces with Mixed-Reality Boundaries. ACM Transactions on Computer-Human Interaction, vol. 5, no. 3, pp. 185–223.Google Scholar
  2. Berg, Marc (1999): Accumulating and Coordinating: Occasions for Information Technologies in Medical Work. Computer Supported Cooperative Work, vol. 8, no. 4, pp. 373–401.Google Scholar
  3. Bergström, St. and G. Karner (1994): PACS-RIS Interconnection: Results of a Feasibility Study. Computer Methods and Programs in Biomedicine, vol. 43, pp. 65–69.Google Scholar
  4. Blomberg, Jeanette et al. (1993): Ethnographic Field Methods and the Relation to Design. In D. Schuler and A. Namioka (eds.): Participatory Design: Principles and Practices. Hillsdale, N.J.: Erlbaum, pp. 123–156.Google Scholar
  5. Bly, S., S. Harrison and S. Irwin (1993): Bringing People Together in an Environment. Communications of the ACM, vol. 36, no. 1, pp. 8–46.Google Scholar
  6. Büscher, M., P. Mogensen, D. Shapiro and I. Wagner (1999): The Manufaktur: Supporting Work Practice in (Landscape) Architecture. Proceedings of ECSCW, pp. 21–40.Google Scholar
  7. Büscher, M., M. Christensen, K. Grønbæk, P. Krogh, P. Mogensen, D. Shapiro and P. Ørbæk (2000): Collaborative Augmented Reality Environments: Integrating VR, Working Materials, and Distributed Work Spaces. Proceedings of CVE2000.Google Scholar
  8. Cicourel, Aaron V. (1990): The Integration of Distributed Knowledge in Collaborative Medical Diagnosis. In J. Galegher, R.E. Kraut and C. Egido (eds.): Intellectual Teamwork. Social and Technological Foundations of Cooperative Work. Hillsdale N.J.: Lawrence Erlbaum, pp. 221–242.Google Scholar
  9. Clement, Andrew and Ina Wagner (1995): Fragmented Exchange. Disarticulation and the Need for Regionalized Communication Spaces. In Hans Marmolin, Yngve Sundblad and Kjeld Schmidt (eds.): Proceedings of the Fourth European Conference on Computer-Supported Cooperative Work. Stockholm: Kluwer, pp. 33–94.Google Scholar
  10. Cockburn, Cynthia (1993): The Gender/Technology Relation: Taking Shape. Paper presented at the Sex/Gender in Techno-Science Worlds Conference, University of Melbourne, Australia.Google Scholar
  11. Fitzpatrick, Geraldine, Simon Kaplan and Tim Mansfield (1996): Physical Spaces, Virtual Places and SocialWorlds: A Study ofWork in the Virtual. Proceedings of the Conference on Computer-Supported Cooperative Work, pp. 334–343.Google Scholar
  12. Foucault, Michel (1984): Des Espaces Autres. AMC5. Revue d'Architecture, October.Google Scholar
  13. Foucault, Michel (1975, 1995): Discipline and Punish: The Birth of the Prison. New York: Vintage Books.Google Scholar
  14. Giddens, Anthony (1984): The Constitution of Society: Outline of the Theory of Structuration. Cambridge: Polity Press.Google Scholar
  15. Goffman, Erving (1959): The Presentation of the Self in Everyday Life. New York: Doubleday.Google Scholar
  16. Goffman, Erving (1961): Asylums. Essay on the Social Situation of Mental Patients and Other Inmates. New York: Doubleday.Google Scholar
  17. Gregory, Derek (1994): Geographical Imaginations. Cambridge MA: Blackwell.Google Scholar
  18. Greinacher, C.F.C. (1995): Informationssysteme für die bildgebende Diagnostik, Teil 2. MTA, vol. 10, no. 1, pp. 21–23.Google Scholar
  19. Giribona, Paolo (1991): Principles for PACS Evaluation. Integrated System for the Management and Manipulation of Medical Images, pp. 16–23.Google Scholar
  20. Glass, H.I. and N.A. Slark (1990): PACS and Related Research in the United Kingdom. PACS in Medicine, vol. 74, pp. 319–324.Google Scholar
  21. Goodwin, Charles (1995): Seeing in Depth. Social Studies of Science, vol. 25, pp. 237–274.Google Scholar
  22. Graßmann, P., C.F.C. Greinacher and W. Maly (1994): Wirtschaftlichkeit und Patientennutzen digitaler Bildmanagementsysteme für die Radiologie. Aktuelle Radiologie, vol. 4, no. 4, pp. 198–206.Google Scholar
  23. Hall, Edward T. (1959): The Silent Language. New York: Doubleday.Google Scholar
  24. Haraway, Donna (1991): Situated Knowledges: The Science Question in Feminism and the Privilege of Partial Perspective. In D. Haraway (ed.): Simians, Cyborgs, and Women. New York: Routledge, pp. 183–201.Google Scholar
  25. Jordan, Brigitte (1995): Ethnographic Workplace Studies and CSCW. In Dan Shapiro, Tauber Michael and Roland Traunmüller (eds.): The Design of Computer Supported Cooperative Work and Groupware Systems (Human Factors in Information Technology, Vol. 12). Amsterdam: Elsevier.Google Scholar
  26. Karasti, Helena and Kari Kuutti (1996): Video Representations of the 'Artful Work Practice' as Mirrors and Evocations in Cooperative Systems Desin - A Case of Teleradiology. Presented in the ENACT Workshop, Universität Hamburg, August 21–23.Google Scholar
  27. Kjær, Arne and Kim Halskov Madsen (1995): Participatory Analysis of Flexibility. Communications of the ACM, vol. 38 no. 5, pp. 53–60.Google Scholar
  28. La Biennale di Venzia (2000): Cittá: Less Aesthetics More Ethics. Venezia: Marsilio.Google Scholar
  29. Lainer, Rüdiger and Ina Wagner (1998): Connecting Qualities of Social Use with Spatial Qualities. In Norbert Streitz et al. (eds.): Proceedings of the First International Workshop on Cooperative Buildings (CoBuild'98). Heidelberg: Springer, pp. 191–203.Google Scholar
  30. Lefebvre, Henri (1984): The Production of Space. Oxford: Blackwell.Google Scholar
  31. Lemke, H.U. (1990): Europeans Begin to Close PACS Technology Gap. Diagnostic Imaging International, vol. 10, pp. 38–43.Google Scholar
  32. Lundberg, Nina and Hilda Tellioğlu (1997): Impacts of the Re-Engineering Process on Radiological Work. A Comparative Study Between Traditional/non PACS Based and Networked/PACS Based Radiology Departments in Austria, Sweden, and Denmark. In Carlo Bartolozzi and Davide Caramella (eds.): Proceedings of the 15th International EuroPACS Meeting. Pisa, Italy, September 25-27, pp. 251–255.Google Scholar
  33. Neumann, L.J. and S. Leigh Star (1996):Making Infrastructure: The Dream of a Common Language. PDC, vol. 96..Google Scholar
  34. Peissl, Walter, Hilda Tellioğlu and Claudia Wild (1996): Das digitale Krankenhaus. Eine Technikfolgen-Abschätzung moderner Telekommunikationstechnologien im Krankenhaus am Beispiel des Donauspital/SMZO. Final Report, Institute of Technology Assessment at the Austrian Academy of Sciences, Vienna.Google Scholar
  35. Prior, Lindsay (1988): The Architecture of the Hospital: A Study of Spatial Organization and Medical Knowledge. The British Journal of Sociology, vol. 39, no. 1, pp. 86–113.Google Scholar
  36. Rodaway, Paul (1994): Sensuous Geographies; Body, Sense and Place. London, Routledge, pp. 159–171.Google Scholar
  37. Star, S. Leigh and Anselm Strauss (1999): Layers of Silence, Arenas of Voice: The Ecology of Visible and Invisible Work. Computer Supported Cooperative Work (CSCW), vol. 8, nos. 1-2, pp. 9–30.Google Scholar
  38. Star, S. Leigh (1993): Thinking Paradoxically. Multiple Regimes in the Great Divide. Proceedings Workshop Social Science Research, Technical Systems and Cooperative Work, Paris.Google Scholar
  39. Tellioğlu, Hilda (1997): KIS-RIS-PACS: Technische und arbeitsorganisatorische Integration in Krankenhäusern, Hasselbring W. (ed.): GMDS/GI-Workshop: Erfolgsfaktor Softwaretechnik für die Entwicklung von Krankenhausinformationsystemen, SoftKIS'97, 20.2.1997, Reihe 'Informatik für Systementwickler', Bd. 4, Münster: Krehl Verlag, pp. 45–54.Google Scholar
  40. Tellioğlu, Hilda (1998): PACS-RIS-HIS as a System Supporting Cooperative Work Surrounding Radiology Departments. Management in Radiology, Current Trends and Future Priorities, Strasbourg, France, March 19–21.Google Scholar
  41. Tellioğlu, Hilda and Ina Wagner (1999): Software Cultures. Exploring Cultural Practices in Managing Heterogeneity within Systems Design. Communications of the ACM, vol. 42, no. 12, pp. 71–77.Google Scholar
  42. Tellioğlu, Hilda and Ina Wagner (2000): Cooperative Work Across Cultural Boundaries in Systems Design. Scandinavian Journal of Information Systems.Google Scholar
  43. Tschumi, Bernard (1981): Architecture and Limits II. ArtForum, vol. 19, no. 7, pp. 45. In Kate Nesbitt, 1996. Theorizing a New Agenda for Architecture. An Anthology of Architectural Theory 1965-1995. New York: Princeton Architectural Press.Google Scholar
  44. Wagner, Ina (1999): Fliessende Ñbergänge und Collagen. Ästhetische Produktion in elektronischen Terrains. In M. Faßler (ed.): Alle möglichen Welten. München: Wilhelm Fink Verlag, pp. 137–156.Google Scholar
  45. Wild, Claudia, Walter Peissl and Hilda Tellioğlu (1998a): An Assessment of Picture Archiving and Communication Systems (PACS). The Case Study of the SMZO Project. International Journal of Technology Assessment in Health Care, vol. 14, no. 3, pp. 573–582.Google Scholar
  46. Wild, Claudia, Peissl, Walter and Hilda Tellioğlu (1998b): Assessment of PACS (Picture Archiving and Communication Systems): An Impact Analysis. In Management in Radiology, Current Trends and Future Priorities, Strasbourg, March 19–21.Google Scholar

Copyright information

© Kluwer Academic Publishers 2001

Authors and Affiliations

  • Hilda Tellioğlu
    • 1
  • Ina Wagner
    • 2
  1. 1.Vienna University of TechnologyViennaAustria
  2. 2.Vienna University of TechnologyViennaAustria

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