The Last Mile Problem and Beyond in HIT – The Role of Context-Sensitive Digital Integrators

Casper Knudsen, Sidsel Villumsen, Lasse Krejberg, Christian Nøhr

Research output: Contribution to book/anthology/report/conference proceedingBook chapterResearchpeer-review

2 Citations (Scopus)

Abstract

Issues of non-use of available health information technology (HIT) have been referred to as the 'last mile problem' impeding harnessing the full potential of HIT. We reflect upon which competencies are needed to address the last mile problem by ensuring a context-sensitive implementation. We argue that there is a need for context-sensitive digital integrators, who can navigate the realm where technological systems meet practice. This entails a situated, socio-technical, context-sensitive approach and competencies which are not easily addressed through formal training but require lifelong situated learning, as the field evolves continuously. Our ambition is to highlight the complexities of implementation and integration into local practice. This paper emphasizes the role of digital integrators in the hope of fostering further discussions on how to acknowledge and nourish these competencies in order to address and go beyond the last mile problem.

Original languageEnglish
Title of host publicationDigital Professionalism in Health and Care: Developing the Workforce, Building the Future
EditorsPhilip Scott, John Mantas, Arriel Benis, Ivana Ognjanovic, Kaija Saranto, Andrew Ware, Ian Wells, Parisis Gallos
Number of pages5
Volume298
PublisherIOS Press
Publication date31 Aug 2022
Pages97-101
ISBN (Print)978-1-64368-310-2
ISBN (Electronic)978-1-64368-311-9
DOIs
Publication statusPublished - 31 Aug 2022
SeriesStudies in Health Technology and Informatics
Volume298
ISSN0926-9630

Keywords

  • competencies
  • context-sensitive
  • digital integrators

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