1,721,285 research outputs found
User reflection on actions in ambulance telemedicine systems
Get PDFMuch information is shared, interpreted and recreated between caller, emergency dispatch personnel and ambulance crew during an emergency call. This paper studies the use of reflection in the ambulance control center based on the information an ambulance crew produces during patient treatment in the ambulance. The study is based on an ethnographical single case study of a Danish ambulance control center that uses a system called “amPHI” to monitor outgoing and homebound ambulance runs from scene of injury to arrival at the emergency department. The paper finds that the control center uses the documented and shared information to support organizational learning, increase effectiveness of interaction with callers and support social practice in the control center. The reflections are a result of the health professional backgrounds of the emergency medical dispatch staff that enable them to understand and use the feedback delivered through the system. The paper argues for broadening the scope of telemedicine use outside the boundaries of communication between ambulance and emergency department
Mega IT as Public Property:A Call for Innovative Evaluation Methods
No full textIn this chapter we identify characteristics of a certain type of IT mega project that, when large majority of the public are supposed to be end-users, can run the risk of becoming impervious to the usual project management best practices, despite the fact that best practices seemed to work well in the process of the project. We coin this type of mega projects as "Volatile Mega IT" due to their nature of being easy to notice but difficult to grasp. This nature makes it very hard to evaluate the results of VMIT projects because the recipients of the evaluation results are entangled or part of the system and its evaluation results. Through the characteristics we identify a possible new sublime, a construct of major influence on mega projects, that manifests itself as the negative publicity which a stakeholder group enmanates around the IT mega project. In line with the current overall theme of this book we argue that new innovative and practically useful approaches are needed to evaluate IT mega projects that can handle this new sublime in ways that previous methods seem unable
From efficiency to ambivalence:How digitalisation reshapes labour market activation and the moral economy of welfare state
No full textIntroduction
No full textThis chapter frames the book Digital Public Employment Services in Action, starting with the overarching ambitions and purpose of public employment services (PES), which is once again at stake in the generational shift to digital-first, software-defined welfare. Animating and guiding existing digital transformations is the technological aspirations of policy makers; and so the volume sets out to bring research from practice, and the longue durée of research on PES to explore the functional challenges. Before introducing the book structure, this chapter makes the case for focusing on the lived experiences of front-line workers and the unemployed who use and rely on PES, so that we can bridge the gap between policy theory and the realities of digital transformatio
Conclusion
No full textThis chapter reflects on the complexities of digitalising public employment services (PES), reflecting the entire book, which, across 14 chapters, surfaces the issues around the digital transition of PES, revealing a fragmented and contested process influenced by policy, technology and politics. Despite digital advancements, services remain piecemeal, often driven by crisis responses rather than cohesive strategies. The chapter highlights how digitalisation alters traditional welfare dynamics, sometimes reinforcing inequalities and raising ethical concerns. It emphasises the need for inclusive, personalised and user-friendly digital PES that involve stakeholders – job seekers, caseworkers and policy makers – in development. The discussion calls for a balanced approach, acknowledging both the potential benefits and the risks of digitalisation, and suggests a collaborative pathway to create more responsive and equitable digital public services.This chapter reflects on the complexities of digitalising public employment services (PES), reflecting the entire book, which, across 14 chapters, surfaces the issues around the digital transition of PES, revealing a fragmented and contested process influenced by policy, technology and politics. Despite digital advancements, services remain piecemeal, often driven by crisis responses rather than cohesive strategies. The chapter highlights how digitalisation alters traditional welfare dynamics, sometimes reinforcing inequalities and raising ethical concerns. It emphasises the need for inclusive, personalised and user-friendly digital PES that involve stakeholders – job seekers, caseworkers and policy makers – in development. The discussion calls for a balanced approach, acknowledging both the potential benefits and the risks of digitalisation, and suggests a collaborative pathway to create more responsive and equitable digital public services
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Co-designing digital services with service users, caseworkers and senior policy makers:the affordance and limitations of expert panels
Get PDFPolicy makers, researchers and research funding bodies increasingly aspire to use co-design methods to ‘involve’ stakeholders – users, intermediaries and the public. The aspiration is to bring together varieties of experiences, learn and negotiate with each other to improve the quality, efficiency and trust of public policy and services. Co-design has been particularly promoted as a method to meaningfully engage with hard-to-reach groups. This chapter relays the experience and reflection of bringing unemployed people, caseworkers and senior policy makers and actors into the process using a vignette scenario methodology in the development of a disruptive technology for use in public employment services (PES). The exercise surfaces the complex views and trade-offs that emerge when key stakeholders and users engage with concrete dilemmas around trust in data, job quality and discrimination in the use of digital technologies in PES. These expert panels, some 15 in total, were carried out in Ireland, Denmark, Slovenia and France, and the reported findings are a collaborative effort between those involved with such data collection. We make two forms of findings. This experience of co-design allows us to reflect on the affordance and limitations of expert panels in co- designing, assistive to anyone seeking to use expert panels to co-design.Policy makers, researchers and research funding bodies increasingly aspire to use co-design methods to ‘involve’ stakeholders – users, intermediaries and the public. The aspiration is to bring together varieties of experiences, learn and negotiate with each other to improve the quality, efficiency and trust of public policy and services. Co-design has been particularly promoted as a method to meaningfully engage with hard-to-reach groups. This chapter relays the experience and reflection of bringing unemployed people, caseworkers and senior policy makers and actors into the process using a vignette scenario methodology in the development of a disruptive technology for use in public employment services (PES). The exercise surfaces the complex views and trade-offs that emerge when key stakeholders and users engage with concrete dilemmas around trust in data, job quality and discrimination in the use of digital technologies in PES. These expert panels, some 15 in total, were carried out in Ireland, Denmark, Slovenia and France, and the reported findings are a collaborative effort between those involved with such data collection. We make two forms of findings. This experience of co-design allows us to reflect on the affordance and limitations of expert panels in co- designing, assistive to anyone seeking to use expert panels to co-design
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