Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems
© 2020 Elsevier Ltd How do complex healthcare systems that are organised into distinct speciality areas achieve effective patient care transitions when patients present with a rare constellation of symptoms that affect multiple body systems? How do these patients challenge existing ways of organ...
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| Format: | Journal Article |
| Language: | English |
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ELSEVIER SCI LTD
2020
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| Online Access: | http://purl.org/au-research/grants/arc/FL160100033 http://hdl.handle.net/20.500.11937/79822 |
| _version_ | 1848764110437613568 |
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| author | Hay, Georgia Klonek, Florian Parker, Sharon |
| author_facet | Hay, Georgia Klonek, Florian Parker, Sharon |
| author_sort | Hay, Georgia |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2020 Elsevier Ltd
How do complex healthcare systems that are organised into distinct speciality areas achieve effective patient care transitions when patients present with a rare constellation of symptoms that affect multiple body systems? How do these patients challenge existing ways of organising tasks, clinical activities, and interdependent responsibilities? The current study applies a sociotechnical systems perspective to understand how these complex work design and care-related challenges were resolved by the Western Australian Undiagnosed Diseases Program. We conducted a two-year longitudinal, qualitative study of this program, conceived to improve the diagnosis and management of patients with rare, multi-system disorders by piloting a re-design of the local system of diagnostic work. Specifically, we (1) compared the configuration and effectiveness of the old system and the re-designed system; and (2) analysed the process of system re-design (i.e., the design, implementation, and operation of the program) in order to understand the factors that contributed to – or inhibited – its success. We discuss the theoretical and practical implications of our findings for effectively re-designing complex, trans-organisational work systems. |
| first_indexed | 2025-11-14T11:14:09Z |
| format | Journal Article |
| id | curtin-20.500.11937-79822 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:14:09Z |
| publishDate | 2020 |
| publisher | ELSEVIER SCI LTD |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-798222023-07-27T06:27:38Z Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems Hay, Georgia Klonek, Florian Parker, Sharon Science & Technology Social Sciences Technology Engineering, Industrial Ergonomics Psychology, Applied Engineering Psychology Sociotechnical systems Work design Work re-design Healthcare JOB CHARACTERISTICS HEALTH MOTIVATION CARE TECHNOLOGY EXTENSION © 2020 Elsevier Ltd How do complex healthcare systems that are organised into distinct speciality areas achieve effective patient care transitions when patients present with a rare constellation of symptoms that affect multiple body systems? How do these patients challenge existing ways of organising tasks, clinical activities, and interdependent responsibilities? The current study applies a sociotechnical systems perspective to understand how these complex work design and care-related challenges were resolved by the Western Australian Undiagnosed Diseases Program. We conducted a two-year longitudinal, qualitative study of this program, conceived to improve the diagnosis and management of patients with rare, multi-system disorders by piloting a re-design of the local system of diagnostic work. Specifically, we (1) compared the configuration and effectiveness of the old system and the re-designed system; and (2) analysed the process of system re-design (i.e., the design, implementation, and operation of the program) in order to understand the factors that contributed to – or inhibited – its success. We discuss the theoretical and practical implications of our findings for effectively re-designing complex, trans-organisational work systems. 2020 Journal Article http://hdl.handle.net/20.500.11937/79822 10.1016/j.apergo.2020.103095 English http://purl.org/au-research/grants/arc/FL160100033 http://creativecommons.org/licenses/by-nc-nd/4.0/ ELSEVIER SCI LTD fulltext |
| spellingShingle | Science & Technology Social Sciences Technology Engineering, Industrial Ergonomics Psychology, Applied Engineering Psychology Sociotechnical systems Work design Work re-design Healthcare JOB CHARACTERISTICS HEALTH MOTIVATION CARE TECHNOLOGY EXTENSION Hay, Georgia Klonek, Florian Parker, Sharon Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems |
| title | Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems |
| title_full | Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems |
| title_fullStr | Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems |
| title_full_unstemmed | Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems |
| title_short | Diagnosing rare diseases: A sociotechnical approach to the design of complex work systems |
| title_sort | diagnosing rare diseases: a sociotechnical approach to the design of complex work systems |
| topic | Science & Technology Social Sciences Technology Engineering, Industrial Ergonomics Psychology, Applied Engineering Psychology Sociotechnical systems Work design Work re-design Healthcare JOB CHARACTERISTICS HEALTH MOTIVATION CARE TECHNOLOGY EXTENSION |
| url | http://purl.org/au-research/grants/arc/FL160100033 http://hdl.handle.net/20.500.11937/79822 |