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G. Fitzpatrick:
"Finding the benefits and outcomes from health IT: global challenges";
Keynote Lecture: Global Health 2011, Copenhagen, DK; 2011-06-23 - 2011-06-24.

Technology is seen as the critical enabler for moving care out of clinical settings into patients´ hands and homes, and for empowering people to be active in their own health and well-being. This presents a radically different design space for health IT and for health practice; it fundamentally challenges our notions of patient, clinician, care and home. Designing good functional systems to support (self) care practices will not be sufficient in its own right to promote the uptake and use of these systems at home. There is a whole range of other concerns we also need to be sensitive to, where designing for diverse appropriation, integration and evolution becomes just as critical as designing key functionality. Various case studies will be drawn on to illustrate some of these new challenges, pointing to the reality of everyday homes and spaces, the diverse approaches to using systems, the individualised nature of self-motivation, the challenge of `patient´ empowerment to notions of compliance and clinician roles, the role of the extended informal care network, and the need to support change over time. The real challenge in the end is how to design technologies that can scale to general health service delivery, that deliver value to both the people who use them and their care providers, and that are also tailorable enough that people can easily appropriate them to fit into their life in a positive way

http://publik.tuwien.ac.at/files/PubDat_204547.pdf