Improving the Patient-Physician Dialogue through Health Information Systems (HIS): Misconceptions and Miscommunication

Sharon Kishik, Sune Dueholm Müller, Kathrine Stampe

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This paper looks at the use of Health Information Systems (HIS) from a communication perspective. Drawing on Niklas Luhmann’s systems theory, we analyze patients’ self-observations in relation to their disease, as well as physicians’ observations of PRO data collected via a mobile application. Based on the analysis, we argue that patient-physician miscommunication occurs, and that the premises of HIS supported information sharing rest on a too simplistic conceptualization of communication. Conclusively, we discuss the implications for the use of HIS instruments in support of patient-physician information sharing, communication, and understanding.
Original languageEnglish
Title of host publicationProceedings of the 53rd Hawaii International Conference on System Sciences
EditorsTung X. Bui
Number of pages10
PublisherHawaii International Conference on System Sciences (HICSS)
Publication date2020
ISBN (Electronic)9780998133133
Publication statusPublished - 2020
Externally publishedYes
SeriesProceedings of the Annual Hawaii International Conference on System Sciences


  • ICT-enabled Self-management of Chronic Diseases and Conditions
  • Digital health
  • Health information systems
  • Luhmann
  • Pro data
  • Self-management

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