Sundhedsplatformen: An Efficient or Complicated Healthcare Technology?

Rasmus Brahe Jespersen

Student thesis: Master thesis

Abstract

This master thesis studies how Sundhedsplatformen seeks to steer clinical work among nurses and doctors to become more efficient. Sundhedsplatformen was introduced into danish hospitals in 2016 because the technology apparently could make clinical work among nurses and doctors more efficient by reducing the time spent on administrative work and other non-health-oriented tasks. According to official documents, Sundhedsplatformen would generate more time to talk and examine the patients and therefore create a more efficient healthcare environment among especially nurses and doctors. On the contrary, this seems not to be the case, because Sundhedsplatformen has been criticised in public by nurses and doctors for being inefficient and leading to much more administrative work. Therefore, it is interesting to study how Sundhedsplatformen affects the clinical work among nurses and doctors by looking at how it seeks to steer the clinical work and what consequences this steering has. The main problem for this master thesis is therefore: How does Sundhedsplatformen steer clinical work among nurses and doctors, and what are the consequences of the steering regarding the clinical roles among nurses and doctors? The thesis consists of three analyses, where the first analysis is based upon Niklas Luhmann’s system theory, and it examines how Sundhedsplatformen steers the clinical work by reducing differences and complexity through communication. In this analysis, steering is viewed as the reduction of differences and complexity in communication. The second analysis focuses on the rationality within Sundhedsplatformen’s steering, which contributes to an understanding of what kind of rationality creates this distinct kind of steering, which is presented in the first analysis. The second analysis is primarily based on Michel Foucault’s governmentality theory, and it finds that the dominant rationale is largely economic. In this context, steering is viewed as a certain kind of economic self-government through two kinds of subject positions, which the economic rationality produces through Sundhedsplatformen. The third and final analysis examines three dialysis nurses’ and three dialysis doctors’ observations of Sundhedsplatformen and its economic steering. The analysis combines the analytical results from the two previous ones to understand how the two groups observe and relates to the steering in terms of both the reduction of complexity and differences in communication and the economic self-government.

EducationsMSocSc in Political Communication and Managment, (Graduate Programme) Final Thesis
LanguageDanish
Publication date2022
Number of pages84
SupervisorsKaspar Villadsen