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The change of pediatric surgery practice due to the emergence of connected health technologies

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  • Niemelä, Riikka
  • Pikkarainen, Minna
  • Ervasti, Mari
  • Reponen, Jarmo

Abstract

Disruptive connected health technologies, or digitalization, are suggested to tackle the healthcare challenges and transform traditional care models. In Finland, the transformation is manifested by the development of various digital hospitals and citizen-centric care models that foster self-care by utilizing connected health technologies. In this paper we introduce qualitative research that uses social practice theory in order to understand how connected health technologies shape a pediatric day surgery practice in future digital hospitals. Major improvement needs were identified to center on discursive actions (i.e., communication that occurs between health professionals and patients), since hospital IT systems, data exchange, and internal and external communication were found to not support pediatric surgery practice as expected. To improve the current situation, we found out that there is a need to change the patient role to be more active, creating data that health professionals could use through their own patient record systems. Connected health solutions allow this type of interaction between things (i.e., communication through mobile apps, medical devices, etc.) and agents (i.e., health professionals). There is an urgent need to improve communication channels such as Chat, WhatsApp, and mobile applications that gather all necessary information and instructions from patients before and after the surgery. However, these solutions cannot be co-created separately from the clinical decision systems that allow discursive actions among healthcare professionals. These solutions, e.g. mobile applications designed to support patients going through the surgery practice, will also significantly impact and change pediatric surgery practice at hospitals.

Suggested Citation

  • Niemelä, Riikka & Pikkarainen, Minna & Ervasti, Mari & Reponen, Jarmo, 2019. "The change of pediatric surgery practice due to the emergence of connected health technologies," Technological Forecasting and Social Change, Elsevier, vol. 146(C), pages 352-365.
    • Handle: RePEc:eee:tefoso:v:146:y:2019:i:c:p:352-365
    DOI: 10.1016/j.techfore.2019.06.001
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    References listed on IDEAS

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    1. Thakur, Ramendra & Hsu, Sonya H.Y. & Fontenot, Gwen, 2012. "Innovation in healthcare: Issues and future trends," Journal of Business Research, Elsevier, vol. 65(4), pages 562-569.
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    1. Tortorella, Guilherme Luz & Saurin, Tarcísio Abreu & Fogliatto, Flavio S. & Rosa, Valentina M. & Tonetto, Leandro M & Magrabi, Farah, 2021. "Impacts of Healthcare 4.0 digital technologies on the resilience of hospitals," Technological Forecasting and Social Change, Elsevier, vol. 166(C).
    2. Oliveira, Mariana & Zancul, Eduardo & Salerno, Mario Sergio, 2024. "Capability building for digital transformation through design thinking," Technological Forecasting and Social Change, Elsevier, vol. 198(C).
    3. Dal Mas, Francesca & Massaro, Maurizio & Rippa, Pierluigi & Secundo, Giustina, 2023. "The challenges of digital transformation in healthcare: An interdisciplinary literature review, framework, and future research agenda," Technovation, Elsevier, vol. 123(C).
    4. Arja Rantala & Minna Pikkarainen & Tarja Pölkki, 2020. "Health specialists’ views on the needs for developing a digital gaming solution for paediatric day surgery: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3541-3552, September.
    5. Angelos I. Stoumpos & Fotis Kitsios & Michael A. Talias, 2023. "Digital Transformation in Healthcare: Technology Acceptance and Its Applications," IJERPH, MDPI, vol. 20(4), pages 1-44, February.
    6. Tortorella, Guilherme Luz & Fogliatto, Flávio Sanson & Espôsto, Kleber Francisco & Vergara, Alejandro Mac Cawley & Vassolo, Roberto & Mendoza, Diego Tlapa & Narayanamurthy, Gopalakrishnan, 2020. "Effects of contingencies on healthcare 4.0 technologies adoption and barriers in emerging economies," Technological Forecasting and Social Change, Elsevier, vol. 156(C).

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