VIRTUAL HOSPITAL AT HOME – CO-CREATION AND IMPLEMENTATION OF A DIGITAL SOLUTION
In this project, the hospital and the patients at home have piloted an app developed for follow up and communication with patients that receive dialysis treatment in their own home. The purpose of the implementation has been to improve the knowledge of both the hospital’s and the patients’ needs, and to better understand how a digital application may be useful for the patients receiving treatment at home, and for the renal (kidney) nurses at the hospital outpatient clinic who are responsible for following up the patients.
The particular contribution of the project to research has been the work method. The development of the app and the implementation has taken place in a co-creation process between the technology developer, the hospital and two research institutions, all in Norway.
This longitudinal study used a qualitative and explorative approach, where data was collected over time during observation, interviews and participation in meetings and informal conversations. The focus was on the work method and how the implementation evolved and contributed to develop both services and the technology. The results show that co-creation as a strategy for implementation has several processes within, and requires longitudinal and iterative interaction between the different actors. The challenges pertain to merging different epistemic communities and to the integration of this system with other systems in the hospital.
The knowledge from this project contributes to theory on implementation of technology in complex fields, like the healthcare field, and to the current discourse on successful implementation of light- weight technology using co-creation.