Medical Information Systems often need to be custom designed to fit the organization where they will be implemented. Participatory Design (PD) is a well known method for eliciting the user input that is necessary during this process. Recently it has been suggested that PD as it is often practiced falls short of providing the necessary level of user input that is needed to meet the evolving needs of users over time. It is suggested that we refocus and look at design itself as a socio-technical process within healthcare organizations. By building “socio-technical systems that design themselves” we will better meet these evolving needs. In this paper we present a case study of design as it is practiced at a gastro-surgical department at a University hospital in Sweden. The experiences of the department are used as a framework for discussing this issue and its implications for the CSCW/HCI community.
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CSCW Research in Healthcare: Past, Present, and Future, workshop at CSCW 2010