Abstract
This paper reports our findings from a study of multidisciplinary team meetings for the treatment and ongoing management of breast cancer patients. The focus of the fieldwork was the meetings within and between a large group of multidisciplinary health professionals from two hospitals in Sydney, a large public teaching hospital and a much smaller private hospital. The paper examines the common work of the meetings and the variation within and between local practices and sites in the doing of this work, both in the local settings of each hospital and in the video-mediated setting when the local meetings are linked. Variations in the physical setup of the meetings, the presentation of the patient cases and the preparation of images used in patient discussion are identified, traced to their various sources and examined within their particular sociotechnical context. This is followed by a discussion of how local variation contributed to the particular challenges of the video-mediated meetings as experienced by the participants and how they might be addressed. Our motivations are to contribute both to the growing case studies of multidisciplinary team meetings within healthcare settings and to the important work being done to generate conceptual and design approaches that can support the development and successful use of CSCW technologies across highly variable local settings.
Similar content being viewed by others
References
Aanestad, M. (2003). The camera as an actor: design-in-use of telemedicine infrastructure in surgery. Computer Supported Cooperative Work, 12(1), 1–20.
Australia’s Health (2008) Australian Institute of Health and Welfare. http://www.aihw.gov.au/publications/index.cfm/title/10585.
Centre, Australian National Breast Cancer. (2005). Multidisciplinary meeting for cancer care: A guide for health service provider. Camperdown: NBCC. 2005.
Balka, E., & Wagner, I. (2006). Making things work: Dimensions of configurability as appropriation work. In: CSCW ’06. Proceedings of the Conference on Computer Supported Cooperative Work, Banf, Canada. New York: ACM Press, pp. 229–238.
Balka, E., Wagner, I., & Jensen, C. B. (2005). Reconfiguring critical computing in an era of configurability. Proceedings of the 4th decennial conference on Critical computing: between sense and sensibility (pp. 79–88). Aarhus: ACM.
Balka, E., Bjorn, P., & Wagner, I. (2008). Steps toward a typology for health informatics. In: CSCW ’08. Proceedings of the Conference on Computer Supported Cooperative Work, San Diego, USA. New York: ACM Press, pp. 515–524.
Berg, M. (2001). Implementing information systems in health care organisations: myths and challenges. International Journal of Medical Informatics, 64(2–3), 143–156.
Ciolfi, L., Fitzpatrick, G., & Bannon, L. (eds.) (2008). Settings for collaboration: The role of place. Special Issue. Computer Supported Cooperative Work, 17(2–3).
Delaney, G., Jacob, S., Iedema, R., Winters, M., & Barton, M. (2004). Comparison of face-to-face and videoconferenced multidisciplinary clinical meetings. Australasian Radiology, 48, 487–492.
Dourish, P. (2006). Re-space-ing place: “place” and “space” ten years on. In: CSCW 2006, Proceedings of Conference on Computer Supported Cooperative Work. Banf, Canada. New York: ACM Press, pp. 299–308.
Dugdale, P. (2008). Doing health policy in Australia. Allen and Unwin.
Ellingsen, G., & Monteiro, E. (2006). Seamless Integration: standardisation across multiple local settings. Computer Supported Cooperative Work, 15, 443–466.
Fitzpatrick, G., Kaplan, S., & Mansfield, T. (1996). Physical spaces, virtual places and social worlds: a study of work in the virtual. In: Proceedings of the 1996 ACM conference on Computer supported cooperative work. Boston, Massachusetts, United States, 1996. ACM, 334–343.
Gärtner, J., & Wagner, I. (1996). Mapping acting and agendas: political frameworks of systems design and participation. Human Computer Interaction, 11, 187–214.
Gaver, Bill (1992). The affordances of media spaces for collaboration. In CSCW 1992, Proceedings of the Conference on Computer Supported Cooperative Work. Toronto, Canada, New York: ACM Press, pp. 17–24.
Hailey, D., Roine, R., & Ohinmaa, A. (2002). Systematic review of evidence for the benefits of telemedicine. Journal of Telemedicine and Telecare, 8, 1–7.
Harrison, S., & Dourish, P. (1996). Re-place-ing space: The roles of place and space in collaborative systems. In: CSCW 1996. Proceedings of the Conference on Computer Supported Cooperative Work, Cambridge, MA, New York: ACM Press, pp. 67–76.
Harrison, S., & Tatar, D. (2008). Places: people, events, loci—the relation of semantic frames in the construction of place. Computer Supported Cooperative Work, 17(2–3), 97–133.
Heath, C., & Luff, P. (1992). Media space and communicative asymmetries: preliminary observations of video-mediated interaction. Human-Computer Interaction, 7, 315–346.
Heath, C., & Luff, P. (1996). Documents and professional practice: ‘bad’ organisational reasons for ‘good’ clinical records. In: CSCW 1996 Proceedings of the 1996 ACM Conference on Computer Supported Cooperative Work. Boston, USA. New York: ACM Press, pp. 354–363.
Jordan, B., & Henderson, A. (1995). Interaction analysis: foundations and practice. Journal of the Learning Sciences, 4(1), 39–102.
Kane, B., & Luz, S. (2006). Multidisciplinary medical team meetings: an analysis of collaborative working with special attention to timing and teleconferencing. Computer Supported Cooperative Work, 15(5–6), 501–535.
Kane, B., & Luz, S. (2008). Taking lessons from teleconference to improve same time, same place interaction. In: Proceedings of the 21st IEEE International Symposium on Computer-Based Medical Systems, Jyväskylä, Finland, pp. 494–499.
Kane, B., & Luz, S. (2009). Achieving diagnosis by consensus. Computer Supported Cooperative Work, 18(4), 357–392.
Li, J., Robertson, T., Hansen, S., Mansfield, T., & Kjeldskov, J. (2008). Multidisciplinary medical team meetings: a field study of collaboration in health care. In: Proceedings of OZCHI 2008. Cairns, Australia, pp. 73–80.
Luff, P., Heath, C., Kuzuoka, H., Hindmarsh, J., Yamazaki, K., & Oyama, S. (2003). Fractured ecologies: creating environments for collaboration. Human-Computer Interaction, 18, 51–84.
Martin, D., Hartswood, M., Slack, R., & Voss, A. (2006). Achieving dependability in the configuration, integration and testing of healthcare technologies. Computer Supported Cooperative Work, 15(5–6), 467–499.
Ohta, S., Kuzuoka, H., Noda, M., Sasaki, H., Mishima, S., Fujikawa, T., et al. (2006). Remote support for emergency medicine using a remote-control laser pointer. Journal of Telemedicine and Telecare, 12, 44–48.
Proctor, R., Rouncefield, M., Balka, E., & Berg, M. (Eds.) (2006). Special issue: CSCW and dependable health care systems. Computer Supported Cooperative Work, 15(5–6).
Reddy, M., Dourish, P., & Pratt, W. (2001). Coordinating heterogeneous work: Information and representation in medical care. In: ECSCW 2001, Proceedings of the Seventh European Conference on Computer-Supported Cooperative Work, Bonn, Germany, pp. 239–258.
Robertson, T. (1997). Cooperative work and lived cognition: A taxonomy of embodied actions. In: ECSCW 1997, Proceedings of the Fifth European Conference on Computer-Supported Cooperative Work, Lancaster, UK, pp. 205–220.
Robertson, T. (2000). Cooperative work, women and the working environments of technology design. Australian Feminist Studies, 15(32), 205–219.
Robertson, T. (2002). The public availability of actions and artefacts. Computer Supported Cooperative Work, 11, 299–313.
Schmidt, K., & Bannon, L. (1991). Taking CSCW seriously: supporting articulation work. Computer Supported Cooperative Work, 1(1–2), 7–40.
Schmidt, K., Wagner, I., & Tolar, M. (2007). Permutations of cooperative work practices: a study of two oncology clinics. In: GROUP ’07. Proceedings of the Conference on Supporting Group Work, Florida, USA. New York: ACM Press, pp. 1–10.
Shae, Z.-Y., Tseng, B., & Leung, W. H. (2001). Immersive whiteboard collaborative system. Annals of Software Engineering, 12(1), 193–212.
Smith, A., & Gray, L. (2009). Telemedicine across the ages. Medical Journal of Australia, 190(1), 15–19.
Suchman, L. (1983). Office procedure as practical action: models of work and system design, ACM Transactions on Information Systems (TOIS), New York: ACM press, pp. 320–328.
Suchman, L. (2007). Sociotechnologies of care: Vision and realities. In: J. Westbrook, E. Coiera, J. Callen, & J. Aarts (Eds.). Proceedings of the 3rd International Conference on Information Technology in Health Care: Socio-technical Approaches, pp 1–2.
Voida, A., Voida, S., Greenberg, S., & Ai Hi, H. (2008). Asymmetry in media space. In: CSCW 2008, Proceedings of the Conference on Computer Supported Cooperative Work. San Diego, USA, New York: ACM press, pp. 313–322.
Zorbas, H., Barraclough, B., Rainbird, K., Luxford, K., & Redman, S. (2003). Multidisciplinary care for women with early breast cancer in the Australian context: what does it mean? The Medical Journal of Australia, 179(10), 528–531.
Zuiderent, T., Winthereik, B. R., & Berg, M. (2003). Talking about distributed communication and medicine: on bringing together remote and local actors. Human Computer Interaction, 18(1), 171–180.
Acknowledgements
The authors would like to thank: all the members of the breast cancer multidisciplinary team at out two participating hospitals; Tim Mansfield who participated in the field research and the HxI initiative for its support of this project.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Robertson, T., Li, J., O’Hara, K. et al. Collaboration Within Different Settings: A Study of Co-located and Distributed Multidisciplinary Medical Team Meetings. Comput Supported Coop Work 19, 483–513 (2010). https://doi.org/10.1007/s10606-010-9124-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10606-010-9124-9