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Timmermans, S., Bowker, G.C. and Leigh Star, S. (1998) The Architecture of Difference: Visibility, Control, and Comparability in Building Nursing Interventions Classification. In: Berg, M. and Mol, A., Eds., Difference in Medicine: Unraveling Practices, Techniques, and Bodies, Duke University Press, Durham, 202-225.

has been cited by the following article:

• TITLE: Studying Design and Use of Healthcare Technologies in Interaction: The Social Learning Perspective in a Dutch Quality Improvement Collaborative Program

  AUTHORS: Esther van Loon, Nelly Oudshoorn, Roland Bal

  KEYWORDS: Quality Improvement Collaborative Program, Social Learning, User Representation, Healthcare Technology, Long-Term Healthcare

  JOURNAL NAME: Health, Vol.6 No.15, August 6, 2014

  ABSTRACT: Designing technologies is a process that relies on multiple interactions between design and use contexts. These interactions are essential to the development and establishment of technologies. This article seeks to understand the attempts of healthcare organisations to integrate use contexts into the design of healthcare technologies following insights of the theoretical approaches of social learning and user representations. We present a multiple case study of three healthcare technologies involved in improving elderly care practice. These cases were part of a Dutch quality improvement collaborative program, which urged that development of these technologies was not “just” development, but should occur in close collaboration with other parts of the collaborative program, which were more focused on implementation. These cases illustrate different ways to develop technologies in interaction with use contexts and users. Despite the infrastructure of the collaborative program, interactions were not without problems. We conclude by arguing that interactions between design and use are not naturally occurring phenomena, but must be actively organised in order to create effects.