Figure 1
The Tele-rehabilitation program
Table 1
Overview of forums in the co-innovation process
| Aim | Members | Phase I workshops | Phase II workshops | |
|---|---|---|---|---|
| User panel | To transform identified known and unknown needs derived from ethnographic studies in homes of COPD patients to ideas for new services and technologies for COPD patients. To develop new ideas for new technologies and a programme for tele-rehabilitation of COPD patients. | COPD patients Relatives 4 district nurses 2 nurses from healthcare centre 1 physiotherapist 2 nurses from hospital1 doctor from hospital 1 GP 3 representatives from firms 3 researchers | 2×4 hours | 4×4 hours |
| Network laboratory | To transform researchers' observations on professional issues concerning rehabilitation of COPD patients based on participant observations following healthcare professionals at work. To develop a new programme for tele-rehabilitation of COPD patients between sectors in the healthcare system. | 2 district nurses 2 managers from district nursing 2 nurses from healthcare centre 2 nurses from hospital 2 managers from pulmonary ward, hospital 2 doctors from hospital 1 GP 3 representatives from administration at the municipality 6 representatives from firms 5 researchers | 1×4 hours | 2×4 hours |
Table 2
Survey of interviewed respondents in phases I and II
| Respondents | Numbers of interviews carried out |
|---|---|
| District nurses | 4 |
| Manager of district nursing | 4 |
| Nurses at hospital (from pulmonary medical outpatient clinic) | 2 |
| Doctor at the hospital (from the pulmonary medical ward) | 1 |
| Manager at the pulmonary medical ward (head nurse and consultant) | 2 |
| Nurses at the healthcare center | 2 |
| Manager of the healthcare center | 1 |
| General practitioners | 3 |
| IT and administration, municipality | 3 |
| Employees from firms | 2 |
| Managers from firms | 3 |
| College | 2 |
| Chronic Unity Region | 1 |
| Focus group with user panel | 2 |
| Total number of interviews performed | 32 |
Table 3
Identified obstacles in the co-innovation process
| Type of obstacles | Example |
|---|---|
| Network context | • Management of accords • Lack of learning culture |
| The mindset of the healthcare professionals | • Accepting shared responsibility between healthcare professionals and patients •To think ‘out of the box’ •Viewing patients as co-innovators |
| Inter-professional relations | • Specialist versus generalist |
| Technology as a tool | • Working proactively with technology • Technology creates information overload |
| Competing visions | • Business versus healthcare visions |