A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Sensemaking in the Personal Health Space

Julkaisun tekijät: Janne Lahtiranta, Jani Koskinen, Sari Knaapi-Junnila, Markku Nurminen
Kustantaja: Emerald Group Publishing Limited
Julkaisuvuosi: 2015
Journal: Information Technology and People
Lehden akronyymi: ITP
Volyymi: 28
Julkaisunumero: 4
eISSN: 0959-3845



Service alignment between health service provider and patient is changing. Instead of placing responsibilities into the hands of a provider, new forms of co-operation are emerging in which patients are regarded as a resource and a partner. In order to see this vision come to life, mechanisms that a) support patient’s health decision making, and b) integrate matters of health into a wider ensemble that is health space; the overarching state of health related affairs, are needed. In the following, these kinds of mechanisms are investigated and their applicability is discussed in relation to a national project.


Our work is exploratory and conceptual, focusing more on people than on technology. In the work, findings related to a concept of a health navigator; an artefact of personal health decision support, are assembled into a framework that bases on key sociological theories. The empirical elements focus on observations made on applicability of a) the concept, and b) the underlying framework of citizen-centric electronic health services.


We argue that the discussed concept, when applied to personal health decision making according to the underlying framework, has a potential to change health service provisioning. In addition to stimulating new kind of co-operation between the health service provider and the citizen, the concept gives form to, somewhat idealized, notions of patient choice and empowerment.

Research limitations/implications

The work described here is exploratory and forward-looking. Even though the concept and the framework are tested to a degree in a national project, more practice-oriented work is needed in terms of real-world applicability. It follows from this that the work is a conceptual elaboration on the future of personal health decision making.


Our findings, including the discussed challenges and needs, stem from real-world observations; from the needs of citizens. As such, they indicate a direction into which the development of personal health records and health decision support aids should go.


Last updated on 2019-29-01 at 10:31