Affiliated Organization

Proceedings of SIGPrag Workshop


A synthetic representation of the collaborative structure in U.S. e-prescribing offers explanations for unintended enactments (e.g., surrogate prescribers) of this healthcare information technology. The generation and transmission of a prescription requires collaboration between at least a prescriber, pharmacy, and patient. The interactions of these actors are modeled through one or more pairs of synthetic representations built using various theoretical lenses such as language-action models. The pluralist pragmatic basis for building a synthetic representation is interpretive synthesis used widely in healthcare. The paper describes how 240+ academic articles in various fields of healthcare are used to synthesize a model of existing (manual prescribing) and intended (e-prescribing) practices. Comparison of these two synthetic models identifies differences such as change in roles or new relationships. These differences can then be interpreted through a theoretical framework which ultimately leads to research propositions, informing design or future policy.