Suchergebnisse

This paper presents and discusses an initiative aimed at creating direct and long lasting influence on the use and development of telemedicine and telehealth by healthcare professionals, patients and citizens. The initiative draws on ideas, insights, and lessons learned from Participatory Design (PD) as well as from innovation theory and software ecosystems. Last, but not least, the ongoing debate on public finances/economy versus tax evasion by major private companies has been an important element in shaping the vision and creating support for the initiative. This vision is about democratic control, about structures for sustaining such control beyond initial design and imple- mentation and about continued development through Participatory Design projects. We see the "middle element", the structures for sustaining democratic control beyond initial design and implementation as the most important and novel contribution of the paper.

This paper is about the kind of tools and techniques that are accessible to resource weak groups for use in design and evaluation of computer support. 'Resource weak' means in this connection, that the economic power and the ability to control the 'local environment' of the group is limited. The human resources of such groups are often (potentially) strong, but restrained by the organization of work and society; and although the tools are cheap the activities are demanding in terms of human resources. This kind of work should be seen as a supplement to participation in design processes controlled by others. When end users participate in projects set up by management, these 'lay' designers often lack familiarity with the tools and techniques, they lack the power and resources to influence the choice of questions to be considered, and they are not the ones deciding how to utilize the results of a design project when actually changing the workplace. To give the context of the work on which the paper is based, I first describe the Scandinavian tradition of trade union based end user participation in systems development. Then I discuss some of the issues involved in improving the conditions for independent end user design activities. I go on by presenting a set of 'cheap tools' and techniques, including the use of mock‐ups. This set covers the issues of establishing the possibility of alternatives, of creating visions of new and different uses of technology and of designing computer support. A central question in relation to the tools and techniques is their accessibility to end users, and I discuss this based on the notions of family resemblance and 'hands‐on' experience.

At a time where computer technology is putting human lives and work under pressure, we discuss how to provide alternatives. We look back at Participatory Design (PD) which was originally about possibilities and alternatives as much as it was about specific solutions. The paper aims to revitalize and revise PD to help people influence big issues. The agenda for this is set through proposing a set of key elements for realizing new, important possibilities. We discuss the possible changes of partnership with users, call for a new role of researchers as activists, debate how to work with demanding visions for lasting impact, and democratic control. We focus on high technological ambitions, on deployment of working prototypes, on alliances, and on scaling up, all seen as important for a PD that matters. We conclude the paper with an invitation to participate in the continued discussion, codesign, and realization of a PD that matters.