Rationalising Shared Care: The Case of the Referral

As part of shared care the referral proves to be crucial for establishing interorganizational communication around patients. In this workshop position paper we preliminarily describe the referral by foregrounding activities and artefacts that constitutes it. When engaging in infrastructural inversion (Bowker and Star 2000) we find an inherent set of multiple interdependent actions and artefacts mobilized. These we present with an ambition to provoke a discussion on analytic issues but moreover to engage in a dialogue on how to approach a collaborative redesign of the infrastructure that constitutes and surrounds referrals. In particular, we are concerned with consequences of rationalisation i.e. standardization and automation in relation to design of such complex, interdependent, and extremely contingent collaboration.