Klecun (2016) applied practice test: policy claims and evidence
Applied quiz on evaluating policy claims, evidence, and misalignment in Klecun’s EJIS 2016 article, grounded only in the indexed study article.
8 questions · pass mark 50% · try 5 free
1 A policy claims that introducing a national digital platform will automatically make care patient-centred. Which response best matches Klecun’s argument?
- The claim is sound because large IT programmes automatically transform healthcare
- The claim is questionable because transformation depends on organizational conditions, contested goals, and user practices as well as technology
- The claim is correct if the software is technically advanced
- The claim is valid because policy intentions guarantee patient uptake
Klecun argues that large-scale IT does not automatically transform care; outcomes depend on wider institutional, organizational, and discursive conditions.
2 Which factors would Klecun likely treat as reasons IT-enabled transformation may fall short? Select all that apply.
Select all that apply
- Contested meanings of patient-centred care
- Regulatory and governance structures
- Organized interests and resource constraints
- Assumed rather than identified patient needs
- The mere existence of digital technology
The paper stresses contested PCC, governance, interests, resources, and poorly grounded assumptions about patient needs; it does not treat the mere existence of technology as sufficient.
3 If clinicians resist a new information system, Klecun would interpret this only as evidence of bad interface design.
- True
- False
False. The paper suggests resistance may also stem from the goals and visions of healthcare embedded in the system.
4 A policymaker cites a patient portal as proof that policy has understood patient needs. Which caution from the paper is most relevant?
- Any patient-facing application is automatically patient-centred
- Citizen interest in patient-centred applications may not match policy expectations
- Patient portals are discussed as guaranteed successes
- Technical novelty is enough to prove public value
The paper uses the HealthSpace example to show that policy expectations about citizen uptake may not align with actual interest.
5 Which policy lesson best fits the article’s conclusion?
- Invest only in faster systems and ignore care models
- Stop using IT in healthcare altogether
- Design patients’ needs and wants into IT-enabled services from the outset
- Rely on implementation consultants rather than patients
Klecun concludes that genuinely patient-centred IT-enabled services require patient needs and wants to be identified and designed in, not added on later.
3 more questions in this test
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