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1 – 10 of over 4000Luca Gastaldi and Mariano Corso
Drawing on the experience of the Observatories, a set of interconnected research centers in Italy, this chapter explains why academics are in one of the best positions to…
Abstract
Drawing on the experience of the Observatories, a set of interconnected research centers in Italy, this chapter explains why academics are in one of the best positions to orchestrate interorganizational initiatives of change and development, and highlights two prerequisites that appear necessary to render salient this orchestrator role of academics: (i) the extensive use of multiple approaches of collaborative research and (ii) the creation and maintenance of a platform allowing the management and diffusion of the network-based learning mechanisms underlying each change and development effort. The contributions extend existing knowledge on organization development and collaborative research.
Charles Noir and Geoff Walsham
The purpose of this paper is to explore how and why information and communication technologies (ICT) are enrolled in the Indian healthcare sector for reasons over and above…
Abstract
Purpose
The purpose of this paper is to explore how and why information and communication technologies (ICT) are enrolled in the Indian healthcare sector for reasons over and above perceived efficiency gains.
Design/methodology/approach
The paper explores qualitative field data collected in the Indian states of Karnataka and Andhra Pradesh, and the city of New Delhi from an epistemological perspective of interpretivism. New institutional theory is employed to illustrate the mythical and ceremonial roles that ICT for development play in legitimizing development initiatives.
Findings
The analysis challenges the simplistic view that implementing health management information systems will translate directly to efficiency gains.
Research limitations/implications
This paper furthers the theoretical understanding of how ICT, as social and material phenomena, function empirically beyond instruments of technical rationality. One limitation of the research is the relatively short duration of the fieldwork. A wider scope in the metrics used to evaluate success in development initiatives that implement ICT is called for.
Practical implications
Practical implications of this paper focus on the need to move away from simple deterministic visions of ICT for development towards an approach based on acknowledging outcome indeterminacy with regard to the consequences of ICT implementation in the Indian healthcare sector, and thus the need for genuine feedback loops.
Originality/value
This paper will be valuable to institutional and information systems theorists, and development practitioners. A framework is provided to unpack the institutional context that drives some of the inefficiency in the Indian healthcare sector.
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Arpit Sharma, Benjamin P. Dean and James Bezjian
The objective of this study is to address this central question: “What role do ICTs play in reducing poverty?”
Abstract
Purpose
The objective of this study is to address this central question: “What role do ICTs play in reducing poverty?”
Design/methodology/approach
First, in this study, we defined poverty in terms of its roots within health, economic development and education. Then, we conducted a systematic review of the information and communication technologies (ICTs) literature. From our analysis, we proposed a series of subsidiary questions and in-depth answers about the impact of ICTs on alleviating health-related, economic and educational causes of poverty.
Findings
This study observed positive effects of ICTs on healthcare, economic and educational dynamics and concluded that the development of more advanced infrastructure and greater access to such technology can amplify that impact.
Originality/value
This article explains how applications of ICT across sectors can substantially enhance quality of life and give people an opportunity to take control of their health-related, economic and educational futures. This study uniquely affords an integrative analysis of research and new thought about how to integrate key ICTs for more effective initiatives and investments to reduce poverty.
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Martijn Poel, Linda Kool and Annelieke van der Giessen
ICT is everywhere, but information society policy cannot address all the sectors and policy issues in which ICT plays a role. This paper's aim is to develop an analytical…
Abstract
Purpose
ICT is everywhere, but information society policy cannot address all the sectors and policy issues in which ICT plays a role. This paper's aim is to develop an analytical framework to assist policy makers in deciding on the priorities and coordination of information society policy.
Design/methodology/approach
The analytical framework is based on public management literature and innovation literature. The framework can be applied to individual ICT issues – when to lead, advise, explore or refrain from policy intervention. The framework consists of seven questions, including the rationale for intervention, stakeholders, the mandate of fellow policy makers (e.g. other ministries) and the costs, benefits and risks of intervention. The framework was applied in three cases.
Findings
A leading role for information society policy is most clear for e‐skills. For services innovation, several market failures and system failures appear to be relevant. This calls for a mix of policy instruments, with roles for several ministries. Policy coordination is crucial. For ICT in health sectors – and other public sectors – the conclusion is that information society policy can take the lead on cross‐cutting ICT issues such as privacy, standardisation and interoperability.
Originality/value
The article addresses one of the main challenges of information society policy: how to increase its scope, yet maintain effectiveness and coherence.
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D. Jane Bower, John Hinks, Howard Wright, Cliff Hardcastle and Heather Cuckow
The paper discusses the potential impact of videoconferencing on practices and processes within the construction industry, based on analyses carried out on its use and impact in…
Abstract
The paper discusses the potential impact of videoconferencing on practices and processes within the construction industry, based on analyses carried out on its use and impact in the healthcare sector – which like construction involves technology‐intensive processes which are dependent upon cross‐professional and cross‐disciplinary relationships and communications, operate within an increasingly regulatory and litigious climate, and involve organizationally fluid, virtual, teams spanning several subindustries. Recently published research evidence from the healthcare sector suggests that whilst videoconferencing and other advanced information and communication technologies (ICTs) have pervasive capabilities, successes in their application may be shortlived and modest in achievement. In use, their actual uptake and application have been found to be fundamentally affected by a range of social and operational issues, such as fears over a new formalization and trackability of previously informal conversations; a rebalancing of power relationships (between professionals using the ICTs as well as between doctor and patient); pressures on social/cultural and procedural alignment between participants; and personal and corporate attitudes to the technologies (including simply disliking the ICT). There is also evidence from the healthcare sector to suggest that ICTs increase the complexity of the delivering healthcare, and that the limitations of the technologies emphasise an existing dependency of communications and processes on tacit knowledge which is not readily formalized for communication via ICTs. However, the paper also notes an increasing pressure on the construction industry to respond to the globalizing potential that ICTs offer for the supply and delivery of knowledge‐based services, and discusses the implications of the issues found in the healthcare sector for the use and potential abuse of ICTs in the construction industry that will have to be successfully addressed in order to avoid ICTs being perceived as threatening and to allow their use to help organizations address the globalising marketplace.
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Sunil Mithas, Charles F. Hofacker, Anil Bilgihan, Tarik Dogru, Vanja Bogicevic and Ajit Sharma
This paper advances a research agenda for service researchers at the intersection of healthcare and information technologies to improve access to quality healthcare at affordable…
Abstract
Purpose
This paper advances a research agenda for service researchers at the intersection of healthcare and information technologies to improve access to quality healthcare at affordable prices. The article reviews key trends to provide an agenda for research focusing on strategies, governance and management of key service processes.
Design/methodology/approach
This paper synthesizes literature in information systems, service management, marketing and healthcare operations to suggest a research agenda. The authors draw on frameworks such as the interpretive model of technology, technology acceptance model, assemblage theories and Baumol's cost disease to develop their arguments.
Findings
The paper situates strategy-related service management questions that service providers and consumers face in the context of emerging healthcare and technology trends. It also derives implications for governance choices and questions related to that.
Research limitations/implications
The paper discusses service management challenges and concludes with an agenda for future research that touches on governance and service management issues.
Practical implications
This paper provides implications for healthcare service providers and policymakers to understand new trends in healthcare delivery, technologies and facilities management to meet evolving customer needs.
Social implications
This paper provides implications for managing healthcare services that touch on many social and societal concerns.
Originality/value
This conceptual paper provides background and review of the work at the intersections of information systems, marketing and healthcare operations to draw implications for future research.
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Margaret L. Sheng, Shen‐Yao Chang, Thompson Teo and Yuh‐Feng Lin
The aim of this paper is to examine the moderating role of information communication technology (ICT) competencies in enhancing knowledge transfer and mitigating the effects of…
Abstract
Purpose
The aim of this paper is to examine the moderating role of information communication technology (ICT) competencies in enhancing knowledge transfer and mitigating the effects of two key knowledge barriers, namely knowledge stickiness and knowledge ambiguity, thereby increasing the firm's innovation competitive advantage.
Design/methodology/approach
The study is carried out in the context of the healthcare industry in Taiwan. A total of 160 questionnaires were distributed to hospitals and 112 usable responses were received, representing a response rate of 70 percent. Hierarchical regression analysis was used to analyze the data.
Findings
The results show that ICT competencies do enhance knowledge transfer inside hospitals. Although knowledge stickiness and knowledge ambiguity have negative effects on knowledge transfer, the negative effects can be moderated by ICT competencies (defined in terms of competencies in computer‐assisted instruction, interactive videoconferencing, and hand‐held technology).
Practical implications
Among the three ICT competencies, computer‐assisted instruction and hand‐held technology have the largest and smallest effects on the relationship between knowledge barriers and knowledge transfer. The results also allow decision makers for forward‐looking allocation of ICT competencies.
Originality/value
The study presents a valid model that comprises the antecedents, moderators (three specific types of ICT competencies), and consequences of knowledge transfer for innovation competitive advantage of healthcare organizations.
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Maria Vincenza Ciasullo, Weng Marc Lim, Mohammad Fakhar Manesh and Rocco Palumbo
Healthcare policies around the globe are aimed at achieving patient-centeredness. The patient is understood as a prosumer of healthcare, wherein healthcare service co-production…
Abstract
Purpose
Healthcare policies around the globe are aimed at achieving patient-centeredness. The patient is understood as a prosumer of healthcare, wherein healthcare service co-production and value co-creation take center stage. The article endeavors to unpack the state of the literature on the innovations promoting the transition toward patient-centeredness, informing policy and management interventions fostering the reconceptualization of the patient as a prosumer of healthcare services.
Design/methodology/approach
A hybrid review methodology consisting of a bibliometric-interpretive review following the Scientific Procedures and Rationales for Systematic Literature Reviews (SPAR-4-SLR) protocol is used. The bibliometric component enabled us to objectively map the extant scientific knowledge into research streams, whereas the interpretive component facilitated the critical analysis of research streams.
Findings
Patient-centeredness relies on a bundle of innovations that are enacted through a cycle of patients' activation, empowerment, involvement and engagement, wherein the omission of any steps arrests the transition toward service co-production and value co-creation. Institutional, organizational and cognitive barriers should be overcome to boost the transition of patients from consumers to prosumers in a patient-centered model of healthcare.
Originality/value
The article delivers the state of the art of the scientific literature in the field of innovations aimed at sustaining the transition toward patient-centeredness and provides some food for thoughts to scholars and practitioners who wish to push forward service co-production and value co-creation in healthcare.
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Albi Thomas and M. Suresh
Green transformation is more than simply a trend; it is a way of life, a set of habits, a field of knowledge and a dedication to resource conservation. Going green is surely a…
Abstract
Purpose
Green transformation is more than simply a trend; it is a way of life, a set of habits, a field of knowledge and a dedication to resource conservation. Going green is surely a creative and transformative process for both individuals and organizations. This paper aims to “identify,” “analyse” and “categorise” the readiness factors for green transformation process in health care using total interpretive structural modelling (TISM) and neutrosophic-MICMAC.
Design/methodology/approach
To address the study objectives, the study used TISM and neutrosophic-MICMAC analysis. To identify the readiness factors, a literature study was conducted, and the factors were face-validated by the healthcare experts. The factors influence on one another were captured by using a scheduled interview with a closed ended questionnaire. The TISM addressed the identification and analysing of factors and the categorization and ranking the readiness factors is addressed by using neutrosophic-MICMAC analysis.
Findings
This study identified 11 green transformation process readiness factors for healthcare organizations. The study states that the key factors or driving factors are awareness of green governance principle, environment leadership and management, green gap analysis, information and communication technology and innovation dynamics.
Research limitations/implications
The factor ranking is sensitive to the respondents’ ratings. The study relied on the past literature and experts’ opinion may result in the subjective biases. The complex nature of healthcare ecosystem challenges to capture all the factors. The study focussed on Indian hospitals.
Practical implications
Study significantly impacts the healthcare practitioners, academicians and policymakers by providing critical insights into the readiness factors required for the healthcare green transformation process. The study offers a better understanding of the crucial or key or driving factors that aid in embracing green and sustainable practices.
Originality/value
Identifying a gap in conceptual and theoretical frameworks for green transformation readiness factors in healthcare organizations and in Indian context. The study addresses this gap by aiming to create a thorough theoretical framework and highlighted by its focus on Indian hospitals.
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Lynne P. Baldwin, Malcolm Clarke, Tillal Eldabi and Russell W. Jones
Information and communication technology (ICT) plays an increasingly important role in delivering healthcare today. Healthcare professionals, including consultants, doctors and…
Abstract
Information and communication technology (ICT) plays an increasingly important role in delivering healthcare today. Healthcare professionals, including consultants, doctors and nurses, are engaged in what is seen as a radical action plan for improving the National Health Service (NHS) in the UK. A major focus of this plan is the greater empowerment of the patient, and providing them with more information about their health needs and care. Information and communication technology has the potential to effectively support the complexities involved in the communication that takes place both amongst healthcare workers themselves and between healthcare workers and their patients in both primary and secondary care both in the UK and elsewhere. This paper explores the challenges involved in human interaction and describes how AIDMAN, a clinical information system, allows for richer communication between the patient and those involved in their health.
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