Innovation in ICT-Based Health Care Provision

Innovation in ICT-Based Health Care Provision

Synnøve Thomassen Andersen (Finnmark University College, Norway) and Arild Jansen (University of Oslo, Norway)
DOI: 10.4018/jhisi.2011040102
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This paper describes a project redesigning psychiatric services for children and adolescents, introducing a new decentralized model into the ordinary structures of health care services in rural areas in Norway by using mobile phone technology. The authors apply a multilayer and dialectic perspective in the analysis of the innovation process that created the ICT solution that supports this treatment model. The salient challenges of the project were related to the contradictions between the existing, dominant power structures and the emergent structures in the different layers of the design structures. As a result of the development process, a new model emerged with a larger potential for creating a new innovation path than if it had been linked to existing structures. This paper contributes to the understanding of how user-driven innovation can break with existing power structures through focusing on different layers in the change processes.
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2. Theoretical Framework

Traditionally, research on diffusion of ICT innovation has regarded such diffusions as sequential processes unfolding over specific periods of time (Attewell 1992; Cooper & Zmud 1990). However, more recent studies of ICT innovations have shown that they need to be understood as network- and socially constructed, and not as occurring in homogenous and stable social ether among autonomous adopters (Damsgaard, Rogaczewski, & Lyytinen 1994). One such research current focuses on path-creation activities which influence technology adoption in organizations.

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