Redesign of Home Care Service Delivery: A Systemic Approach to IT Innovations

Redesign of Home Care Service Delivery: A Systemic Approach to IT Innovations

Martti Mäkimattila (Lappeenranta University of Technology, Lahti, Finland), Helinä Melkas (LUT School of Business and Management, Lappeenranta University of Technology, Lahti, Finland) and Tuomo Uotila (Lappeenranta University of Technology, Lahti, Finland)
Copyright: © 2017 |Pages: 24
DOI: 10.4018/IJISSC.2017040101
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This paper delineates how systemic innovations coevolve with organisations in the context of home care and describes the dynamics in shared innovation activities when information technology (IT) systems are developed for such services. Innovation literature is presented from the system perspective to highlight non-technological characteristics. The case study of home-care services in Finland in 2010–2014 shows that systemic innovations result from collaborative actions because the complexity of these innovations requires knowledge and skills from different fields, which no single entity possesses. The multi-level dynamics challenges the management alternatives that focus either on larger development platforms for transitions, or product-based diffusion – then facing later obstacles related to fragmented solutions when merging IT systems and processes. This study contributes by exploring the complexity of developing innovative solutions under dynamic conditions, when actors have different focuses, interests and interdependencies.
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The Dynamic Approach To Interconnected Innovations And Actors

Innovation has been defined as the “…process of turning opportunity into new ideas and of putting these into widely used practice” (Tidd, Bessant & Pavitt, 2005, p. 66). Innovations can be categorised as independent “autonomous” or interdependent “systemic” innovations whose “benefits can be realized only in conjunction with related, complementary innovations” (Chesbrough & Teece, 1996; Maula, Keil & Salmenkaita, 2006). Systemic innovations are defined in this study as “an interconnected set of innovations, where each influences the other in the system and in the ways in which they are interconnected with the actors and the environment”. These interlinked innovations are often characterised under such terms as product, process, service and organisational innovations; or they are novel, incremental, radical, discontinuous or disruptive innovations (Tidd et al., 2005; Augsdörfer, Bessant, Möselin, Stamm & Piller, 2013). Some studies have focused on converging technologies, while others focus more on sociotechnical aspects or on the interactions between actors.

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