Improving evidence on evaluating the acceptance of the cognitively impaired is required to improve the technology development process so that it can be translated into an improved patient experience and adherence. Although the study was specifically focused on teledentistry, the approach described in this study could be adapted to other forms of teleconsultation.

Abstract:This paper explores the contribution of communal structures such as Communities of Practice (CoPs) on Intra-organizational Knowledge Management (KM). First, we look at intra organizational knowledge management and explore the role that information systems can play. We introduce the idea of "Systèmes d'Aide à la Gestion des Connaissances" SAGC (Systems to aid the Management of Knowledge) and then establish our theoretical foundations concerning communal KM, especially as it relates to the structural and functional characteristics of CoPs. The results of an exploratory qualitative survey involving Chief Knowledge Officers (CKOs) of large French businesses are presented which examine the contribution that communal structures such as CoPs can make to Intra-organizational KM. The results highlight some of 'success factors' for the communal management of knowledge. Two types of factors in particular appear to encourage the sharing of knowledge: those related to (1) the characteristics of a CoP (2) the organizational context. The work indicates that, perhaps contrary to what might be expected, many of the key success factors are the same 'management' issues that can found in almost any IS project while some of the issues that the literature indicates are important, appear to be less so in practice.

The purpose of this article is to contribute to the improvement of the acceptance of information systems (IS) devoted to the codification and sharing of knowledge (a type of knowledge management systems [KMS]). A research model was developed through a multi-staged, multi-method research process and its test supports the hypotheses that the acceptance of KMS is determined, in addition to the classical constructs of the technology acceptance model (TAM), by a few organizational factors, and by the influence exerted on the user by individuals close to her/him.

This is a descriptive article focusing on the e-DENT project, the first oral tele-consultation in France; an experimentation of asynchronous dental tele-consultations meant to improve access to dental care for people who have limited access to regular consultations with a dentist such as dependent elderly, disabled people or prisoners. We consider that the generalization of dental tele-consultations is related to the acceptance of the e-DENT system, as stated by Broens & et al. (2007). This paper proposes a new methodological approach for assessing the perception of a medical procedure, involving the use of technology, for subjects with minor, mild or severe cognitive impairment. Semi-structured interviews, indirect patient observations and non-participant observations have allowed us to highlight the nurses' acceptance of the e-DENT system, the patients' perception of the oral tele-consultation procedure and to describe the induced organizational changes.

It is widely accepted that information technology (IT) plays a central role in creating and maintaining a firm's competitive advantage. When discussions turn to strategic breakthroughs—innovations that are so fundamental that they disrupt the way an existing market operates—however, the role played by IT appears less clear‐cut. The experiences of three well‐known companies—Amazon, Dell, and eBay—show that the way that IT was used to gain a more intimate knowledge of the customer formed a common component of each of their business models. Those companies' experiences also indicate that the task of creating the type of radically different business model needed to create a strategic breakthrough might be easier to achieve in a new organization, unencumbered by the baggage of the past, than it is in an established organization with a preexisting business culture and an established way of doing things. © 2013 Wiley Periodicals, Inc.