The role of organizational culture in the management of clinical e-health systems

Bangert, David; Doktor, Robert

doi:10.1109/hicss.2003.1174359

Cited by 20 publications

(15 citation statements)

References 32 publications

(9 reference statements)

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“…Tanriverdi and Iacono, 1998;Dwivedi et al 2001), people and organizational issues (e.g. Lorenzi et al, 1997;Aarts et al 1998;Berg, 2001), social communication patterns (Davidson, 2000), organizational structure and culture (Bangert and Doktor, 2003), and enactments of different structures of reference by different stakeholder groups (Constantinides and Barrett, 2006). These studies point to the importance of organizational processes in explaining the success and failure of telehealth innovations.…”

Section: Introductionmentioning

confidence: 99%

Dialectics of Resilience: A Multi–Level Analysis of a Telehealth Innovation

Cho

Mathiassen

Robey

2007

Journal of Information Technology

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Resilience is commonly portrayed as a positive capability that allows individuals, groups, and organizations to thrive in dynamic contexts.This paper questions this oversimplified view based on a dialectical analysis of a telehealth innovation within a network of collaborating hospitals. We analyze the major contradictions that characterize the adoption of the innovation. First, we analyze contradictions between individuals and groups within each adopting organization. Second, we analyze contradictions between the adopting organizations. This multi-level analysis leads to a deeper understanding of resilience as a dialectical process. The analysis of the case shows that, although the participating individuals, groups, and organizations demonstrated apparent resilience in adopting the telehealth innovation, the innovation remained in a fragile state, where it was unclear whether it would continue to diffuse, stabilize as-is, or slowly deteriorate. Hence, while resilience facilitated swift and successful adoption, it also created tensions that endangered further diffusion and the long-term sustainability of the telehealth innovation. We suggest that understanding the future success of the innovation would be facilitated to a large extent by a dialectical analysis of the involved contradictions.

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Section: Introductionmentioning

confidence: 99%

Dialectics of Resilience: A Multi–Level Analysis of a Telehealth Innovation

Cho

Mathiassen

Robey

2007

Journal of Information Technology

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“…The studies of Bangert, Doktor [21], Yellowlees [22] and the present study all showed that the structure of human resources has a positive and significant role in the success of a telemedicine system. Despite the fact that one of the management challenges in changing health service provision models or introducing a new model is the resistance of staff to changes.…”

Section: Discussionmentioning

confidence: 90%

Establishment Background and Factors Affecting the Success of Telemedicine Provision

Maher

Malmir

Alimohamadzadeh

2016

ijtmgh

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Introduction: Today, access to healthcare is considered a major indicator of community health. Telemedicine technology is an opportunity to increase access and improve the quality of healthcare in a country's development of a healthcare system. The establishment of a telemedicine system and the provision of healthcare in this way require a proper infrastructure, and multiple factors must be considered. This study investigated the areas of establishing telemedicine and the factors affecting its success in the Health Department of Iran's oil industry. Methods: This study is objective and analytical (non-experimental) and used the research-applied method to collect information. The statistic community included all professionals and personnel of the Health Department of Iran's oil industry in 2014-2015. The establishment background and success factors of telemedicine provision were explored based on the study of 341 health experts and professionals. Data was analyzed by SPSS16 and Lisral Software. Results:The results show that both variables, i.e. establishment background (0.63) and organizational effectiveness factors (0.52), had a significant positive effect on the successful implementation of a telemedicine provision system. Furthermore, the factors of successful establishment of a telemedicine system (0.67) had a significant effect. Among the establishment background factors, financial structure (0.87) had the most significant effect on the successful establishment of a telemedicine system. Among the factors influencing success, organizational regulations and rules (0.83) were the most significant. Conclusion: Based on the results of the current study, it is clear that giving the same attention to the establishment background and organizational effectiveness factors will lead to the successful implementation of telemedicine. It is recommended that the managers and policy makers of the country's health sector use and implement telemedicine in other areas as well. With proper planning, this could lead to increased community access to health services, savings in human and financial resources in the healthcare system, and reduced healthcare costs.

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“…Telehealth innovations have great potential to enhance accessibility to healthcare, reduce cost of care, and enhance quality of care ( Bangert and Doktor 2003;Institute of Medicine 1996;Office of Technology Assessment 1995). Despite such potential, many telehealth innovations are either not accepted or not successfully implemented (Bangert and Doktor 2003;Institute of Medicine 1996) due to poor technology performance, organizational issues, and legal barriers (Bashshur 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Despite such potential, many telehealth innovations are either not accepted or not successfully implemented (Bangert and Doktor 2003;Institute of Medicine 1996) due to poor technology performance, organizational issues, and legal barriers (Bashshur 2000). It is also widely acknowledged that physicians and other medical staff are notorious for their nonresponsiveness to and resistance to use of information technologies (Anderson 1997;Lapointe and Rivard 2005).…”

Section: Introductionmentioning

confidence: 99%