Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review
by Frances Mair
Co-authored with: Carl May, Catherine O’Donnell, Tracy Finch, Frank Sullivan & Elizabeth Murray
Objective To systematically review the literature on the implementation of e-health to identify: (1) barriers and... more
Objective To systematically review the literature on the implementation of e-health to identify: (1) barriers and facilitators to e-health implementation, and (2) outstanding gaps in research on the subject.
Methods MEDLINE, EMBASE, CINAHL, PSYCINFO and the Cochrane Library were searched for reviews published between 1 January 1995 and 17 March 2009. Studies had to be systematic reviews, narrative reviews, qualitative metasyntheses or meta-ethnographies of e-health implementation. Abstracts and papers were double screened and data were extracted on country of origin; e-health domain; publication date; aims and methods; databases searched; inclusion and exclusion criteria and number of papers included. Data were analysed qualitatively using normalization process theory as an explanatory coding framework.
Findings Inclusion criteria were met by 37 papers; 20 had been published between 1995 and 2007 and 17 between 2008 and 2009. Methodological quality was poor: 19 papers did not specify the inclusion and exclusion criteria and 13 did not indicate the precise number of articles screened. The use of normalization process theory as a conceptual framework revealed that relatively little attention was paid to: (1) work directed at making sense of e-health systems, specifying their purposes and benefits, establishing their value to users and planning their implementation; (2) factors promoting or inhibiting engagement and participation; (3) effects on roles and responsibilities; (4) risk management, and (5) ways in which implementation processes might be reconfigured by user-produced knowledge.
Conclusion The published literature focused on organizational issues, neglecting the wider social framework that must be considered when introducing new technologies.
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Seen by: and 10 moreEntrepreneurship in Japan's ICT Sector: Opportunities and Protection from Japan's Regulatory Regime Shift
Entrepreneurs and entrepreneurship played a critical role in transforming Japan’s telecommunications sector. Between... more Entrepreneurs and entrepreneurship played a critical role in transforming Japan’s telecommunications sector. Between the mid-1990s and mid-2000s, in a sector long dominated by a stable set of large actors with well-established patterns of interaction, entrepreneurs introduced new technologies, new business models, and new norms of interaction. The subsequent transformation of Japan’s telecommunications sector was dramatic, providing consumers with not only fast and sophisticated services but also low prices and an entire new ecosystem of mobile content—a considerable departure from Japan’s long track record of being known as producer- rather than consumer-oriented, with consumers enjoying high-end services and products, but at high prices. Yet, these transformative entrepreneurs were not acting in a vacuum. Regulatory shifts in telecommunications were critical in providing opportunities for entrepreneurs, while simultaneously protecting them from large incumbent firms. These regulatory shifts were driven by the political dynamics of the 1990s as Japan struggled through its post-bubble economic malaise and political changes.
Combining Innovation and Capacity Utilization in High Throughput Systems: Moving Beyond the Product Life Cycle Model by Introducing Second-Order Innovations
ARNE M. FEVOLDEN, Norwegian Defence Research Establishment, & TERJE GRØNNING, Institute for Educational Research,
University of Oslo
Industry and Innovation,
Vol. 17, No. 6, 609–628, December 2010
Full paper available upon request
The literature on the product life cycle and on high throughput systems has been preoccupied with studying an apparent... more The literature on the product life cycle and on high throughput systems has been preoccupied with studying an apparent lack of flexibility in capital-intensive production systems. Companies in capitalintensive industries need to maintain a high level of capacity utilization in order to stay economically viable, however, their efforts to uphold the throughput of their systems often have the unforeseen and unintended consequence of limiting their ability to introduce new products and services. Nevertheless, some companies have managed to resolve these tensions by introducing what we describe as “second-order innovations”, a type of innovation which acts on the innovation process itself and enables new products and services to be introduced without a steep decline in capacity utilization. By focusing on these cases and discussing their theoretical implications, we want to contribute to the existing literature on high throughput systems by identifying key mechanisms for introducing and maintaining such second-order innovations and describing the patterns of industrial evolution that they create.
PERSONALS CHARACTERISTIC OF INNOVATIVE AS BARRIER FOR THE INTEGRATION OF ICT IN THE CLASSROOM
Co-authored with Denise Mallouhi, Alfonso LLancaqueo
Congreso Iberoamericano de Informatica Educativa 2011
Even in this century, we can find teachers who for some reason are not willing to incorporate ICT in their teaching.... more
Even in this century, we can find teachers who for some reason are not willing to incorporate ICT in their teaching. When incorporating technological innovations in support of teaching, institutions require that all people adopt it. But there is a problem associated with the provisions of academic, that explains the non-use of these elements. According to psychology would focus on the attributional processes of the teachers. This research reveals a new variable to consider, this being the innovation capacity of the person explained from the personality, is suggested that knowing these characteristics could be adjusted with ICT Innovation for greater success in integrating the same .
Aún en este siglo, podemos encontrarnos con docentes que por algún motivo no están dispuestos a incorporar TIC en sus procesos de enseñanza. Cuando se incorporan innovaciones tecnológicas para el aula o en apoyo a la enseñanza, las instituciones esperan que todas las personas las adopten. Pero existe un problema no asociado a la disposiciones del académico sino a como explica el no uso de estos elementos. De acuerdo a la psicología se centraría en los procesos atribucionales del sujeto. Esta investigación da cuenta de una nueva variable a considerar, siendo esta, la capacidad de innovación de la persona explicada desde la personalidad, Se sugiere que al conocer estas características, podría ajustar la Innovación con TIC para un mayor éxito en la integración de la misma.
PRE-SERVICE TEACHERS AND TECHNOLOGY: GENDER, TECHNOLOGY EXPERIENCE, BELIEFS AND PREDISPOSITION TO TECHNOPHOBIA
Salih BARDAKCI
Turgay ALAKURT
Halil İbrahim AKYÜZ
Serap SAMSA
Abstract
The purpose of the present study is to describe technophobia tendencies among the pre-service... more
Abstract
The purpose of the present study is to describe technophobia tendencies among the pre-service teachers. Besides, is to investigate the differentiation according to gender, computer experience, computer self-efficacy and technology related beliefs as a related pre-service teachers’ technophobia levels. The study is conducted with the survey methods and the research group consisted of 266 students enrolled in teacher training graduate programs (the non- thesis Master of Arts programs) that are offered in the Ankara University, Graduate School of Educational Sciences in 2009-2010.
The research packet included the Turkish versions of the Rosen & Weil (1992, 1995) The Computer Anxiety Rating Scale, Computer Thoughts Scale, Computer Attitudes Scale (Technophobia Scales Packet) (Ursavaş, 2010) and a set of demographic questions including gender, computer experience, beliefs and computer self-efficacy.
The results show that most of the pre-service teachers, who
participated in this study, have technophobia tendencies low or moderate/high levels. Also, the technophobia tendencies did not differ significantly according to gender. However, statistically significant differences were detected according to technology experience, beliefs and self-efficacy.
Key words: technophobia, pre-service teachers, gender, technology experience and beliefs

