Survival of the project: a case study of ICT innovation in health care

Social Science & Medicine
Hege K AndreassenAksel Tjora

Abstract

From twenty years of information and communication technology (ICT) projects in the health sector, we have learned one thing: most projects remain projects. The problem of pilotism in e-health and telemedicine is a growing concern, both in medical literature and among policy makers, who now ask for large-scale implementation of ICT in routine health service delivery. In this article, we turn the question of failing projects upside down. Instead of investigating the obstacles to implementing ICT and realising permanent changes in health care routines, we ask what makes the temporary ICT project survive, despite an apparent lack of success. Our empirical material is based on Norwegian telemedicine. Through a case study, we take an in-depth look into the history of one particular telemedical initiative and highlight how ICT projects matter on a managerial level. Our analysis reveals how management tasks were delegated to the ICT project, which thus contributed to four processes of organisational control: allocating resources, generating and managing enthusiasm, system correction and aligning local practice and national policies. We argue that the innovation project in itself can be considered an innovation that has become normalis...Continue Reading

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Citations

Jan 18, 2017·Archives of Environmental & Occupational Health·Gunvor Gard, Agneta Larsson
Oct 24, 2017·Journal of Nursing Management·Trude Fløystad Eines, Solfrid Vatne
Jan 31, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Helen AthertonChris Salisbury
Oct 31, 2017·The Open Medical Informatics Journal·Haleh AyatollahiMehrdad Mohammadpour
Jul 26, 2019·BMC Health Services Research·Line Lundvoll Warth, Kari Dyb
Aug 29, 2020·Journal of Medical Internet Research·Monika Jurkeviciute, Henrik Eriksson
Jun 18, 2020·International Journal of Environmental Research and Public Health·Fangyuan ChangBritt Östlund
May 13, 2020·BMC Health Services Research·Etty R NilsenMonika K Gullslett
Dec 17, 2020·Frontiers in Psychology·Ineke J M van der HamMilan N A van der Kuil
Aug 17, 2021·Journal of Medical Internet Research·Hanne Marie Rostad, Randi Stokke
Sep 17, 2021·BMC Medical Informatics and Decision Making·Nathalie Genevieve PuaschitzBettina Sandgathe Husebo

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