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Telemedicine for low resource settings: Exploring the generative mechanisms

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  • Chandwani, Rajesh
  • De, Rahul
  • Dwivedi, Yogesh K.

Abstract

Information Communication and Technology for Health (ICT4H) initiatives, such as telemedicine, can potentially bridge the gap between the health care services available in rural and urban areas. However most of such initiatives have not been able to sustain or obtain optimal results. Comprehending knowledge about what drives success in telemedicine initiatives would be highly valuable for practitioners, policymakers and academicians. In this study, through a qualitative analysis of doctor-patient interactions over a telemedicine initiative in India, we attempt to identify the mechanisms that can enable successful telemedicine interventions. Based on the perspective of critical realism, we explore the phenomenon through the lens of ‘generative mechanisms’. Specifically, we identify three different mechanisms that underlie successful telemedicine, namely, (1) Mechanism of rich connectivity, which refers to the expanding scope of information flow between the nodes to include multiple aspects- clinical, managerial and technological; and both online and offline communication; (2) Mechanism of tutoring, which involves learning and skill development of the peripheral doctor; and (3) Mechanism of moulding, which concerns the moulding of naïve patients to expert patients, both in technology use and self management of disease. In addition, the paper demonstrates the efficacy of critical realism as a philosophical perspective for providing substantive insights in the field of ICT4H initiatives.

Suggested Citation

  • Chandwani, Rajesh & De, Rahul & Dwivedi, Yogesh K., 2018. "Telemedicine for low resource settings: Exploring the generative mechanisms," Technological Forecasting and Social Change, Elsevier, vol. 127(C), pages 177-187.
    • Handle: RePEc:eee:tefoso:v:127:y:2018:i:c:p:177-187
    DOI: 10.1016/j.techfore.2017.06.014
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    References listed on IDEAS

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    1. Andrew M. Pettigrew, 1990. "Longitudinal Field Research on Change: Theory and Practice," Organization Science, INFORMS, vol. 1(3), pages 267-292, August.
    2. Rajesh Chandwani & Rahul De’, 0. "Doctor-patient interaction in telemedicine: Logic of choice and logic of care perspectives," Information Systems Frontiers, Springer, vol. 0, pages 1-14.
    3. Ehrenhard, Michel & Kijl, Bjorn & Nieuwenhuis, Lambert, 2014. "Market adoption barriers of multi-stakeholder technology: Smart homes for the aging population," Technological Forecasting and Social Change, Elsevier, vol. 89(C), pages 306-315.
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    1. Atiase, Victor Yawo & Kolade, Oluwaseun & Liedong, Tahiru Azaaviele, 2020. "The emergence and strategy of tech hubs in Africa: Implications for knowledge production and value creation," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    2. Chauhan, Ankur & Jakhar, Suresh Kumar & Jabbour, Charbel Jose Chiappetta, 2022. "Implications for sustainable healthcare operations in embracing telemedicine services during a pandemic," Technological Forecasting and Social Change, Elsevier, vol. 176(C).
    3. Grover, Purva & Kar, Arpan Kumar & Davies, Gareth, 2018. "“Technology enabled Health” – Insights from twitter analytics with a socio-technical perspective," International Journal of Information Management, Elsevier, vol. 43(C), pages 85-97.
    4. Cegarra-Sánchez, Jorge & Cegarra-Navarro, Juan-Gabriel & Chinnaswamy, Anitha K & Wensley, Anthony, 2020. "Exploitation and exploration of knowledge: An ambidextrous context for the successful adoption of telemedicine technologies," Technological Forecasting and Social Change, Elsevier, vol. 157(C).
    5. Saha, Esha & Rathore, Pradeep & Parida, Ratri & Rana, Nripendra P., 2022. "The interplay of emerging technologies in pharmaceutical supply chain performance: An empirical investigation for the rise of Pharma 4.0," Technological Forecasting and Social Change, Elsevier, vol. 181(C).
    6. Forliano, Canio & Ferraris, Alberto & Bivona, Enzo & Couturier, Jerome, 2022. "Pouring new wine into old bottles: A dynamic perspective of the interplay among environmental dynamism, capabilities development, and performance," Journal of Business Research, Elsevier, vol. 142(C), pages 448-463.
    7. Al-Sharhan, Salah & Omran, Esraa & Lari, Kamran, 2019. "An integrated holistic model for an eHealth system: A national implementation approach and a new cloud-based security model," International Journal of Information Management, Elsevier, vol. 47(C), pages 121-130.
    8. Md. Abdul Kaium & Yukun Bao & Mohammad Zahedul Alam & Najmul Hasan & Md. Rakibul Hoque, 2019. "Understanding the insight of factors affecting mHealth adoption: A systematic review," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 8(6), pages 181-200, October.

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