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Exploitation and exploration of knowledge: An ambidextrous context for the successful adoption of telemedicine technologies

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  • Cegarra-Sánchez, Jorge
  • Cegarra-Navarro, Juan-Gabriel
  • Chinnaswamy, Anitha K
  • Wensley, Anthony

Abstract

The evidence to demonstrate the effectiveness of the uptake of telemedicine technologies for the management of health by users is still lacking. Hence, this research explores the relevance of an ambidexterity context to balance explorative and exploitative learning processes to support the adoption of telemedicine technology. Survey data obtained from 252 healthcare end users was analysed using the ADANCO software version 2.0.1. The results derived from this empirical study support the observation that explorative and exploitative processes mediate the relationship between an ambidexterity context and the utilisation of telemedicine technology. Prior research has revealed that it is fundamentally important for organisations to be able to exploit and explore external sources of knowledge. However, for the uptake of telemedicine technologies, there has been limited research that aids in developing an adequate framework to analyse the role played by explorative and exploitative learning processes with patients. In order to address this issue, this study is done from the point of view of either home health patients or their carers. This paper supports the use of an ambidexterity context that facilitates an environment where effective balance between explorative and exploitative learning processes is likely to improve the patients’ levels of utilisation of telemedicine technology.

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  • 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).
    • Handle: RePEc:eee:tefoso:v:157:y:2020:i:c:s004016252030915x
    DOI: 10.1016/j.techfore.2020.120089
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    1. Tom J. M. Mom & Frans A. J. Van Den Bosch & Henk W. Volberda, 2007. "Investigating Managers' Exploration and Exploitation Activities: The Influence of Top‐Down, Bottom‐Up, and Horizontal Knowledge Inflows," Journal of Management Studies, Wiley Blackwell, vol. 44(6), pages 910-931, September.
    2. Burgelman, Robert A., 2002. "Strategy as Vector and the Inertia of Co-evolutionary Lock-in," Research Papers 1745, Stanford University, Graduate School of Business.
    3. Nick Bontis & Mary M. Crossan & John Hulland, 2002. "Managing An Organizational Learning System By Aligning Stocks and Flows," Journal of Management Studies, Wiley Blackwell, vol. 39(4), pages 437-469, June.
    4. Anna Wernhart & Susanne Gahbauer & Daniela Haluza, 2019. "eHealth and telemedicine: Practices and beliefs among healthcare professionals and medical students at a medical university," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    5. Juan Gabriel Cegarra Navarro & Gabriel Cepeda-Carrión & Anthony Wensley & Noelia Sánchez-Casado, 2013. "An application of health-portals to improve electronic listening," The Service Industries Journal, Taylor & Francis Journals, vol. 33(13-14), pages 1417-1434, October.
    6. Gutiérrez, Jaime Ortega & Cegarra Navarro, Juan G. & Cepeda Carrión, Gabriel A. & Leal Rodríguez, Antonio L., 2015. "Linking unlearning with quality of health services through knowledge corridors," Journal of Business Research, Elsevier, vol. 68(4), pages 815-822.
    7. Claudia Ghisetti & Susanna Mancinelli & Massimiliano Mazzanti & Mariangela Zoli, 2017. "Financial barriers and environmental innovations: evidence from EU manufacturing firms," Climate Policy, Taylor & Francis Journals, vol. 17(0), pages 131-147, June.
    8. Osei-Frimpong, Kofi & Wilson, Alan & Lemke, Fred, 2018. "Patient co-creation activities in healthcare service delivery at the micro level: The influence of online access to healthcare information," Technological Forecasting and Social Change, Elsevier, vol. 126(C), pages 14-27.
    9. Stephen P. Borgatti & Rob Cross, 2003. "A Relational View of Information Seeking and Learning in Social Networks," Management Science, INFORMS, vol. 49(4), pages 432-445, April.
    10. Armstrong, J. Scott & Overton, Terry S., 1977. "Estimating Nonresponse Bias in Mail Surveys," MPRA Paper 81694, University Library of Munich, Germany.
    11. Hannan, Michael T & Burton, M Diane & Baron, James N, 1996. "Inertia and Change in the Early Years: Employment Relations in Young, High Technology Firms," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 5(2), pages 503-536.
    12. Sea-Jin Chang & Arjen van Witteloostuijn & Lorraine Eden, 2010. "From the Editors: Common method variance in international business research," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 41(2), pages 178-184, February.
    13. Frank T. Rothaermel, 2001. "Incumbent's advantage through exploiting complementary assets via interfirm cooperation," Strategic Management Journal, Wiley Blackwell, vol. 22(6‐7), pages 687-699, June.
    14. James G. March, 1991. "Exploration and Exploitation in Organizational Learning," Organization Science, INFORMS, vol. 2(1), pages 71-87, February.
    15. Zi-Lin He & Poh-Kam Wong, 2004. "Exploration vs. Exploitation: An Empirical Test of the Ambidexterity Hypothesis," Organization Science, INFORMS, vol. 15(4), pages 481-494, August.
    16. Veronica Scuotto & Manlio Del Giudice & Elias G. Carayannis, 2017. "The effect of social networking sites and absorptive capacity on SMES’ innovation performance," The Journal of Technology Transfer, Springer, vol. 42(2), pages 409-424, April.
    17. O'Reilly, Charles A., III & Tushman, Michael L., 2013. "Organizational Ambidexterity: Past, Present and Future," Research Papers 2130, Stanford University, Graduate School of Business.
    18. Justin J. P. Jansen & Gerard George & Frans A. J. Van den Bosch & Henk W. Volberda, 2008. "Senior Team Attributes and Organizational Ambidexterity: The Moderating Role of Transformational Leadership," Journal of Management Studies, Wiley Blackwell, vol. 45(5), pages 982-1007, July.
    19. 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.
    20. Mikael Holmqvist, 2004. "Experiential Learning Processes of Exploitation and Exploration Within and Between Organizations: An Empirical Study of Product Development," Organization Science, INFORMS, vol. 15(1), pages 70-81, February.
    21. Wang, Yichuan & Kung, LeeAnn & Byrd, Terry Anthony, 2018. "Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations," Technological Forecasting and Social Change, Elsevier, vol. 126(C), pages 3-13.
    22. Ivan Planas-Miret & Ana Tur-Prats & Jaume Puig-Junoy, 2005. "Spanish health benefits for services of curative care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 6(1), pages 66-72, November.
    23. Juan Gabriel Cegarra-Navarro & José Rodrigo Córdoba-Pachón & Alexeis García-Pérez, 2017. "Tuning knowledge ecosystems: exploring links between hotels’ knowledge structures and online government services provision," The Journal of Technology Transfer, Springer, vol. 42(2), pages 302-319, April.
    24. Streukens, Sandra & Leroi-Werelds, Sara, 2016. "Bootstrapping and PLS-SEM: A step-by-step guide to get more out of your bootstrap results," European Management Journal, Elsevier, vol. 34(6), pages 618-632.
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