Managing paradoxical tensions in the development of a telemedicine system

IF 5.7 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Information and Organization Pub Date : 2022-03-01 DOI:10.1016/j.infoandorg.2022.100393
Neha Agarwal , Christina Soh , Adrian Yeow
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引用次数: 5

Abstract

The global pandemic has escalated the demand for telemedicine systems across the world, particularly for vulnerable populations such as the elderly in nursing homes. However, challenges in implementation and high failure rates continue to affect the sustainability and capability of telemedicine systems. This study therefore addresses the question of how to sustain and develop telemedicine systems, and offers a conceptual model developed from longitudinal study data and paradox theory. We found that in the inter-organizational context of telemedicine systems, paradoxical tensions arise from conflict between demands and interests of the telemedicine system versus those of its members. We also identified when the specific tensions of belonging, learning, organizing, and performing are likely to occur. These tensions are addressed through responses, initiated by the hub, that address both system and member level demands and interests through creating collaborative governance, uplifting member capabilities, and targeted resourcing. We further demonstrate the temporal dynamics of how the hub's responses create inter-organizational norms and structures that in turn influence responses to tensions in subsequent phases. We examined variations in members' reactions to the responses, and found that they were influenced by member-specific resource factors, suggesting that while the hub does sustain the development of the telemedicine system through addressing common member demands, there are limits with regard to aspects that are more member-specific. Finally, we show how technology can be both enabler-trigger and enabler-response due to its inherent attributes of malleability and reconfigurability.

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管理远程医疗系统发展中矛盾的紧张关系
全球大流行加剧了世界各地对远程医疗系统的需求,特别是对养老院老人等弱势群体的需求。然而,实施方面的挑战和高故障率继续影响远程医疗系统的可持续性和能力。因此,本研究解决了如何维持和发展远程医疗系统的问题,并提供了一个基于纵向研究数据和悖论理论的概念模型。我们发现,在远程医疗系统的组织间背景下,远程医疗系统的需求和利益与成员的需求和利益之间的冲突产生了矛盾的紧张关系。我们还确定了归属、学习、组织和表演等特定紧张关系可能发生的时间。这些紧张关系是通过响应来解决的,由中心发起,通过创建协作治理、提升成员能力和目标资源来解决系统和成员级别的需求和利益。我们进一步展示了枢纽的反应如何创造组织间规范和结构的时间动态,这些规范和结构反过来影响后续阶段对紧张局势的反应。我们检查了成员对回复的反应的差异,发现他们受到成员特定资源因素的影响,这表明虽然中心确实通过解决共同的成员需求来维持远程医疗系统的发展,但在更具体的成员方面存在限制。最后,我们展示了由于技术固有的延展性和可重构性属性,它是如何同时成为促成者-触发者和促成者-响应者的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.20
自引率
1.60%
发文量
18
期刊介绍: Advances in information and communication technologies are associated with a wide and increasing range of social consequences, which are experienced by individuals, work groups, organizations, interorganizational networks, and societies at large. Information technologies are implicated in all industries and in public as well as private enterprises. Understanding the relationships between information technologies and social organization is an increasingly important and urgent social and scholarly concern in many disciplinary fields.Information and Organization seeks to publish original scholarly articles on the relationships between information technologies and social organization. It seeks a scholarly understanding that is based on empirical research and relevant theory.
期刊最新文献
Stability and change in digital transformation: A repertoire model of institutionally embedded technology affordances Virtual social contagion in online support communities Transformed knowledge work infrastructures in times of forced remote work Editorial Board Digital innovation, platforms, and global strategy
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