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Exploring the telemedicine implementation challenges through the process innovation approach: A case study research in the French healthcare sector

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  • Khodadad-Saryazdi, Ali

Abstract

Telemedicine is not a simple technology but a context-dependent innovation implying significant process modifications. Despite the growing interest in telemedicine implementation, it still does not form part of the healthcare organizations' recurrent activities due to several obstacles. The neglect of process change is one of the renowned barriers. This work's originality lies in using the "process innovation" concept as an analytical tool to understand the telemedicine implementation issues from the process change perspective. The qualitative method is chosen based on five telemedicine acts through two case studies in France, a university hospital, and a network of expertise. Findings indicate that implementation requires context adaptation at the level of technology, culture, and strategy. The interaction of these determinants with change enablers and hinders creates the implementation paradigm. In conclusion, we should emphasize the implementation as a whole rather than distinct elements. Managers may prepare the context and integrate the enablers, but the main task is defining an implementation strategy benefiting the stakeholders. This work fills the literature gap in using the process innovation concept to analyze telemedicine implementation challenges and contributes to understanding the context adaptation. It also provides practical implications about the implementation conditions from the process change perspective.

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  • Khodadad-Saryazdi, Ali, 2021. "Exploring the telemedicine implementation challenges through the process innovation approach: A case study research in the French healthcare sector," Technovation, Elsevier, vol. 107(C).
    • Handle: RePEc:eee:techno:v:107:y:2021:i:c:s0166497221000547
    DOI: 10.1016/j.technovation.2021.102273
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    3. Zhang, Xun & Shen, Kathy Ning & Xu, Biao, 2024. "Double-edged sword of knowledge inertia: Overcoming healthcare professionals’ resistance in innovation adoption," Technovation, Elsevier, vol. 133(C).
    4. Aloini, Davide & Benevento, Elisabetta & Stefanini, Alessandro & Zerbino, Pierluigi, 2023. "Transforming healthcare ecosystems through blockchain: Opportunities and capabilities for business process innovation," Technovation, Elsevier, vol. 119(C).
    5. Ruokolainen, Jari & Nätti, Satu & Juutinen, Milla & Puustinen, Juha & Holm, Anu & Vehkaoja, Antti & Nieminen, Hannu, 2023. "Digital healthcare platform ecosystem design: A case study of an ecosystem for Parkinson's disease patients," Technovation, Elsevier, vol. 120(C).
    6. Basile, Luigi Jesus & Carbonara, Nunzia & Pellegrino, Roberta & Panniello, Umberto, 2023. "Business intelligence in the healthcare industry: The utilization of a data-driven approach to support clinical decision making," Technovation, Elsevier, vol. 120(C).
    7. Baudier, Patricia & Kondrateva, Galina & Ammi, Chantal & Chang, Victor & Schiavone, Francesco, 2023. "Digital transformation of healthcare during the COVID-19 pandemic: Patients’ teleconsultation acceptance and trusting beliefs," Technovation, Elsevier, vol. 120(C).
    8. Madhavan, Naveen & White, Gareth R.T. & Jones, Paul, 2023. "Identifying the value of a clinical information system during the COVID-19 pandemic," Technovation, Elsevier, vol. 120(C).
    9. Biancone, Paolo & Secinaro, Silvana & Marseglia, Roberto & Calandra, Davide, 2023. "E-health for the future. Managerial perspectives using a multiple case study approach," Technovation, Elsevier, vol. 120(C).
    10. Viviana Gutiérrez Rincón & Manoj Chandra Bayon & Jose Javier Aguilar Zambrano & Javier Medina Vasquez, 2022. "Exploring the Configuration of Institutional Practices—A Case Study of Innovation Implementation in Healthcare," Sustainability, MDPI, vol. 14(6), pages 1-18, March.
    11. Cannavacciuolo, Lorella & Capaldo, Guido & Ponsiglione, Cristina, 2023. "Digital innovation and organizational changes in the healthcare sector: Multiple case studies of telemedicine project implementation," Technovation, Elsevier, vol. 120(C).
    12. Dicuonzo, Grazia & Donofrio, Francesca & Fusco, Antonio & Shini, Matilda, 2023. "Healthcare system: Moving forward with artificial intelligence," Technovation, Elsevier, vol. 120(C).
    13. Keren Dopelt & Nofar Avni & Yana Haimov-Sadikov & Iris Golan & Nadav Davidovitch, 2021. "Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    14. Shaygan, Amir & Daim, Tugrul, 2023. "Technology management maturity assessment model in healthcare research centers," Technovation, Elsevier, vol. 120(C).
    15. Angelos I. Stoumpos & Fotis Kitsios & Michael A. Talias, 2023. "Digital Transformation in Healthcare: Technology Acceptance and Its Applications," IJERPH, MDPI, vol. 20(4), pages 1-44, February.
    16. Hsu, Wan-Chi Jackie & Lo, Huai-Wei & Lin, Sheng-Wei & Zheng, Yu-Tong, 2024. "Interaction measurement of success factors in the telemedicine development: Using a grey heterogeneous influence and strength attenuation technique," Technology in Society, Elsevier, vol. 77(C).
    17. Kateb, Sanaz & Ruehle, Rebecca C. & Kroon, David P. & van Burg, Elco & Huber, Max, 2022. "Innovating under pressure: Adopting digital technologies in social care organizations during the COVID-19 crisis," Technovation, Elsevier, vol. 115(C).
    18. Abi Saad, Elie & Tremblay, Nathalie & Agogué, Marine, 2024. "A multi-level perspective on innovation intermediaries: The case of the diffusion of digital technologies in healthcare," Technovation, Elsevier, vol. 129(C).
    19. Guilherme Luz Tortorella & Anupama Prashar & Jiju Antony & Flavio S. Fogliatto & Vicente Gonzalez & Moacir Godinho Filho, 2024. "Industry 4.0 adoption for healthcare supply chain performance during COVID-19 pandemic in Brazil and India: the mediating role of resilience abilities development," Operations Management Research, Springer, vol. 17(2), pages 389-405, June.

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