IDEAS home Printed from https://ideas.repec.org/p/iim/iimawp/14601.html
   My bibliography  Save this paper

Whose Empowerment? National Digital Infrastructure and India’s Healthcare sector

Author

Listed:
  • Chandwani, Rajesh
  • Edacherian, Saneesh
  • Sud, Mukesh

Abstract

Patient-centric digital infrastructure can potentially enhance the efficiency of the healthcare systems. Even in developed nations evidence suggests low adoption rates for such infrastructure. The Indian government, piggybacking off biometric identity, is setting up digital infrastructure to enable the provision of universal healthcare. Invoking an information ecology perspective, we investigate the physician’s perception to this initiative. We find that, equipped with a unique patient identifier and stakeholders’ registry, this initiative is perceived to be a game changer and could significantly impact the power dynamics in the healthcare sector. Physicians, who are the key stakeholders in this initiative, are skeptical about the change in the locus of the power, with power residing in ‘data’ rather than ‘professional expertise’. The changes are expected to manifest through monitoring, controlling and managing the data rather than the provision of knowledge-based services. We present recommendations for the design and implementation of this large-scale patient-centric digital infrastructure.

Suggested Citation

  • Chandwani, Rajesh & Edacherian, Saneesh & Sud, Mukesh, 2019. "Whose Empowerment? National Digital Infrastructure and India’s Healthcare sector," IIMA Working Papers WP 2019-02-01, Indian Institute of Management Ahmedabad, Research and Publication Department.
    • Handle: RePEc:iim:iimawp:14601
    as

    Download full text from publisher

    File URL: https://www.iima.ac.in/sites/default/files/rnpfiles/12699366492019-02-01.pdf
    File Function: English Version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wanda J. Orlikowski & Jack J. Baroudi, 1991. "Studying Information Technology in Organizations: Research Approaches and Assumptions," Information Systems Research, INFORMS, vol. 2(1), pages 1-28, March.
    2. Basmah Almoaber & Daniel Amyot, 2017. "Barriers to Successful Health Information Exchange Systems in Canada and the USA: A Systematic Review," International Journal of Healthcare Information Systems and Informatics (IJHISI), IGI Global, vol. 12(1), pages 44-63, January.
    3. Fox, N.J. & Ward, K.J. & O'Rourke, A.J., 2005. "The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet," Social Science & Medicine, Elsevier, vol. 60(6), pages 1299-1309, March.
    4. McGivern, Gerry & Fischer, Michael D., 2012. "Reactivity and reactions to regulatory transparency in medicine, psychotherapy and counselling," Social Science & Medicine, Elsevier, vol. 74(3), pages 289-296.
    5. Fayard, Dutch & Lee, Lorraine S. & Leitch, Robert A. & Kettinger, William J., 2012. "Effect of internal cost management, information systems integration, and absorptive capacity on inter-organizational cost management in supply chains," Accounting, Organizations and Society, Elsevier, vol. 37(3), pages 168-187.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elbanna, Amany & Newman, Mike, 2022. "The bright side and the dark side of top management support in Digital Transformaion –A hermeneutical reading," Technological Forecasting and Social Change, Elsevier, vol. 175(C).
    2. Aaltonen, Aleksi Ville & Alaimo, Cristina & Kallinikos, Jannis, 2021. "The making of data commodities: data analytics as an embedded process," LSE Research Online Documents on Economics 110296, London School of Economics and Political Science, LSE Library.
    3. Fischer, Michael Daniel & Ferlie, Ewan, 2013. "Resisting hybridisation between modes of clinical risk management: Contradiction, contest, and the production of intractable conflict," Accounting, Organizations and Society, Elsevier, vol. 38(1), pages 30-49.
    4. Wanda J. Orlikowski & C. Suzanne Iacono, 2001. "Research Commentary: Desperately Seeking the “IT” in IT Research—A Call to Theorizing the IT Artifact," Information Systems Research, INFORMS, vol. 12(2), pages 121-134, June.
    5. Marie-José Avenier & Catherine Thomas, 2015. "Finding one's way around various methodological guidelines for doing rigorous case studies: A comparison of four epistemological frameworks [Se frayer un chemin parmi les différentes recommandation," Post-Print halshs-01491454, HAL.
    6. Chen, Wenshin & Bennett, David, 2013. "Gaining social values of wireless technology: An interpretive case study in the healthcare institutional context," International Journal of Information Management, Elsevier, vol. 33(5), pages 802-809.
    7. Carlos A. Osorio & Dov Dori & Joseph Sussman, 2011. "COIM: An object‐process based method for analyzing architectures of complex, interconnected, large‐scale socio‐technical systems," Systems Engineering, John Wiley & Sons, vol. 14(4), pages 364-382, December.
    8. Neumeier, Stefan, 2017. "Modellvorhaben chance.natur - Endbericht der Begleitforschung," Thünen Reports 51, Johann Heinrich von Thünen Institute, Federal Research Institute for Rural Areas, Forestry and Fisheries.
    9. Archer, Julian & Nunn, Suzanne & Regan de Bere, Sam, 2017. "The McDonaldization of appraisal? Doctors’ views of the early impacts of medical revalidation in the United Kingdom," Health Policy, Elsevier, vol. 121(9), pages 994-1000.
    10. Cătălina Sitnikov & Anca Băndoi & Ionuț Riza, 2019. "Management of Systems from a Cybernetic Perspective," Ovidius University Annals, Economic Sciences Series, Ovidius University of Constantza, Faculty of Economic Sciences, vol. 0(2), pages 582-588, December.
    11. Nagy, A., 2009. "Adoption of interorganizational information systems : The adoption position model," Other publications TiSEM af471297-bf03-43bf-88c1-4, Tilburg University, School of Economics and Management.
    12. Umair Baig & Dr. Muhammad Arsalan Hashmi & Syed Babar Ali & Dr. Saba Zehara, 2020. "Exploratory Sequential Mixed Methods In Doctorate Research: Extended Application Of Constructivist Grounded Theory," IBT Journal of Business Studies (JBS), Ilma University, Faculty of Management Science, vol. 16(2), pages 47-65.
    13. Prior, Lindsay & Evans, Meirion R. & Prout, Hayley, 2011. "Talking about colds and flu: The lay diagnosis of two common illnesses among older British people," Social Science & Medicine, Elsevier, vol. 73(6), pages 922-928, September.
    14. Philippe Batifoulier & John Latsis & Jacques Merchiers, 2010. "Les priorités de la prise en charge financière des soins. Une approche par la philosophie du besoin," EconomiX Working Papers 2010-2, University of Paris Nanterre, EconomiX.
    15. Aleksi Aaltonen & Marta Stelmaszak, 2024. "The Performative Production of Trace Data in Knowledge Work," Information Systems Research, INFORMS, vol. 35(3), pages 1448-1462, September.
    16. Alexander Brem & Pierre Wolfram, 2017. "Organisation of new product development in Asia and Europe: results from Western multinationals R&D sites in Germany, India, and China," Review of Managerial Science, Springer, vol. 11(1), pages 159-190, January.
    17. Ismail Moumouni & Mohamed N. Baco & Latifou Idrissou, 2019. "Towards a Re-Conceptualization of the Pathway of Agricultural Technology for a Better Impact Assessment," International Journal of Publication and Social Studies, Asian Economic and Social Society, vol. 4(2), pages 123-131, June.
    18. Rob Gleasure & Kieran Conboy & Lorraine Morgan, 2019. "Talking Up a Storm: How Backers Use Public Discourse to Exert Control in Crowdfunded Systems Development Projects," Information Systems Research, INFORMS, vol. 30(2), pages 447-465, June.
    19. O'Connor, Neale G. & Schloetzer, Jason D. & Romero, Jorge & Wu, Anne, 2022. "How multi-sourcing can influence management control: Case study evidence from the electronic products supply chain," The British Accounting Review, Elsevier, vol. 54(5).
    20. Taj, Saud A., 2016. "Application of signaling theory in management research: Addressing major gaps in theory," European Management Journal, Elsevier, vol. 34(4), pages 338-348.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iim:iimawp:14601. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/eciimin.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.