| 1. |
- Carlsson, Bo, et al.
(författare)
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European industrial transformation : the effects of digitization
- 2011
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Ingår i: Proceedings of the 13th Swedish network for European studies in economics and business conference. ; , s. 1-41
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This paper reviews the impact of digitization and information technology over several decades in four industries representing a cross-section of the entire economy. It is based on in-depth studies of the raw material production, manufacturing, retailing, and public service sectors in Sweden. The focus is on the content of industrial transformation in the form of new and improved products, improved processes, changed organizational structures, and redefined industry boundaries. Some of these changes are measurable in terms of their economic impact, but most are not. We find that digitization has been a gradual and iterative process involving interrelated technological and organizational changes. This confirms the findings in previous studies that Sweden is the leading country in Europe in adopting IT and may help to explain Sweden’s successful economic performance over the last decade or so.
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| 2. |
- Fryk, Pontus, et al.
(författare)
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A modern process perspective, process mapping, and simulation in health care : Opportunities and IT infrastructural needs
- 2010
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Ingår i: Proceedings of 2010 IEEE Workshop on Health Care Management (WHCM). - 9781424449989 - 9781424449972 ; , s. 1-6
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Konferensbidrag (refereegranskat)abstract
- Today, health care organizations often claim that theyare “process oriented”, and that one should approach health carefrom a process perspective in order to utilize the present ITrelated benefits; such as increased service quality, cost efficiency,and enhanced communication. In this paper we investigate howwell founded the concept of process orientation really is – byexamining IT/IS infrastructures, and procedures for processdefinition, visualization, and evaluation – at a prominent hospitalin Stockholm, Sweden. A case study of the organization and theinteraction of the emergency and radiology departments at thesame hospital (using process mapping and data analysis) revealsdata fragmentation, incompatible data, and disparateinformation systems. This results in difficulties regarding processdefinition and analysis, which makes the use of innovative toolssuch as simulation, problematic. The implications of this, and thecontextual factors, are also discussed and some finalrecommendations for smooth digitization are put forth.Today, health care organizations often claim that theyare “process oriented”, and that one should approach health carefrom a process perspective in order to utilize the present ITrelated benefits; such as increased service quality, cost efficiency,and enhanced communication. In this paper we investigate howwell founded the concept of process orientation really is – byexamining IT/IS infrastructures, and procedures for processdefinition, visualization, and evaluation – at a prominent hospitalin Stockholm, Sweden. A case study of the organization and theinteraction of the emergency and radiology departments at thesame hospital (using process mapping and data analysis) revealsdata fragmentation, incompatible data, and disparateinformation systems. This results in difficulties regarding processdefinition and analysis, which makes the use of innovative toolssuch as simulation, problematic. The implications of this, and thecontextual factors, are also discussed and some finalrecommendations for smooth digitization are put forth.
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| 3. |
- Fryk, Pontus, et al.
(författare)
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A Modern Process Perspective, Process Mapping, and Simulation in Health Care : Opportunities and IT Infrastructural Needs
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Many of the anticipated benefits from IT investments in health care have still not materialized. This is certainly true in many industries and organizations, and the reasons behind this development are many. However, health care is somewhat special in the sense that most health care organizations are still functional organizations, instead of focusing on patient value through the entire care process. This, together with questionable IT handling, might begin to explain why possible IT benefits in health care, still, are elusive. Furthermore, today, health care professionals and managers – especially on top managementl evels – often claim that their organizations in fact are “process oriented”, and that one should approach health care from a process perspective in order to utilize the present IT related benefits; such as increased service quality, cost efficiency, and enhanced communication. In this paper we investigate how well founded the concept of process orientation really is – by examining IT/IS infrastructures, and procedures for process definition, visualization, andevaluation – at a prominent hospital in Stockholm, Sweden. A case study ofthe organization and interaction of the emergency and radiology departments at the same hospital (using process mapping and data analysis) reveals data fragmentation, incompatible data, and disparate information systems. Resulting in difficulties regarding process definition and analysis. This, in turn, makes the use of innovative IT-based tools such as simulation, problematic. The implications of this, and the contextual factors, are also discussed and some final recommendations for smooth digitization are put forth.
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| 4. |
- Fryk, Pontus, 1979-
(författare)
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Beyond IT and Productivity : Effects of Digitized Information Flows in Health Care
- 2007
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Denna avhandling undersöker hur investeringar i IT, och digitaliseringen av informationsflöden, har påverkat produktiviteten inom sjukvården. Genom empiriska undersökningar av avgränsade sjukvårdsprocesser – samt diskussioner baserade på idéer och teorier relaterade till ekonomi, ”produktivitetsparadoxen”, så kallade General Purpose Technologies (GPTs), och medicinsk informatik – detekteras och analyseras effekter av digitaliseringen.Produktivitetsparadoxen – vilken ställer frågan varför tidigare omfattande investeringar i IT till synes inte har genererat de förväntade produktivitetsökningarna – är en viktig utgångspunkt i föreliggande studie. Forskare har dryftat detta dilemma i många år menhittills har inga fullständigt tillfredsställande förklaringar lagts fram. Detta beror till stor del på att tidigare forskning huvudsakligen har inriktat sig på makroekonomisk statistik och aggregerade data, vilket har resulterat i otydliga eller ofullständiga slutsatser angående IT och ekonomisk tillväxt. För att verkligen beskriva effekterna av digitaliseringen är denna forskning istället baserad på undersökningar på mikronivå (organisations- eller avdelningsnivå) ur ett historiskt och kvalitativt perspektiv.En annan viktig tanke som genomsyrar denna avhandling är att för snäva definitioner av IT och produktivitet har bidragit till förbiseende av många nyttor till följd av digitalisering. Därför utvidgas termen IT här till att inkludera teknologi för att samla, lagra, bearbeta, återfå och kommunicera data, text, bilder och tal. Dessutom omfattar denna definition både administrativ och inbäddad IT. Vidare ifrågasätts de traditionella definitionerna av produktivitet, och begreppet ges en bredare betydelse för att fånga upp alla möjliga nyttor och/eller nackdelar som kan härledas till IT investeringar.Resultaten och analysen som presenteras i denna studie visar att produktiviteten inom sjukvården har ökat enormt tack vare IT-investeringar. Generellt sett så har sjukvårdsprocesserna snabbats upp avsevärt, sjukvårdskvaliteten har förbättrats, och kostnadseffektiviteten har ökat. Med andra ord, genom att introducera nya tankar gällande produktivitetsparadoxen, har fler effekter kunnat detekteras och analyseras. Det finns emellertid också många problem förknippade med implementering, användande och spridning av IT, vilka ges tillbörlig uppmärksamhet i denna undersökning.I förlängningen bidrar analysen av digitaliseringseffekterna till en ökad förståelse för hur IT-fieringen” av modern sjukvård påverkar dess produktivitet i form av exempelvis bättre (och även helt nya) behandlingsmetoder, förkortad konvalescens och snabbare patientflöden. Vidare ges förslag på hur implementeringsförfaranden kan skötas smidigare än tidigare, vilka problem relaterade till digitalisering som bör beaktas och lösas, samt vilka möjliga framtida nyttor som skulle kunna realiseras och hur.Detta torde vara av intresse för yrkesverksamma inom sjukvården, patienter, politiker som kall besluta om sjukvård, och även samhället i stort. Det övergripande målet med avhandlingen är således att underlätta utvecklingen mot en alltmer digitaliserad – och förhoppningsvis därav förbättrad – sjukvård genom att fördjupa förståelsen för relationen mellan IT och produktivitet.
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| 5. |
- Fryk, Pontus, 1979-, et al.
(författare)
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Bibliometric Study of Academic Interaction: IT, Organization, and Change
- 2009
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Ingår i: AMCIS 2009 Proceedings. - : AMCIS (Americas Conference on Information Systems). - 9781615675814
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Konferensbidrag (refereegranskat)abstract
- This paper explores the degree and nature of the research interaction between the academic fields of Information Technology, Organization, and Organizational Change. This is done so as to see if, and how, the highly digitized modern business world is reflected in related research. The paper analyses 9.669 articles published in 1995-2006 that are derived from major journals within each field. Then the articles are reviewed through the use of the bibliometric methods: frequency, cross-reference, co-citation, shared references, and network analyses. The findings detect a dearth of consistent research interaction between the fields of Information Technology, Organization, and Organizational Change. This fact is critiqued on the basis of previous practical and academic calls for interactional research. The paper provides important insights about the degree and nature of the research interaction and, in addition, recommendations and guidelines for future cross-fertilization between the academic fields are provided.
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| 6. |
- Fryk, Pontus, et al.
(författare)
-
Differentiation of IT-strategy in health care: beyond IT alignment
- 2010
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Ingår i: Uppsala Public Management seminar.
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Konferensbidrag (refereegranskat)abstract
- Information systems are playing a key role in the public management of health care as they have the potential to improve quality, efficiency, and patient care. Researchers as well as practitioners recurrently contend that a health care organization’s IS strategy should be aligned with the organization’s objectives and strategy, a notion commonly known as IT-alignment. This paper argues that such studies often views IT as one single and monolithic technological artefact and disregards that there are many types of IT depending of context, purpose and functionality. This perspective was also evident in the empirical data in our study. Therefore, this paper tries to develop a conceptualisation of different kinds of IT in health care that can used as a “sensitizing device” during corporate discussions of IT-investments. The findings are based on a longitudinal study of six health care organizations in the Stockholm metropolitan area. The empirical data collection was conducted during the years 2005-2010 through interviews, focus groups, observations, and archival data. The theoretical contribution is that this paper provides a new perspective beyond the IT alignment perspective in health care. The empirical contribution is constituted by showing how hospitals can re-think their approach to their IT-strategy and in doing so improve its service quality, efficiency, and patient care.
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| 7. |
- Fryk, Pontus, 1979-
(författare)
-
Modern Perspectives on the Digital Economy : With Insights From the Health Care Sector
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- During the last decades, extensive investments in IT have been made more or less within the majority of the existing industries. This development presents both opportunities and risks with regard to organization and change. The main purpose of this thesis is to investigate these new conditions spawned by digitization, and to examine why many of the anticipated benefits have failed to come about. This is done through historical and contemporary studies – together with informed speculations about the future – with health care as the empirical setting. The research presented here consists of four articles and a revised licentiate thesis. The findings from the studies suggest that despite both academic and practical calls for research that simultaneously considers IT, digitization, organization and organizational change – there is still a lack of such efforts. Furthermore, the results indicate that IT has to be contextualized and broken down into sub-types, a taxonomy or typology, depending on the specific situation. Also, the present stage of digitization determines the conditions for utilization of IT. This also has to be considered. Another conclusion is that digitization, in fact, has lead to increases in productivity. But traditional financial measures are not always suitable for measuring the impact of IT on productivity. The first steps towards being able to really measure the effects from IT and digitization are to establish common standards and nomenclatures in organizations, and to consolidate existing IT systems so that they generate compatible and informative data and information. By doing this organizations are also better suited to define, visualize, measure and evaluate important processes. In turn, they can start becoming truly process oriented. The thesis presents some possible modern implications from IT and digitization as well. For instance, simulation and digital reward systems can be fruitful management tools. They do however demand a compatible and well thought through IT infrastructure and that the generated data and information is aligned with the overall strategies and visions. The empirical component of this research is based on the health care sector in Sweden, which is one area. However, it is argued that the findings are relevant to other industries as well. This because most large and complex organizations that deal with IT and change run into the problems and opportunities discussed in the presented studies. If we really come to understand how IT-implementations affect organization and change – and vice versa – huge benefits can be realized. The treatment of patients and the situation for medical staff can be improved. Also, the national economy can be boosted due to various export advantages and better public health. Similar benefits can also be achieved in other types of organizations. Through its holistic and pluralistic approach regarding research and methodology, together with the rich empirical descriptions, the thesis presents original and valuable insights for both academics and practitioners. It primarily puts forth investigations of the implications of the reciprocal relationship between IT and digitization on the one hand, and organization and organizational change on the other.
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| 8. |
- Fryk, Pontus
(författare)
-
Reward Systems in the Post Digitization era : Possible Benefits and Risks
- 2009
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Ingår i: Electronic Journal of Information Systems Evaluation. - 1566-6379. ; 12:1, s. 51-58
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Tidskriftsartikel (refereegranskat)abstract
- The last decades have been characterized by extremely intense digitization. Large companies and organizations worldwide have made significant investments in administrative and embedded IT together with advanced Internet solutions. Today, however, most establishments are already highly digitized, which affects the conditions for work and organizations’ forms and functions. Thus, based on an empirical investigation of the health care sector, this paper addresses the notion of the post digitization era through specifically examining IT-based reward systems. This, of course, is not a novel phenomenon – but new ways of using the reward system concept, together with IT and original ideas, in order to increase efficiency, effectiveness, and productivity, are considered. This, in turn, might have great implications concerning core strategies and the organization of work. In order to fulfill the paper’s purpose of identifying possible benefits and risks associated with digital reward systems – especially in health care – a case study built on semi-structured interviews was performed. The findings of this study indicate that there are several possible fields of innovative application – including both developments of existing solutions and potential future utilizations – with regard to digital reward systems in health care. Moreover, in order for reward system implementations to be successful – organizations have to define, measure, valuate and evaluate input/outputand performance appropriately. The process of doing so is also affected by the present stage of digitization. This too is contemplated throughout the paper. Finally, important associated matters such as risk-reward trade-offs and quantity versus quality are discussed. The results presented in this paper are based on a limited material. Still, they are valuable and original because of the empirical foundation derived from an important industry/sector. Furthermore, they illustrate modern implications of reward systems in highly digitized contexts and put forth novel views on possible fields of application of IT-based reward systems, with associated potential benefits and risks.
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| 9. |
- Iveroth, Einar, 1976-, et al.
(författare)
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Information technology strategy and alignment issues in health care organizations
- 2013
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Ingår i: Health Care Management Review. - : Lippincot Williams. - 0361-6274 .- 1550-5030. ; 38:3, s. 188-200
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Tidskriftsartikel (refereegranskat)abstract
- Background: Information technology (IT) plays a key role in public health care management because it could improve quality, efficiency, and patient care. Researchers and practitioners repeatedly contend that a health care organization's information systems strategy should be aligned with its objectives and strategies, a notion commonly known as IT alignment.Purpose: Actor-related IT alignment issues in health care institutions were explored in this study. More specifically, it explores the possibility of moving beyond the current IT alignment perspective and, in so doing, explores whether IT alignment-as currently conceptualized in the dominant body of research-is sufficient for attaining improved quality, efficiency, and patient care in health care organizations.Methods: The findings are based on a qualitative and longitudinal study of six health care organizations in the Stockholm metropolitan area. The empirical data were gathered over the 2005-2011 period from interviews, a focus group, observations, and archival material.Findings: The data suggest recurrent misalignments between IT strategy and organizational strategy and operations due to the failure to deconstruct the IT artifact and to the existence of various levels of IT maturity.Conclusions: A more complex picture of IT alignment in health care that goes beyond the current perspective is being offered by this study. It argues that the previously common way of handling IT as a single artifact and applying one IT strategy to the entire organizational system is obsolete.Managerial Implications: The article suggests that considerable benefits can be gained by assessing IT maturity and its impact on IT alignment. The article also shows that there are different kinds of IT in medical care that requires diverse decisions, investments, prioritizations, and implementation approaches.
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| 10. |
- Iveroth, Einar, et al.
(författare)
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The Emergent View of IT and Organizational Change
- 2009
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Ingår i: 15th Americas Conference on Information Systems (AMCIS),San Francisco, California, US, 2009.
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Konferensbidrag (refereegranskat)abstract
- In the modern business world, it is impossible to distinguish between technologyand organization. All activities are somehow supported by technology and thenature and structure of organizations influence the technological development.For that reason, it is crucial to recognize the reciprocal relationship betweentechnology and organization, and acknowledge the phenomena as highlyintertwined. This is the case in practice but it should also be reflected in associatedresearch. In this paper, a bibliometric approach serves as the foundation for astudy of whether a dynamic view of technology and organization is representedin affiliated scientific writings the last decade. More specifically, research inconnection to information technology and organizational change is considered.The results from the investigation paint a scattered picture lacking clearindications of a tendency suggesting a move from a deterministic, and towardsan emergent scientific view of these concepts.
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