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- Gäre, Klas, et al.
(författare)
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Formative Infrastructure for ICT-adoption in SME’s : A Study of Conditions for Progress
- 2008
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Ingår i: Proceedings of the 16<sup>th</sup> European Conference on Information Systems. - Galway, Ireland : National University of Ireland. - 9780955315923 ; , s. 1082-1093
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The focus in this paper is on conditions for ICT use in SMEs expressed as formative infrastructure. Questions concern needs for infrastructure among SMEs, actors roles, and concepts constituting a formative infrastructure for ICT-adoption and use. Few – if any – studies, take the perspective of SMEs’ needs for infrastructure concerning use of ICT. A formative ICT infrastructure is constituted by the identified needs among SMEs, and it contains three parts; (1) sensemaking, (2) sensegiving, and (3) service infrastructures. In SMEs there is less of infrastructure and less of overhead services and these are to be found outside the SME. The adoption processes in SMEs differ from the ones in larger enterprises. ICT adoption is the process where the formative infrastructure is maintained as well as changed by actors enacting this context. SMEs rely more on external relations in a public infrastructure. In dividing ICT infrastructure into two major areas – hard and formative infrastructure, the results indicate that, both are important, but formative ICT infrastructure in SMEs is a less known and a less elaborated concept. When analyzing the need for formative ICT infrastructure, three types, emerge – sensemaking infrastructure, sensegiving infrastructure, and service infrastructure, as three cornerstones of a formative ICT-infrastructure.
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- Keller, Christina, 1961-, et al.
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Designing for Complex Innovations in Health Care : Design Theory and Realist Evaluation Combined
- 2009
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Ingår i: Proceedings of DESRIST '09 the 4th International Conference on Design Science Research in Information Systems and Technology 2009 in Malvern, PA, USA. - : ACM.
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Konferensbidrag (refereegranskat)abstract
- Innovations in health care are often characterized by complexity and fuzzy boundaries, involving both the elements of the innovation and the organizational structure required for a full implementation. Evaluation in health care is traditionally based on the collection and dissemination of evidence-based knowledge stating the randomized controlled trial, and the quasi-experimental study design as the most rigorous and ideal approaches. These evaluation approaches capture neither the complexity of innovations in health care, nor the characteristics of the organizational structure of the innovation. As a result, the reasons for innovations in health care not being disseminated are not fully explained. The aim of the paper is to present a design – evaluation framework for complex innovations in health care in order to understand what works for whom under what circumstances by combining design theory and realist evaluation. The framework is based on research findings of a case study of a complex innovation, a health care quality register, in order to understand underlying assumptions behind the design of the innovation, as well as the characteristics of the implementation process. The design - evaluation cycle is hypothesized to improve the design and implementation of complex innovation by using program/kernel theories to develop design propositions, which are evaluated by realistic evaluation, resulting in further refinement of program/kernel theories. The goal of the design – evaluation cycle is to provide support to implementers and practitioners in designing and implementing complex innovations in health care. As a result, the design – evaluation cycle could provide opportunities of improving dissemination of complex innovations in health care.
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