Adoption and Diffusion of Telemedicine Technology in Health Care Organizations: A Comparative Case Study in Hong Kong

BACKGROUND Women with gestational diabetes mellitus (GDM) require regular follow-ups and overall management to normalize maternal blood glucose and improve pregnancy outcomes. With the advancements made in the digital field, telemedicine is gaining popularity over traditional health care approaches in different medical fields. As for GDM, telemonitoring solutions seem to improve women’s quality of life and enhance self-management. OBJECTIVE The aim of this study is to understand, from patients’ and health care professionals’ (HCPs) perspectives, what drives the adoption and diffusion of a telemonitoring solution (myDiabby) in a context where telemonitoring activities are still not compensated like traditional follow-ups. METHODS The study was conducted in 12 diabetes services in France using myDiabby for monitoring and managing patients with GDM. A qualitative research approach was adopted for collecting and analyzing data. A total of 20 semistructured interviews were conducted with HCPs working in different health structures in France, and 15 semistructured interviews were conducted with patients who had been using myDiabby. Data were analyzed using a thematic analysis approach. RESULTS Different determinants need to be taken into consideration when adopting an innovative health technology. By drawing on the diffusion of innovation theory, a set of factors associated with the technology (the relative advantages, compatibility, ease of use, testability, and observability of the telemedicine platform) has been identified as affecting the adoption and diffusion of telemonitoring solutions in French diabetes services. In addition, data analysis shows a set of environmental factors (the demographic situation of HCPs, the health care access in rural communities, and the economic and political context in France) that also influences the spread and adoption of telemonitoring systems in French hospitals. CONCLUSIONS Even though telemonitoring activities are still not remunerated as traditional follow-ups, many French HCPs support and encourage the adoption of telemonitoring systems in GDM. As for patients, telemonitoring systems are perceived as a useful and easy way to monitor their GDM. This study contributes to recognizing the value of telemonitoring interventions in managing GDM and considering the expansion of telemonitoring to other chronic conditions.

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Competency-based education in the state policy arena: Comparative case study of two neighboring states

Policy Futures in Education ◽

10.1177/14782103211031342 ◽

2021 ◽

pp. 147821032110313

Author(s):

Heather P. Williams ◽

Kathleen Shoup ◽

Marita Diffenbaugh ◽

Kelly Brady

Keyword(s):

Educational Leaders ◽

Career Readiness ◽

Comparative Case Study ◽

College And Career Readiness ◽

Competency Based Education ◽

College And Career ◽

Competency Based ◽

Policy Arena ◽

And Diffusion

Educational leaders and policymakers are reconsidering the role of competency-based education (CBE) to meet the needs of all students, address issues of equity and enduring achievement gaps, and demonstrate college and career readiness outcomes for PK-12 students. This study sought to understand the policy conditions where CBE policies were adopted in two neighboring states as well as describe the two states’ implementation plans for policy diffusion. The study used a comparative case study design to study Idaho and Utah due to their geographic proximity, socioeconomic status, and state legislative structures. We argue that although the policies in both states have many similarities and were passed under similar political conditions within each state’s policy arena, the planned implementation and diffusion of those policies was very different and influenced a divergent population of local education agencies (LEA) in each state. We also explore the role intermediary organizations played in the development and diffusion of policy in both states.

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Social, Political and Ethical Responsibility in Broadband Adoption and Diffusion

Handbook of Research on Global Diffusion of Broadband Data Transmission ◽

10.4018/978-1-59904-851-2.ch015 ◽

2011 ◽

pp. 227-239

Author(s):

Axel Schulz ◽

Bernd Carsten Stahl ◽

Simon Rogerson

Keyword(s):

Ethical Responsibility ◽

Economic Factors ◽

Remote Areas ◽

Adoption And Diffusion ◽

And Diffusion ◽

Socio Economic Factors

There is considerable interest worldwide in broadband diffusion, with research focusing on aspects such as the provision of broadband in remote areas and the socio-economic factors that determine the likelihood of adoption. This chapter identifies the policies and initiatives used to encourage broadband awareness, availability, and adoption. Using the case study of a local broadband initiative in remote and rural Germany, the chapter asks the question of who can and should be responsible for broadband provision, and how such responsibility ascriptions are realized.

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Innovation Theory and its Applicability to Our Understanding of the Diffusion of New Management Practices in Health Care Organizations

Healthcare Management Forum ◽

10.1016/s0840-4704(10)61151-9 ◽

1997 ◽

Vol 10 (1) ◽

pp. 35-38 ◽

Cited By ~ 9

Author(s):

Rhonda Cockerill ◽

Jan Barnsley

Keyword(s):

Health Care ◽

Health Care System ◽

Management Practices ◽

Health Care Organizations ◽

Organizational Structures ◽

Active Role ◽

New Developments ◽

Innovation And Diffusion ◽

And Diffusion ◽

Insight Into

There has been a longstanding interest in understanding how new management practices and organizational structures are diffused through the health care system. This article reviews current literature on innovation and diffusion to provide insight into how new management practices and organizational structures are introduced into the system. Understanding the process may help in accommodating new developments and provide managerial opportunities to take a more active role in encouraging or discouraging their further evolution.

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