Interpretive Flexibility Along the Innovation Decision Process of the UK NHS Care Records Service (NCRS)

2007 ◽  
Vol 3 (2) ◽  
pp. 1-12
Author(s):  
Anastasia Papazafeiropoulou ◽  
Reshma Gandecha
2008 ◽  
pp. 2452-2462
Author(s):  
Anastasia Papazafeiropoulou ◽  
Reshma Gandecha

Interpretive flexibility is a term used to describe the diverse perspectives on what a technology is and can or can not do during the process of technological development. In this article, we look at how interpretive flexibility manifests through the diverse perceptions of stakeholders involved in the diffusion and adoption of the NHS Care Records Service (NCRS). Our analysis shows that while the policy makers acting upon the application of details related to the implementation of the system, the potential users are far behind the innovation decision process, namely at the knowledge or persuasion stages. We use data from a local heath authority from a county close to London. The research explores, compares, and evaluates contrasting views on the systems implementation at the local as well as national level. We believe that our analysis is useful for NCRS implementation strategies, in particular, and technology diffusion in large organisations, in general.


Author(s):  
Anastasia Papazafeiropoulou ◽  
Reshma Gandecha

Interpretive flexibility is a term used to describe the diverse perspectives on what a technology is and can or can not do during the process of technological development. In this chapter, we look at how interpretive flexibility manifests through the diverse perceptions of stakeholders involved in the diffusion and adoption of the NHS Care Records Service (NCRS). Our analysis shows that while the policy makers acting upon the application of details related to the implementation of the system, the potential users are far behind the innovation decision process, namely at the knowledge or persuasion stages. We use data from a local heath authority from a county close to London. The research explores, compares, and evaluates contrasting views on the systems implementation at the local as well as national level. We believe that our analysis is useful for NCRS implementation strategies, in particular, and technology diffusion in large organisations, in general.


Author(s):  
Scott Bingley ◽  
Steven Burgess

This chapter describes the development of a visual aid to depict the manner in which Internet applications are being diffused through local sporting associations. Rogers’ (2003) Innovation-Decision process stages, specifically the knowledge, persuasion, adoption and confirmation stages, are used as the theoretical basis for the aid. The chapter discusses the Innovation-Decision process as an important component of Rogers’ (2003) Innovation Diffusion approach. It then outlines the particular problem at hand, determining how best to represent different sporting (cricket) associations and their adoption and use of Internet applications across the innovation-decision process stages. Different data visualisation approaches to representing the data (such as line graphs and bar charts) are discussed, with the introduction of an aid (labelled I-D maps) used to represent the adoption of different Internet applications by cricket associations in New Zealand, Australia and the UK. The Internet applications considered are email, club websites, association and/or third party websites and the use of the Internet to record online statistics. The use of I-D maps provides instant interpretation of the different levels of adoption of Internet applications by different cricket associations.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Barry Gledson

Purpose The purpose of this study is to establish an enhanced model of the innovation-decision process (IDP), specifically for construction. An enhanced model of the innovation-decision process (IDP), specifically for construction is established. As context, innovation diffusion theory (IDT) is concerned with explaining how some innovations successfully stick whilst others fail to propagate. Because theoretical models provide abstracted representations of systems/phenomena, established IDT models can help decision-making units with innovation-related sense-marking and problem-solving. However, these occasionally fail or require enhancement to represent phenomena more successfully. This is apparent whenever middle-range theory seems ill-fitted to the complexity of construction. Design/methodology/approach Qualitative research via 13 semi-structured interviews occurred, with participants recruited via convenience and purposive sampling strategies. The study forms part of a broader mixed-method study (n = 246) informed by a research philosophy of pragmatism, investigating the applicability of classic IDT to the adoption of four-dimensional (4D) building information modelling (4D BIM) by the UK construction sector. Findings This diffusion study resulted in the adaptation of an existing IDP model, ensuring a better contextual fit. Classified more specifically as a modular-technological-process innovation, 4D BIM with its potential to provide construction planning improvements is used as a vehicle to show why, for construction, an existing model required theoretical extensions involving additional stages, decision-action points and outcomes. Research limitations/implications This model can assist construction industry actors with future adoption/rejection decisions around modular-technological-process innovations. It also aids the understanding of scholars and researchers, through its various enhancements and by reinforcing the importance of existing diffusion concepts of compatibility and trialability, for these innovation types. Originality/value An enhanced model of the IDP, specifically for construction, is established. This construction-centric contribution to IDT will be of interest to construction scholars and to practitioners.


2000 ◽  
Vol 111 (1) ◽  
pp. 78-90 ◽  
Author(s):  
C. R. M. Hay ◽  
T. P. Baglin ◽  
P. W. Collins ◽  
F. G. H. Hill ◽  
D. M. Keeling

2006 ◽  
Vol 175 (4S) ◽  
pp. 476-477
Author(s):  
Freddie C. Hamdy ◽  
Joanne Howson ◽  
Athene Lane ◽  
Jenny L. Donovan ◽  
David E. Neal

2006 ◽  
Vol 175 (4S) ◽  
pp. 210-210
Author(s):  
◽  
Freddie C. Hamdy ◽  
Athene Lane ◽  
David E. Neal ◽  
Malcolm Mason ◽  
...  
Keyword(s):  

2003 ◽  
Vol 2 (1) ◽  
pp. 131
Author(s):  
A ZAPHIRIOU ◽  
S ROBB ◽  
G MENDEZ ◽  
T MURRAYTHOMAS ◽  
S HARDMAN ◽  
...  

Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 268-272
Author(s):  
Sean Cross ◽  
Dinesh Bhugra ◽  
Paul I. Dargan ◽  
David M. Wood ◽  
Shaun L. Greene ◽  
...  

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.


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