E-health, health systems and social innovation

a cross-national study of telecare diffusion

Alexander Brem, Sophie Isabel Sliwa*, Nivedita Agarwal, Sascha Kraus

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

This paper explores telecare as one of the practical applications in the field of e-health. Using 11 expert interviews the study evaluates development of cross-national analogies between the different institutional contexts of health systems in Germany, Austria, and Denmark. Telecare is treated as a set of ideas regarding future processes in health and home care services, involving technological solutions, starting to change stakeholders' behaviour, work practices, and social roles. A system-centric framework is proposed to evaluate the interdependencies between telecare, the changing relationships, and the institutional context. Complexity and documentation requirements were identified as major hindrances to the improvement of efficiency and quality of health outcomes in Austria and Germany. On the contrary, in Denmark, governmental guidance supporting patient-centered approaches was found to be driving socially innovative solutions. Implications for research and practice, as well as future research directions, are elaborated.

Original languageEnglish
JournalInternational Journal of Foresight and Innovation Policy
Volume12
Issue number4
Pages (from-to)171-197
ISSN1740-2816
DOIs
Publication statusPublished - 2017

Fingerprint

Innovation
Health
Institutional context
Social innovation
Denmark
E-health
System innovation
Cross-national study
Germany
Austria
Healthcare
Home care
Work practices
Stakeholders
Documentation
Guidance
Research directions
Interdependencies
Health outcomes
Cross-national

Keywords

  • Complex systems
  • Health system
  • Home care services
  • Social innovation
  • Social roles
  • Technological change
  • Telecare

Cite this

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title = "E-health, health systems and social innovation: a cross-national study of telecare diffusion",
abstract = "This paper explores telecare as one of the practical applications in the field of e-health. Using 11 expert interviews the study evaluates development of cross-national analogies between the different institutional contexts of health systems in Germany, Austria, and Denmark. Telecare is treated as a set of ideas regarding future processes in health and home care services, involving technological solutions, starting to change stakeholders' behaviour, work practices, and social roles. A system-centric framework is proposed to evaluate the interdependencies between telecare, the changing relationships, and the institutional context. Complexity and documentation requirements were identified as major hindrances to the improvement of efficiency and quality of health outcomes in Austria and Germany. On the contrary, in Denmark, governmental guidance supporting patient-centered approaches was found to be driving socially innovative solutions. Implications for research and practice, as well as future research directions, are elaborated.",
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E-health, health systems and social innovation : a cross-national study of telecare diffusion. / Brem, Alexander; Sliwa, Sophie Isabel; Agarwal, Nivedita; Kraus, Sascha.

In: International Journal of Foresight and Innovation Policy, Vol. 12, No. 4, 2017, p. 171-197.

Research output: Contribution to journalJournal articleResearchpeer-review

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