Aligning technology and institutional readiness: the adoption of innovation

Abstract

This paper explores and develops the concept of 'readiness' as it relates to the adoption of innovation. In particular, the paper discusses readiness in regard to the notion of 'technology readiness' levels, widely used today by both producers and users to monitor and manage emergent innovation. The paper argues that, while useful, this notion needs to be informed by and subsumed within a broader concept of 'institutional readiness'. The latter is especially important in conceptualising how new technologies are actually adopted in organisational settings. The paper develops a model of institutional readiness that recognises the saliency of technology readiness but which embeds it within a broader sociotechnical framework. This is illustrated with reference to the emerging field of regenerative medicine.

Outcomes-based reimbursement for gene therapies in practice: the experience of recently launched CAR-T cell therapies in major European countries

“…This staggered approach to creating capacity in the clinical infrastructure has been echoed also in primary research as a potential explanation for the relatively modest uptake of the CAR-T cell therapies to date. Institutional readiness [72] is therefore a crucial component to enable timely adoption for advanced therapies after a reimbursement recommendation has been made [73] (e.g., within the statutory 90-day time window operational in England [74]). Thus, early pre-launch engagement with the NHS is needed in order to get the necessary planning and preparations underway.…”

Technology Integration: The Role of the Diabetes Care and Education Specialist in Practice

“…13 Measuring Readiness in the Practice Setting perspectives in practice technology requires understanding of the current organizational alignment, care team engagement, resource capacity, and cultural ability to adapt to change. 36,37 Cultural resistance to change should not be underestimated. Organizational practices, values, professional interests, and resource limitations have been shown to play a larger role in technology implementation and adoption than does the evidence for the technology itself.…”

“…Organizational practices, values, professional interests, and resource limitations have been shown to play a larger role in technology implementation and adoption than does the evidence for the technology itself. 37 The health care system is undergoing rapid change on many fronts. Clinicians and staff often feel overworked and burdened by the systemic changes in health care, and burnout is a prominent and growing problem.…”

Expectativas dos key-users quanto à adoção de sistema de controle financeiro

“…As dificuldades para a adoção de tecnologias inovadoras podem ter relação com o conceito de prontidão para a inovação, tanto da tecnologia quanto da própria organização (Webster, & Gardner, 2019). Para sistemas financeiros, como foi citado, são essenciais para a intenção de uso a segurança e o design, além da facilidade de uso e da utilidade percebida (Lai, 2017).…”

“…Entre os temas mais pesquisados na área de inovação estão o desenvolvimento e a aplicação de tecnologias (Vilela, Alves, Macedo, Werneck, & Ferreira, 2018). A efetiva implantação de sistemas e de tecnologias nas organizações apresenta desafios para os projetos e para uma gestão inovadora (Bozzo, Freitas, & Martens, 2019;Ren, 2019;Webster, & Gardner, 2019;Hoppen, Klein, & Rigoni, 2017). Por exemplo, a falta de análise das variáveis envolvidas na adoção de um novo sistema pode expor qualquer empresa ao risco de desperdiçar parte ou todo o investimento realizado na implantação de novas tecnologias (Marques, Behr, & Malanovicz, 2018).…”