Digitalisation, Institutions and Governance, and Diffusion: Mechanisms and Evidence

Baccianti, Claudio; Labhard, Vincent; Lehtimäki, Jonne

doi:10.2139/ssrn.4152775

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…The lack of a transparent perspective and political direction, the absence of comprehensive and national strategies and the lack of steady macro-planning are the most important problems in telemedicine governance in developing countries (Surya, 2018). Baccianti et al stated that the relationship between the quality of institutions and governance diffusion and digital technologies had not been addressed in the literature on policy-making (Baccianti et al, 2022). We provided evidence of health digitalization in Iran to show interplay of the diffusion process with the quality of institutions and governance.…”

Section: Popular Diffusion Of Digital Health In Iranmentioning

confidence: 99%

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Popular diffusion as an instrument for overcoming barriers to digital health in Iran: the critical role of the pandemic

Ashtarian¹,

Etemadi²

2023

IJHG

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PurposeThe importance of champion leaders including tech-savvy leaders to digital government has been highlighted in the literature. Meanwhile, what was in the authors’ interest to explore was the role of business-savvy leaders or non-governmental digital champions as units of analysis, those who mobilized people's interest in digitalization and bypassed governmental barriers through this popular mobilization. They could be considered policy entrepreneurs for understanding policy change in the digitalization of the health sector. This study sought to shed light on the barriers and drivers of digital health in Iran.Design/methodology/approachThe researchers conducted interviews with actors of digital health businesses in Iran, including the Health Information Technology Center affiliated to the Ministry of Health and Medical Education (MOHME) administrative body and authorities, private companies active in digital health and health service providers. The purposive sampling method was applied, and 15 experts with relevant and valuable experiences as well as maximum variation to obtain representativeness and rich data were interviewed. Trustworthiness criteria were also used to assure the quality of the results. The data were analyzed based on directed content analysis using the MAXQDA10 software.FindingsIt was found out how popular diffusion was effective to overcome barriers to health digitalization. Access to the internet and diffusion of information technology helped the net-enabled businesses to connect directly to people and provide services to them. Diffusion of these services forced the public sector to adjust itself, and thus MOHME banned digital consultation services because of the so-called “insecure and unknown physicians”, following the increased popularity of digital services diffusion, but they were not able to resist popular diffusion of new technology. Hence, it was allowed to work. The main barriers to telemedicine spreading in Iran have been divided into five main categories including government incapacity for digital health governance, conflict of interest, professional obligations for information transparency, protection of patients' rights and data security and privacy.Originality/valueAs a game changer in digital health governance in Iran, popular diffusion will determine the future of digital health. To the best of the authors’ knowledge, this study is among the first ones to explore digital health governance in relation to the private digital health business in Iran with a public policy approach.

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Section: Popular Diffusion Of Digital Health In Iranmentioning

confidence: 99%

“…Baccianti et al. stated that the relationship between the quality of institutions and governance diffusion and digital technologies had not been addressed in the literature on policy-making (Baccianti et al. , 2022).…”

Section: Introductionmentioning

confidence: 99%

Popular diffusion as an instrument for overcoming barriers to digital health in Iran: the critical role of the pandemic

Ashtarian¹,

Etemadi²

2023

IJHG

View full text Add to dashboard Cite

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“…2 For a summary and references, see for example Anderton and Cette (2021) and Anderton et al (2020). For recent work on the process of digitalisation see Baccianti et al (2022) and Hoffreumon and Labhard (2022).…”

Section: Introductionmentioning

confidence: 99%

Digitalisation, Institutions and Governance, and Growth: Mechanisms and Evidence

Labhard

Lehtimäki²

2022

SSRN Journal

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Enhancing governance efficiency and digital remittances for sustainable development

Saud,

Khan,

Zaidi

et al. 2024

Environ Dev Sustain

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Digitalisation, Institutions and Governance, and Diffusion: Mechanisms and Evidence

Cited by 5 publications

References 34 publications

Popular diffusion as an instrument for overcoming barriers to digital health in Iran: the critical role of the pandemic

Popular diffusion as an instrument for overcoming barriers to digital health in Iran: the critical role of the pandemic

Digitalisation, Institutions and Governance, and Growth: Mechanisms and Evidence

Enhancing governance efficiency and digital remittances for sustainable development

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