The development of community telecommunication infrastructure: An evaluation of rural telecommunications project

Shin, Dong‐Hee

doi:10.1016/j.ijinfomgt.2008.02.003

Cited by 12 publications

(8 citation statements)

References 16 publications

(5 reference statements)

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“…Internet and social media [25,51-57,59-68] based services are developed for purposes ranging from economic development to empowerment and bridging the digital divide, as shown in the project level studies (n=7). The population level studies (n=11) usually focus on their adoption outcomes, especially social connectivity and access to information.…”

Section: Resultsmentioning

confidence: 99%

“…Although geographical isolation and the specific socioeconomic characteristics of rural communities (contextual factors) in general seem to restrain e-Health implementation, they can also create specific, contextualized needs that can be addressed with e-Health applications [8,12,13,22-25,49,51,52,59,76,78]. A few studies suggest that a needs-based e-Health content may compensate for the contextual factors that restrain e-Health implementation [8,82].…”

Section: Discussionmentioning

confidence: 99%

“…Authors have formulated conditions under which public e-Health applications might be feasible, and suggested ways to provide incentives for private e-Health suppliers [25,48,55,65] (See also the later section on interaction between content and process). However, as these authors applied slightly different definitions of ‘rural’, further research is needed to test the proposed conditions and establish whether technology design can overcome the negative associations with socioeconomic trends.…”

Section: Discussionmentioning

confidence: 99%

“…They present several apparently essential conditions for sustainable rural e-Health implementation, most of which relate to leadership and the development of effective partnerships. While not focusing on sustainability, seven other papers also underline the importance of leadership and partnerships in the implementation process [24,25,65,70,75,80,84]. We will discuss their findings below in order to better understand how e-Health implementation may become sustainable.…”

Section: Discussionmentioning

confidence: 99%

“…While e-Health implementation within organizational settings is known to have adoption problems [21], few studies have addressed the peculiarities and particularities of e-Health in rural communities. Available studies report non- [22,23] or only partial [24,25] adoption. A systematic overview of e-Health implementation factors specific to rural communities, however, is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review

Hage

Roo

Offenbeek

et al. 2013

BMC Health Serv Res

115

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BackgroundAn ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers whether this is so for rural communities. This review identifies the critical implementation factors and, following the change model of Pettigrew and Whipp, classifies them in terms of “context”, “process”, and “content”. Through this lens, we analyze the empirical findings found in the literature to address the question: How do context, process, and content factors of e-Health implementation influence its adoption in rural communities?MethodsWe conducted a systematic literature review. This review included papers that met six inclusion and exclusion criteria and had sufficient methodological quality. Findings were categorized in a classification matrix to identify promoting and restraining implementation factors and to explore whether any interactions between context, process, and content affect adoption.ResultsOf the 5,896 abstracts initially identified, only 51 papers met all our criteria and were included in the review. We distinguished five different perspectives on rural e-Health implementation in these papers. Further, we list the context, process, and content implementation factors found to either promote or restrain rural e-Health adoption. Many implementation factors appear repeatedly, but there are also some contradictory results. Based on a further analysis of the papers’ findings, we argue that interaction effects between context, process, and content elements of change may explain these contradictory results. More specifically, three themes that appear crucial in e-Health implementation in rural communities surfaced: the dual effects of geographical isolation, the targeting of underprivileged groups, and the changes in ownership required for sustainable e-Health adoption.ConclusionsRural e-Health implementation is an emerging, rapidly developing, field. Too often, e-Health adoption fails due to underestimating implementation factors and their interactions. We argue that rural e-Health implementation only leads to sustainable adoption (i.e. it “sticks”) when the implementation carefully considers and aligns the e-Health content (the “clicks”), the pre-existing structures in the context (the “bricks”), and the interventions in the implementation process (the “tricks”).

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