Development af a reflexivity model to stimulate improvement and innovation of telemedicine in a health care organization

Wierenga, Mark (2014) Development af a reflexivity model to stimulate improvement and innovation of telemedicine in a health care organization. thesis, Other studies (UMCG).

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Abstract

Introduction The aim of this thesis is to stimulate the improvement and innovation of consultation by telemedicine in a health care organization. In spite of the interest of health care organizations in the adoption of telemedicine to support physician’s practices or to extend existing services, most telemedicine initiatives do not survive the research phase or they become a failure in daily practice. One reason might be found in the single channel design of these initiatives, for implementing consultation by telemedicine indicates a multi-channel design. Another reason for the low adoption rate of telemedicine initiatives can be the innovation teams. The problem with teams is that they tend to behave in habitual ways, even when faced with evidence that this behavior might be dysfunctional in reaching team goals. An option to break this habitual way is by stimulating team reflexivity. Therefore the goal of this paper is to build a reflexivity model which incorporates the multi-channel approach. Method To build the reflexivity model, the Action Design Research of Sein et al. (2010) was used. First six influence factors on team reflexivity and four dimensions of the multi-channel approach were distinguished. Current innovation projects where interviewed to determine how these factors and dimensions where present in the teams. Results The findings suggested that a need for a facilitator, a connector, a mediator and a provider of knowledge. The finding also indicated a lack of a multi-channel approach in the teams. From these findings the research formed model requirements, on which the reflexivity model was designed. The model was evaluated by a feedback group and finalized based on their comments. The model stimulates the reflexive behavior and the use of the multi-channel approach in teams. Conclusion This will lead to the actual adoption of telemedicine and for a more efficient consultation service. Therefore it is believed that by using this model the use of telemedicine for consultation can be stimulated or improved

Item Type:	Thesis (Thesis)
Supervisor name:	Brilstra, mw. S.
Supervisor name:	Broekhuis, dr. H.
Faculty:	Economics and Business
Keywords:	physicians-patient consultations, multi-channel approach, team reflexitivity, Team Work, telemedicine
Date Deposited:	25 Jun 2020 10:51
Last Modified:	25 Jun 2020 10:51
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1163

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