A comparative study of organisational and individual resistance to implementation of e-health technology in France, South Korea, Italy, Great Britain, and the USA
by David Bangert, Robert Doktor
International Journal of Healthcare Technology and Management (IJHTM), Vol. 6, No. 1, 2004

Abstract: Management is the act of co-ordinating and controlling disparate entities so as to achieve common goals. Co-ordination and control have both a formal bureaucratic, structural side and an informal, social, and cultural side. In studies of e-health systems, well-designed formal bureaucratic structures were not sufficient to ensure acceptable utilisation rates of e-health technologies. Qualitative research has yielded organisational, structural and cultural dimensions related to uncertainty avoidance which may explain some of the variance in utilisation rates. Cross-national studies of e-health utilisation and cultural levels of uncertainty avoidance supply evidence of the role this dimension of culture may play in effective e-health implementations. High uncertainty avoidance nations, such as South Korea and France appear to have higher utilisation success in e-health implementations than in low uncertainty avoidance nations such as Great Britain and the United States.

Online publication date: Wed, 07-Jul-2004

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