Identifying micro-level generative mechanisms of ICT-enabled performance improvement in resource-constrained healthcare organisations: a critical realist perspective
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2018
TITLE AUTHOR(S): Y.Buchana, M.Garbutt, L.F.Seymour
KEYWORDS: INFORMATION AND COMMUNICATIONS TECHNOLOGY, PRIMARY HEALTH CARE CENTRES
DEPARTMENT: Centre for Science, Technology and Innovation Indicators (CESTII)
Print: HSRC Library: shelf number 10552
HANDLE: 20.500.11910/12703
URI: http://hdl.handle.net/20.500.11910/12703
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Healthcare studies in the information and communication technology for development (ICT4D) domain have attempted to understand how technology can be used to support healthcare organisations in developing countries; organisations whose performance is negatively impacted by resource constraints. Current studies, predominantly informed by positivist and interpretivist paradigms - produce analyses and prescriptions designed without an in-depth understanding of the underlying mechanisms influencing performance. The result is limited ability to explain how organisational performance is enabled by ICT. Critical realism as a philosophy of science provides a deeper ontological and broader epistemological approach that makes it possible to theorise the micro-level mechanisms that hold potential for explaining observed outcomes. The study reported here, informed by the critical realism paradigm, uses interviews, observation and organisational data collected from a single case study to identify the resource optimisation micro-level generative mechanisms that have improved emergency medical services. The study integrates the technological affordances lens to explain ICT-enabled organisational performance. Additionally, the paper proposes and tests an understanding of the Bygstad, Munkvold, and Volkoff stepwise framework as a methodology for doing critical realist research using affordances.-
Related Research Outputs:
- Evaluation of the quality of care for sexually transmitted infections in primary health care centres in South Africa
- Information and communications technologies
- Internet applications in the political sphere: perceptions and views of political institutions in South Africa
- Spatial information system for municipalities in South Africa
- The benefits of information and communication technology in tele-education: a case study
- Differential access to finance capital, communications technology and capital goods in Lesotho
- Teledemocracy in South Africa
- Teleworking within government departments
- Debating Castells and Carnoy on the network society
- Etat de l'ecole: usage des systemes d'information et construction d'indicateurs synthetiques
- A survey of attitudes towards and use of cellular phones
- GIS as a tool to define, understand and add value to your market
- Graduates with qualifications in elecrical/electronic engineering or information technology on the HSRC register of graduates, 1991 to 1998, as at May 1999
- Graduates with qualifications in mathematics, applied mathematics, physics and information technology on the HSRC register of graduates, 1991 to 1998, as at April 1999
- Attendance of the National Research Coordinator (NRC) meeting of the Second Information Technology in Education Study (SITES)
- Creating a learning culture in rural schools via educational satellite TV broadcasts
- The use of ICTs in the curriculum in Botswana, Namibia and Seychelles
- The use of ICTs in curricula in Botswana, Namibia and Seychelles
- Contextualising ICT benefits in an educational environment: the case of the DOC-WILS initiative
- ICT and associated professionals