L'assimilation des systèmes de télésanté une approche multiniveau
type: CreativeWork
description: The purpose of this study is twofold. First, it seeks to understand the process of assimilation of telehealth systems when telehealth is brought out of experimental settings into mainstream clinical care. Second, it seeks to determine the factors that influence this process. Borrowing from institutional, structuration and social cognition theories, a comprehensive research model is proposed to explain the nature of the process of assimilation of telehealth systems in healthcare organizations and the factors that affect it. We adopted a qualitative research methodology.The first phase is devoted to testing of the theoretical propositions of the research model. Since some propositions failed this test, we conducted a second phase which consisted of building a grounded theory of the assimilation of telehealth systems. In terms of research strategy, we used a single case study. Data were obtained from 23 semi-structured interviews, documentation was used as secondary source. For data processing, grounded theory analysis techniques along with Atlas.ti were used. The research findings show that the assimilation process as it emerged from the data is more complex than the a priori research model that we developed. For example, individual-level assimilation follows two alternative routes and is influenced by at least four factors.The perceived usefulness of telehealth, aspirations and attributes of individual users which lead to the adoption of organizational citizenship behaviors.The first refers to the usefulness of telehealth with the problems that confront both patient and clinician. Two other conditions refer to personal aspirations and to user's individual attributes. However, the influence of personal aspirations and individual attributes does not happen directly. Rather, it leads to the adoption of specific behaviors that positively influence the assimilation of telehealth. For instance, altruism, civility, professionalism, and tolerance are examples of behaviours t…
abstract: The purpose of this study is twofold. First, it seeks to understand the process of assimilation of telehealth systems when telehealth is brought out of experimental settings into mainstream clinical care. Second, it seeks to determine the factors that influence this process. Borrowing from institutional, structuration and social cognition theories, a comprehensive research model is proposed to explain the nature of the process of assimilation of telehealth systems in healthcare organizations and the factors that affect it. We adopted a qualitative research methodology.The first phase is devoted to testing of the theoretical propositions of the research model. Since some propositions failed this test, we conducted a second phase which consisted of building a grounded theory of the assimilation of telehealth systems. In terms of research strategy, we used a single case study. Data were obtained from 23 semi-structured interviews, documentation was used as secondary source. For data processing, grounded theory analysis techniques along with Atlas.ti were used. The research findings show that the assimilation process as it emerged from the data is more complex than the a priori research model that we developed. For example, individual-level assimilation follows two alternative routes and is influenced by at least four factors.The perceived usefulness of telehealth, aspirations and attributes of individual users which lead to the adoption of organizational citizenship behaviors.The first refers to the usefulness of telehealth with the problems that confront both patient and clinician. Two other conditions refer to personal aspirations and to user's individual attributes. However, the influence of personal aspirations and individual attributes does not happen directly. Rather, it leads to the adoption of specific behaviors that positively influence the assimilation of telehealth. For instance, altruism, civility, professionalism, and tolerance are examples of behaviours t…
author: Jean-Jules, Joachim
language: fr
keywords: Analyse multiniveau, Innovation technologique, Assimilation, Systèmes de télésanté, Télésanté
date published: 2011
date modified: 2026-07-27T21:07:45Z
provider: Université de Sherbrooke
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Université de Sherbrooke

PropertyValue
property ID: Handle
value: http://hdl.handle.net/11143/5781