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【Seminar】Designing Cost-Effective Telemedicine Camps for the Underprivileged in Less Developed Countries: A Decomposed Affordance-Effectivity Framework

Published:2019-06-06

Date: 14th June, 2019

Time: 10:30-12:00 a.m.

Venue: Room 1417, The Administration Building, Zhejiang University

 

【Speaker Introduction】

Dr. Li Xixi is an Assistant Professor at School of Economics and Management, Tsinghua University. She worked as a post-doctoral research fellow in the Center for Process Innovation at the Robinson College of Business, Georgia State University. She received her Ph.D. in Management Information Systems (MIS) and B.A. (Hons) in Management from the Hong Kong Polytechnic University. Her research focuses on appropriating and extending insights from the psychology discipline to conceptualize and understand individual, group, and societal use of different forms of technologies, including enterprise information systems, teleconferencing (or virtual channel), mobile technology and applications, social network, online communities, etc. Her work has been published at Information Systems Research, and the Proceedings of International Conference on Information Systems (ICIS), Academy of Management (AOM) Annual Meetings, Workshop on Health IT and Economics (WHITE), and DIGIT Workshop at ICIS.

 

【Lecture Abstract】

Free telemedicine camps (telecamps) are an emergent joint initiative of healthcare organizations, national and local governments, and not-for-profit non-governmental organizations (NGOs) with the goal of alleviating the health divide for the underprivileged in rural areas of less developed countries. Our study seeks to understand physician-patient communication effectiveness in telecamps with several salient characteristics: rural underprivileged patients, physicians in remote cities, and frugal telemedicine technology—specifically videoconferencing—deployed and appropriated by operators in hospitals on wheels. We adopt a multiple-actor perspective, propose a decomposed affordance-effectivity framework, and combine variance and process epistemological approaches to examine the phenomenon of interest. We collaborated with Apollo Hospitals, a leading hospital system in India, and collected multi-source data from two major telecamps in rural South India. Based on an analysis of the survey data using the variance epistemology, we find support for “fit”contingencies of patients’perceived media richness with (a) healthcare needs fulfillment and (b) disease diagnostic complexity—influencing patient satisfaction with teleconsultation. Based on an analysis of the video archives, using the process epistemology, we find that technology “appropriation”was realized through verbal and non-verbal communication events between patients and physicians, with on-site operators playing multiple roles that serve as compensatory user effectivity.

 

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