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  • 1.
    Acheampong, Faustina
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS).
    Business models for telemedicine services: A literature review2015Ingår i: Health Systems, ISSN 2047-6965, E-ISSN 2047-6973, Vol. 4, nr 3, 189-203 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Telemedicine has been acknowledged to improve the quality of healthcare. However, many telemedicine services fail beyond the pilot phase. A literature review on business model components for telemedicine services was conducted. Based on specified inclusion criteria, 22 publications were included in the review. To facilitate the analysis of literature, a business model framework with value as its central focus was proposed. Improvement in quality, efficiency and accessibility of care were identified to be the outcomes of telemedicine, with patients and healthcare personnel being the main users of the services, which are delivered through home, institutional and community-based care. Patients, health providers, vendors, payers and government agencies are actors involved in the delivery of telemedicine services, which require investments in resources like videoconferencing technologies, home monitoring devices and other IT infrastructure. Subscriptions, reimbursements and pay-per-use revenue streams were identified as feasible for commercializing telemedicine services.

  • 2.
    Acheampong, Faustina
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Effects of a Home-based Monitoring Device on Innovation in Healthcare Delivery: A Pilot Study2013Ingår i: Information Systems and Technology for Organizations in a Networked Society / [ed] Tomayess Issa, Pedro Isaias and Piet Kommers, Hershey, PA, USA: IGI Global, 2013, 316-334 s.Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    Information technology has been suggested to improve patient health outcomes and reduce the burden of care. In this study, we explored the effects of collaborative innovation between caregivers and patients on healthcare delivery as a consequence of the use of an IT-based device by patients with atrial fibrillation. Two cardiologists and two nurses were interviewed while questionnaires were mailed to 75 patients querying them about the use of a home-based ECG for remote monitoring. Findings indicated that the caregivers considered the device to enhance the quality of clinical decision-making. Patients found the device to be useful and felt more involved in their own care. However, the introduction of the device presented work overload for the caregivers. Thus, the facilitation of timely diagnostics and decision-making were not realized. IT is an enabler through which innovation in healthcare delivery can be realized, but it must be integrated into work practices to realize potential benefits.

  • 3.
    Acheampong, Faustina
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Handheld Electrocardiogram: Does ICT Contribute to Innovation in Healthcare Delivery?2012Ingår i: Proceedings of the IADIS international conference E-health 2012: part of the IADIS multi conference on Computer Science  and Information Systems / [ed] Mário Macedo, IADIS Press, 2012, 77-84 s.Konferensbidrag (Refereegranskat)
  • 4.
    Clark, Collin
    et al.
    OCAD University, University of Toronto, Toronto, Canada.
    Michelle, Jess
    OCAD University, University of Toronto, Toronto, Canada.
    Shahi, Sepideh
    OCAD University, University of Toronto, Toronto, Canada.
    Stolarick, Kevin
    OCAD University, University of Toronto, Toronto, Canada.
    Trevinarus, Jutta
    OCAD University, University of Toronto, Toronto, Canada.
    Vanderheiden, Gregg
    Raising the Floor International (RtF-I), Geneva, Switzerland.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS).
    Use Model for a User Centred Design in Multidisciplinary Teams2017Ingår i: Studies in Health Technology and Informatics: Harnessing the Power of Technology to Improve Lives / [ed] Peter Cudd, Luc de Witte, IOS Press, 2017, Vol. 242, 1063-1066 s.Konferensbidrag (Refereegranskat)
    Abstract [en]

    The Use Model identifies user groups who will be using services and products the Prosperity4All infrastructure offers. The Model provides developers a tool to keep in mind the full diversity of users while building and designing the infrastructure. 

  • 5.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Moberg, Anna
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Askenäs, Linda
    Dynamisk utvärdering för effektiv användning av ICT-baserade sjukvårdssystem2007Konferensbidrag (Refereegranskat)
  • 6.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vascos, Fidel
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Finding the links between the activities of physicians and social insurance officers in the management of cases of long-term sick listed individualsManuskript (preprint) (Övrigt vetenskapligt)
  • 7.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    En beskrivande fallstudie av tvärprofessionellt arbete i samverkan mellan myndigheter2004Rapport (Övrigt vetenskapligt)
  • 8.
    Gäre, Klas
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Lessons learned: New Ways to Do Business Using Metropolitan Area Network for Lower Transaction Costs2010Övrigt (Övrigt vetenskapligt)
  • 9. Hypönnen, Hannele
    et al.
    Kangas, Marit
    Reponen, Jarmo
    Nøhr, Christian
    Villumsen, Sidsel
    Koch, Sabine
    Hardardottir, Gudrun Audur
    Gilstad, Heidi
    Jerlvall, Lars
    Pehrsson, Thomas
    Faxvaag, Arild
    Andreassen, Hege
    Brattheim, Britt
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS).
    Kaipio, Johanna
    Nordic eHealth Benchmarking2015Rapport (Övrigt vetenskapligt)
    Abstract [en]

    The report presents results of the Nordic eHealth Research Network, a subgroup of the eNordic Council of Ministers Health group. The network defined and collected data for altogether 49 common eHealth indicators from the Nordic Countries. Health information was quite comprehensively electronically available from other organisations in all the Nordic countries by end of 2014. Intensity of use of nationally stored data remained low except in Denmark. Sweden had best availability of the Patient portal functionalities. Patients used patient portal functionalities rarely except in Denmark. Doctors in Iceland had most positive experiences of their health information systems. Even with limitations, the current work presents a solid basis for working towards the goal of the eHealth network: generating comparable information to support development of Nordic welfare.

  • 10.
    Koch, Sabine
    et al.
    Karolinska Institutet.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Critical advances in bridging personal health informatics and clinical informatics2012Ingår i: IMIA Yearbook of Medical Informatics, ISSN 0943-4747, Vol. 7, nr 1, 48-55 s.Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Objectives: To provide a survey over significant developments in the area of linking personal health informatics and clinical informatics, to give insights into critical advances and to discuss open problems and opportunities in this area.

    Methods: A scoping review over the literature published in scientific journals and relevant conference proceedings in the intersection between personal health informatics and clinical informatics over the years 2010 and 2011 was performed.

    Results: The publications analyzed are related to two main topics, namely "Sharing information and collaborating through personal health records, portals and social networks" and "Integration of personal health systems with clinical information systems". For the first topic, results are presented according to five different themes: "Patient expectations and attitudes", "Real use experiences", "Changes for care providers", "Barriers to adoption" and "Proposed technical infrastructures". For the second topic, two different themes were found, namely "Technical architectures and interoperability" and "Security, safety and privacy issues".

    Discussion: Results show a number of gaps between the information needs of patients and the information care provider organizations provide to them as well as the lack of a trusted technical, ethical and regulatory framework regarding information sharing.

    Conclusions: Despite recent developments in the areas of personal health informatics and clinical informatics both fields have diverging needs. To support both clinical work processes and empower patients to effectively handle self-care, a number of issues remain unsolved. Open issues include privacy and confidentiality, including trusted sharing of health information and building collaborative environments between patients, their families and care providers. There are further challenges to meet around health and technology literacy as well as to overcome structural and organizational barriers. Frameworks for evaluating personal health informatics applications and pervasive health technology are needed to build up an evidence basis.

  • 11.
    Lindenfalk, Bertil
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Linköping University, Sweden.
    Understanding Through Use: Elderly's Value Identification in a Service Experience2017Ingår i: Context Sensitive Health Informatics: Redesigning Healthcare Work / [ed] Christian Nøhr, Craig E. Kuziemsky, Zoie Shui-Yee Wong, IOS Press, 2017, 103-108 s.Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    This paper uses a qualitative approach, specifically; narrative analysis, to contextualize user's formulation of an understanding of a personalized meal planning service within the ambient assisted living domain. By focusing on how user's, in this case elderly over 65, formed an understanding of a service, and, what they thought valuable in using the service, based on their understanding. The results indicate how user's compare their initial understanding to their experienced understanding, formed during usage, and how this affects their value formulation of specific service aspects. The paper gives not only provides valuable insight into contextualizing aspects of health and wellness services, but to aspects of importance for implementation, by showing how value aspects of services from a user perspective are important to consider during these processes.

  • 12.
    Manzoor, Mirfa
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS).
    E-services for the social inclusion of people with disabilities: A literature review2017Ingår i: Technology and Disability, ISSN 1055-4181, E-ISSN 1878-643X, Vol. 29, nr 1-2, 15-33 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: It is assumed that e-services support persons with disabilities in their everyday life by improving communication and interaction with healthcare organizations and whilst facilitating their social inclusion.

    AIM: The aim of this study is to examine the contribution of e-services in terms of how they diminish barriers and constraints on social inclusion.

    METHOD: A literature review was performed, covering the period between 2010 and 2016 (6 years). Only studies that discussed the social inclusion of people with disabilities or presented prototype solutions to this problem were included.

    RESULTS: The results of this study show that there is a lack of theoretical framework which can be used to measure the effectiveness of the e-services or innovations in the area of e-services in the contexts that were examined. The existing research studies are normally generic and do not discuss whether the requirements that are imposed on a particular e-service differ depending on (i) type of disability, (ii) the ICT-maturity or skill of the end-user, or (iii) context in which the e-service will be used. In general, previous research in this area claims that e-services do assist people with disabilities access to society (defined as the community in which they live), even when no evidence is actually presented about the impact such services have in this area of the end-user's life.

    CONCLUSION: The results of the present study present us with new knowledge about the types of ICT-based innovations and e-services that have been proposed to facilitate the social integration of people with disabilities. 

  • 13.
    Melander, Anders
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, ESOL (Entrepreneurship, Strategy, Organization, Leadership).
    Johansson, Peter
    Högskolan i Jönköping, Tekniska Högskolan, JTH, Byggnadsteknik.
    Lennartsson, Martin
    Högskolan i Jönköping, Tekniska Högskolan, JTH, Byggnadsteknik.
    Elgh, Fredrik
    Högskolan i Jönköping, Tekniska Högskolan, JTH. Forskningsmiljö Produktutveckling - Simulering och optimering.
    Achtenhagen, Leona
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Företagsekonomi.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Granath, Kaj
    Högskolan i Jönköping, Tekniska Högskolan, JTH, Byggnadsteknik.
    Hellborg, Göran
    Högskolan i Jönköping, Tekniska Högskolan, JTH, Byggnadsteknik.
    Entreprenöriell produktframtagning för industriellt byggande2014Rapport (Övrigt vetenskapligt)
  • 14.
    Mettler, Tobias
    et al.
    Institute of Information Management, University of St. Gallen Müller-Friedberg-Strasse 8,.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan.
    Evaluation of E-Health Strategies: A Portfolio Approach2011Ingår i: / [ed] Peter Bah, 2011Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Today it is a general belief that e-health has a positive effect on costs as well as on quality of health service delivery. Nevertheless, lots of projects failed in the past to clearly demonstrate a positive value proposition. Difficulties arise especially when not only evaluating a single action but a whole strategy for adopting national or provincial e-health. Grounding on the experience of an ex ante evaluation of the Swiss e-health strategy, a first attempt how to practically demonstrate the value of the planned health systemᅰs changes is discussed in this article. On the basis of a ᅭutilityᅮ and a ᅭreadinessᅮ portfolio, generic allocation decisions are formulated for prioritising investments as well as for identifying weak points in the defined e- health strategy.

  • 15.
    Mettler, Tobias
    et al.
    SAP Research Center St. Gallen, Blumenbergplatz 9, CH-9000 St. Gallen, Switzerland.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics2011Ingår i: Informatics for Health and Social Care, ISSN 1753-8157, Vol. 36, nr 4, 220-232 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background. Different studies have analysed a wide range of use cases and scenarios for using IT-based services in homecare settings for elderly people. In most instances, the impact of such services has been studied using a one-dimensional approach, either focusing on the benefits for the patient or health service provider.

    Purpose. The objective of this contribution is to explore a model for identifying and understanding outcomes of IT-based homecare services from a multi-actor perspective.

    Methods. In order to better understand the state of the art in homecare informatics, we conducted a literature review. We use experiences from previous research in the area of informatics to develop the proposed model.

    Results. The proposed model consists of four core activities ‘identify involved actors’, ‘understand consequences’, ‘clarify contingencies’, ‘take corrective actions’, and one additional activity ‘brainstorming IT use’.

    Conclusion. The primary goal of innovating organisations, processes and services in homecare informatics today, is to offer continued care, better decision support both to practitioners and patients, as well as effective distribution of resources. A multi-actor analysis perspective is needed to understand utility determination for the involved stakeholders.

  • 16.
    Svensson, Anders
    et al.
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, Medie- och kommunikationsforskning.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Gäre, Klas
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Online Participation with Obstacles: Non-Willingness to Become Facebook fans of a Health-Promoting Web Site2011Ingår i: Merz: medien+erziehung, ISSN 0176-4918, nr 6, 70-80 s.Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Within dominant branches of contemporary research and public debate, applications like Facebook and Twitter are perceived as social media for user participation. Technical possibilities and socio cultural restrictions for user involvement are identified and discussed. Common to both perspectives is that users’ willingness to participate tends to be taken for granted. By studying a case where the users’ response indicates weak willingness to participate, despite the website producers’ efforts to offer social media for participation, this article wish to contribute to a better understanding of the conditions for online participation on the so-called social Web.

    UMO is a very popular Swedish health promoting website intended for offering adolescents knowledge and advisory service on sexual, reproductive and psychical health. In 2010 UMO extended the use of social media by opening a Facebook fan page. One of the reasons was to attract new segments of the target audience, another was to make adolescents become fans. More than a year after the start, none of this have developed in accordance with the intentions and expectations. Analyses of data, gained from a content analysis of UMO’s Facebook fan page besides completing interviews with the administrator of the fan page and adolescent users of UMO, indicates a whole set of possible explanations for UMO’s shortcomings.

    The study shows on yet another problem with uncritically asserting that the new Web 2.0 and social media benefit participation. What has been overlooked is that obstacles to participation might as well be sought from the participants themselves, and be an active choice by the audience. The bottom line is that mediatization does not describe a fait accompli, and that socio-cultural change in its wake in no way is universal, but rather is characterized by a set of particularities.

  • 17.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Linköping University, Linköping, Sweden.
    E-health two-sided markets: Implementation and business models2016Samlingsverk (redaktörskap) (Refereegranskat)
    Abstract [en]

    E-health two-side Markets: Implementation and Business Models presents empirical models and suggestions that focus on how to remove barriers to deliver online services across borders and how actual barriers affect business models in a two-sided market with regard to eHealth. Technological innovation and business developments in online trade result in fast-evolving markets with the continuous emergence of new products and services, thus requiring a specific approach. This book discusses how to develop innovative and cost-effective implementation strategies for complex organizations, the importance of barriers and facilitators for two-sided markets when implementing e-health services and/or IT based innovations, which pre-requisites have to be achieved in complex organizations that act in two-sided markets when implementing e-services, the ecosystem for implementation of services and innovations in complex organizations, and its effects for business models. This book is a valuable source for researchers in medical informatics, and is also ideal for stakeholders, consultants, advisors, and product designers involved in eHealth services. Presents guidelines that can be used as examples of pros and cons in two-side markets. Provides knowledge that enables readers to identify the changes that need to be considered in budget proposals for eHealth implementation. Includes examples of business models applied in two-side markets, diminishing external effects and failures.

  • 18.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Sociala innovationer i välfärden: Förutsättningar för ett E-hälsokonto2014Rapport (Refereegranskat)
  • 19.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Linköping University, Linköping, Sweden.
    The future of two-sided e-health markets2016Ingår i: E-health two-sided markets: Implementation and business models / [ed] Vivian Vimarlund, Elsevier, 2016, 189-195 s.Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    The two-sided e-health market is rapidly becoming fundamental for health and social care. Worldwide many different steps have been taken to increase the engagement of consumers with e-health, mainly focusing in the development of novel digital services that increase well-being or tackle some social challenges, such as the lack of qualified personnel, or dwindling resources. At the same time, some effort is also spent on establishing a market in which both sides-e-health consumers and providers-can interact and benefit from with each other (Connell and Young, 2007). In this sideline, there has been a great ambition to introduce "service innovation," "design thinking," and other tenors of the service-dominant logic (Vargo and Lusch, 2008) to open up for new collaborations between private and public actors. Intermediary platforms, provided by regional or national authorities (Aanestad and Jensen, 2011) or private actors such as insurance companies (Scott et al., 2006), become a key coordination infrastructure that allows information to flow within and between the two sides of the market, regulating nontransaction activities and making decisions that determine which group receives support and in which manner, and which kind of price structure will exist to stimulate the two sides to become an active actor of the market.

  • 20.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. KI.
    Davoody, Nadia
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. KI.
    Koch, Sabine
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Steps to consider for effective decision making when selecting and prioritizing eHealth services2013Ingår i: Medinfo 2013 / [ed] Christoph Ulrich Lehmann, Elske Ammenwerth, Christian Nøhr, 2013, Vol. 192, 239-243 s.Konferensbidrag (Refereegranskat)
    Abstract [en]

    Making the best choice for an organization when selecting IT applications or eHealth services is not always easy as there are a lot of parameters to take into account. The aim of this paper is to explore some steps to support effective decision making when selecting and prioritizing eHealth services prior to implementation and/or procurement. The steps presented in this paper were identified by interviewing nine key stakeholders at Stockholm County Council. They are supposed to work as a guide for decision making and aim to identify objectives and expected effects, technical, organizational, and economic requirements, and opportunities important to consider before decisions are taken. The steps and their respective issues and variables are concretized in a number of templates to be filled in by decision makers when selecting and prioritizing eHealth services.

  • 21.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Keller, Christina
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    The many faces of implementation2014Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Implementering av förändringar och innovationer i organisationer har uppmärksammats av forskare sedan 1970-talet. Men trots en omfattande forskning, misslyckas implementeringsprojekt i organisationer och företag nationellt och internationellt fortfarande i stor utsträckning.

    Syftet med denna rapport är att presentera en översikt över förutsättningarna för framgångsrik implementering av IT-baserade innovationer inom komplexa organisationer och de ändrade policys som följer av innovationen. Den kunskap som presenteras i rapporten kan vara av betydelse för beslutsfattare, chefer och individer som behöver planera hur man går från ett pilotprojekt till en genomgripande implementering som är förankrad i hela organisationen.

    För att uppfylla syftet med rapporten ställdes följande forskningsfrågor:

    • Var har implementeringsstudierna genomförts?

    • Vilka är i fokus för genomförandet, det vill säga det som genomförs?

    • Vilka teorier, modeller, ramverk och metoder för datainsamling används i studier genomförande?

    • Vilka är de framgångsfaktorer och hinder för genomförandet?

    En systematisk litteraturstudie genomfördes av forskningsstudier av implementering publicerade under perioden 2009-2014 inom områdena e-hälsa, utbildning, militärt försvar och transporter. En majoritet av studierna utfördes av forskare från USA och Europa. Fokus för implementering var olika former av policys och innovationer baserade på informationsteknik.

    Hälften (ca 50 %) av de granskade studierna utfördes induktivt, utan någon vägledande teori, modell eller ramverk. När teorier, modeller och ramverk användes, kom de från akademiska ämnen såsom nationalekonomi, sociologi, statsvetenskap, organisationsforskning, management och informationssystem och användes för att förklara adoption av policys eller informationsteknik. Implementeringsstudier på utbildningsområdet vägleddes av teorier, modeller och ramverk i större utsträckning än forskningsstudierna inom e-hälsa, försvar och transporter. En majoritet av de granskade forskningsstudierna tillämpade fallstudier som forskningsansats och semistrukturerade intervjuer som den vanligaste metoden för datainsamling.

    De framgångsfaktorer för implementering som nämns i de granskade studierna var att skapa gemensam förståelse av implementeringsprocessen hos intressenter, att tillämpa professionell projektledning och resurshantering i implementeringsprocessen, att använda en stark vägledande koalition och förändringsagenter samt att erbjuda slutanvändarna mervärde från den förändring eller innovation som skall implementeras. Vanliga hinder för implementering var bristen på finansiering och styrning, bristande intressenthantering, tekniska problem och slutanvändare som inte fann något mervärde i den implementerade förändringen eller innovation.

  • 22.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Koch, Sabine
    Health Informatics Centre, Department of Learning, Informatics, Management and Ethics.
    Identifying Where the Values Come from IT-Innovations in Health and Social Care2012Ingår i: Intelligent Information Management, ISSN 2160-5912, E-ISSN 2160-5920, Vol. 4, nr 5A, 296-308 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Studies aimed to capture the effects of IT-innovations in health and social care have shown that there is a gap between expected and factual outcomes. Many decision makers feel the need to articulate an ideal end-state for their organiza-tions. Striking the balance between novelty and believability of such an ideal end-state is often tricky and they become neither satisfied with the ideal not the visioning. In this study, we explore the contribution of IT-innovations to health and social care. The results showed that coherence between context and IT-innovation is important to capture effects and outcomes. Being coherent rather than visionary contributes to identify where you are, as an organization, and to capture effects and outcomes that “make sense” in the context in question. The paper makes an exposition from the model building, algorithm design to performance analysis and contributes to the academic prosperity in Intelligent In-formation Management The knowledge generated is expected to provide input when identifying goals that IT-investments are supposed to achieve.

  • 23.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Department of Computer and Information Science/Human-Centered Systems, Linköping University, Linköping, Sweden.
    Kuziemsky, Craig
    University of Ottawa, Ottawa, Canada.
    Nøhr, Christian
    Aalborg University, Aalborg, Denmark.
    Nykänen, Pirkko
    University of Tampere, Tampere, Finland.
    Nikula, Nicolas
    Post-Nord, Stockholm, Sweden.
    Brokers as catalysts for the e-health market2017Ingår i: Intelligent Information Management, ISSN 2160-5912, E-ISSN 2160-5920, Vol. 9, nr 5, 177-188 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this study we use the experiences from the service industry and explore pre-requisites of the e-health market which will need to achieve to stimulate both sides of the market (vendors, healthcare organizations, government, institutions, corporations and services organizations) to interact with each other and develop demand driven services and social innovations. The results presented in this paper may be of interest for decision makers, industries (e.g. software or technology designers), small and medium enterprises (SME) and entrepreneurs with an interest in becoming a part of the e-health market, and for consumers (e.g. healthcare personnel and patients) that are willing to influence the market through their choices. The outcomes of the study shown that the role of virtual brokers is essential to the further development of a sustainable e-health market globally because its role as catalyst for interaction between the two-sides of the markets, its effects on the reduction of competitive constrains, its effects on the accessibility to broader network of actors and its effects on the support of public-private exchanges of knowledge and experience.

  • 24.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Linköping University, Linköping, Sweden.
    Mettler, T.
    University of Lausanne, Lausanne, Switzerland.
    Business models in two-sided markets (analysis of potential payments and reimbursement models that can be used)2016Ingår i: E-health two-sided markets: Implementation and business models / [ed] Vivian Vimarlund, Elsevier, 2016, 173-185 s.Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    Business models play an important role in establishing sustainable intermediary platforms for e-health services in two-sided markets. In this chapter, we describe different types of business models and potential revenue and reimbursement schemes based on the Swedish HealthForMe platform. In doing so, we also discuss many of today's open questions and challenges to be addressed by intermediaries operating in two-sided e-health markets. We conclude this chapter by providing an overview of key implications and success factors for owners of such intermediary platforms, and offer an outlook to focal research areas within the context of business models for two-sided markets.

  • 25.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Linköping University, Linköping, Sweden.
    Mettler, T.
    University of Lausanne, Lausanne, Switzerland.
    Introduction to the ecosystem for two-sided markets, barriers and facilitators2016Ingår i: E-health two-sided markets: Implementation and business models / [ed] Vivian Vimarlund, Elsevier, 2016, 3-15 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Two-sided markets arise in situations in which there are externalities and in which transaction costs, broadly considered, prevent the two sides from solving this externality directly. In the e-health market, the expansion of the Internet economy has shown to be significant in stimulating the entry of business organizations, many of which are already in two-sided markets.An e-health two-sided market needs to offer sustainable structures, i.e., an ecosystem to support a flexible model that must meet unexpected demand and at the same time be able to handle high demand peaks and long periods if needed. In this chapter we introduce key concepts and factors that are of relevance in two-sided markets. We further discuss the fundamental role of two-side market ecosystem in enabling parties to realize gains from trade or other interactions by reducing the transactions costs of finding each other and interacting. Hence, e-health market ecosystems first and foremost need to be designed for adaptability and network effects. We discuss issues that influence the sustainability and further development of a two-sided e-health market.

  • 26.
    Vimarlund, Vivian
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Wass, Sofie
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Big data, smart homes and ambient assisted living2014Ingår i: IMIA Yearbook of Medical Informatics, ISSN 0943-4747, 143-149 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: To discuss how current research in the area of smart homes and ambient assisted living will be influenced by the use of big data. Methods: A scoping review of literature published in scientific journals and conference proceedings was performed, focusing on smart homes, ambient assisted living and big data over the years 2011-2014. Results: The health and social care market has lagged behind other markets when it comes to the introduction of innovative IT solutions and the market faces a number of challenges as the use of big data will increase. First, there is a need for a sustainable and trustful information chain where the needed information can be transferred from all producers to all consumers in a structured way. Second, there is a need for big data strategies and policies to manage the new situation where information is handled and transferred independently of the place of the expertise. Finally, there is a possibility to develop new and innovative business models for a market that supports cloud computing, social media, crowdsourcing etc. Conclusions: The interdisciplinary area of big data, smart homes and ambient assisted living is no longer only of interest for IT developers, it is also of interest for decision makers as customers make more informed choices among today's services. In the future it will be of importance to make information usable for managers and improve decision making, tailor smart home services based on big data, develop new business models, increase competition and identify policies to ensure privacy, security and liability.

  • 27.
    Wang, Weixing
    et al.
    Royal Institute of Technology, Stockholm, Sweden.
    Zhao, Weisen
    School of Information Engineering, Chang'an University, Xi'an, Shaanxi, China.
    Huang, Lingxiao
    School of Information Engineering, Chang'an University, Xi'an, Shaanxi, China.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Linköpings universitet.
    Wang, Zhiwei
    School of Information Engineering, Chang'an University, Xi'an, Shaanxi, China.
    Applications of terrestrial laser scanning for tunnels: a review2014Ingår i: Journal of Traffic and Transportation Engineering (English Edition), ISSN 2095-7564, Vol. 1, nr 5, 325-337 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In recent years, the use of terrestrial laser scanning(TLS)technique in engineering surveys is gaining an increasing interest due to the advantages of non-contact, rapidity, high accuracy, and large scale. Millions of accurate 3D points(mm level accuracy)can be delivered by this technique with a high point density in a short time(up to 1 million points per second), which makes it a potential technique for large scale applications in engineering environments such as tunnels, bridges, and heritage buildings. Tunnels, in particular those with long lengths, create great challenges for surveyors to obtain the satisfactory scanned data. This paper presents a short history of TLS techniques used for tunnels. A general overview of TLS techniques is given, followed by a review of several applications of TLS for tunnels. These applications are classified as: detecting geological features of drilling tunnels, monitoring the geometry of tunnels during excavation, making deformation measurements, and extracting features. The review emphasizes how TLS techniques can be used to measure various aspects of tunnels. It is clear that TLS techniques are not yet a common tool for tunnel investigations, but there is still a huge potential to excavate.

  • 28.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Carlsson, Bertil
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Korkmaz, Seher
    E-health and Strategic IT, Public Health Care Administration, Stockholm County Council, Stockholm, Sweden.
    Shemeikka, Tero
    E-health and Strategic IT, Public Health Care Administration, Stockholm County Council, Stockholm, Sweden.
    Vég, Anikó
    Department of Healthcare Development, Stockholm County Council, Stockholm, Sweden.
    Exploring the effects of eHealth service innovation2015Ingår i: Health Systems, ISSN 2047-6965, E-ISSN 2047-6973, Vol. 4, nr 3, 212-223 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To analyse the impact of implementation and use of eHealth services is fraught with difficulty, and there is often a gap between expected and identified outcomes. In this paper, we identify innovation effects of an eHealth service by applying a framework that focusses on the expected coherent impacts of implementing an IT innovation and contributes to the body of knowledge on tracking innovation effects of services in eHealth. A case study examines four different care units in a government-funded health-care setting. The results show that the effects in the first two contexts of the framework, the micro level and intra-/interorganisational level, could be clearly identified with regard to the physicians and the organisation. However, effects were lacking in the virtual context when looking beyond the involvement of the stakeholders in the eHealth service. The connections between effects for societal groups and larger societal systems simply could not be made in a satisfactory manner.

  • 29.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Linköping University, Linköping, Sweden.
    Business models in public eHealth2016Ingår i: 24th European Conference on Information Systems, ECIS 2016, 2016Konferensbidrag (Refereegranskat)
    Abstract [en]

    Several countries develop strategies and policies to foster the use of eHealth services and stress the importance of business models to develop and implement digital services. Previous research on business models has however mostly focused on the private setting or a healthcare setting with multi-payer or market-based financial systems. In this paper, we explore the use of business models in eHealth as well as the consistency of such a model in a public healthcare setting. The study is performed through a case study of an eHealth service and to which we apply a business model framework. Data have been collected through interviews, documents and project meetings. The results show that all parts of the business model could be identified and provide an overview of the service but no clear guidance on how to reach a sustainable value in the future. It seems that, in the case of public healthcare, there is a need to add the notion of a societal value as well as issues related to future governance for the diffusion of the service to make the business model and the service sustainable.

  • 30.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS).
    Challenges of Stimulating a Market for Social Innovation: Provision of a National Health Account2015Ingår i: Digital healthcare empowering Europeans - Proceedings of the 26th Medical Informatics in Europe Conference, MIE 2015, Madrid, May 27th-29th 2015. / [ed] Ronald Cornet, Lăcrămioara Stoicu-Tivadar, Alexander Hörbst, Carlos Luis Parra Calderón, Stig Kjær Andersen, Mira Hercigonja-Szekeres, IOS Press, 2015, Vol. 210, 546-550 s.Konferensbidrag (Refereegranskat)
    Abstract [en]

    Innovation in healthcare can be associated with social innovation and the mission to contribute to a shared value that benefits not only individuals or organizations but the society as a whole. In this paper, we present the prerequisites of stimulating a market for social innovations by studying the introduction of a national health account. The results show that there is a need to clarify if a national health account should be viewed as a public good or not, to clarify the financial responsibilities of different actors, to establish clear guidelines and to develop regulations concerning price, quality and certification of actors. The ambition to stimulate the market through a national health account is a promising start. However, the challenges have to be confronted in order for public and private actors to collaborate and build a market for social innovations such as a national health account.

  • 31.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Department of Computer Science, Linköping University, Sweden .
    Healthcare in the age of open innovation – A literature review2016Ingår i: Health Information Management Journal, ISSN 1833-3583, E-ISSN 1833-3575, Vol. 45, nr 3, 121-133 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In spite of an increased interest in open innovation and strategies that call for an increased collaboration between different healthcare actors, there is a lack of open innovation research in public contexts.

    Objective: This article presents the results of a review regarding the healthcare sector’s engagement in open innovation as well as constraining factors and positive outcomes of open innovation in healthcare.

    Method: The literature search focused on papers published in English between 2003 and 2014. Based on specified inclusion criteria, 18 articles were included.

    Results: Results reveal that most studies focus on inbound open innovation where external knowledge is integrated with the internal knowledge base at an initial phase of the innovation process. Innovation primarily results in products and services through innovation networks. We also identified constraining factors for open innovation in healthcare, including the complex organizations of healthcare, the need to establish routines for capturing knowledge from patients and clinicians, regulations and healthcare data laws as well as the positive outcome patient empowerment.

    Conclusion: The healthcare sector’s engagement in open innovation is limited, and it is necessary to perform further research with a focus on how open innovation can be managed in healthcare. 

  • 32.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Ros, Axel
    Högskolan i Jönköping, Hälsohögskolan.
    Exploring patients’ perceptions of accessing electronic health records: Innovation in healthcare2017Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The more widespread implementation of electronic health records has led to new ways of providing access to healthcare information, allowing patients to view their medical notes, test results, medicines and so on. In this article, we explore how patients perceive the possibility to access their electronic health record online and whether this influences patient involvement. The study includes interviews with nine patients and a survey answered by 56 patients. Our results show that patients perceive healthcare information to be more accessible and that electronic health record accessibility improves recall, understanding and patient involvement. However, to achieve the goal of involving patients as active decision-makers in their own treatment, electronic health records need to be fully available and test results, referrals and information on drug interactions need to be offered. As patient access to electronic health records spreads, it is important to gain a deeper understanding of how documentation practices can be changed to serve healthcare professionals and patients.

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