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T-Space at The University of Toronto Libraries >
Journal of Medical Internet Research >
Volume 4 (2002) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/4650


Title: Internet Infrastructures and Health Care Systems: a Qualitative Comparative Analysis on Networks and Markets in the British National Health Service and Kaiser Permanente
Authors: Séror, Ann C
Keywords: Original Paper
Internet
telecommunications infrastructures
delivery of health care
telemedicine
qualitative research
ideology
national health programs
National Health Service
Kaiser Permanente
Issue Date: 31-Dec-2002
Publisher: Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada
Citation: Ann C Séror. Internet Infrastructures and Health Care Systems: a Qualitative Comparative Analysis on Networks and Markets in the British National Health Service and Kaiser Permanente. J Med Internet Res 2002;4(3):e21 <URL: http://www.jmir.org/2002/3/e21/>
Abstract: [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2002/3/e21/ ] Background: The Internet and emergent telecommunications infrastructures are transforming the future of health care management. The costs of health care delivery systems, products, and services continue to rise everywhere, but performance of health care delivery is associated with institutional and ideological considerations as well as availability of financial and technological resources. Objective: To identify the effects of ideological differences on health care market infrastructures including the Internet and telecommunications technologies by a comparative case analysis of two large health care organizations: the British National Health Service and the California-based Kaiser Permanente health maintenance organization. Methods: A qualitative comparative analysis focusing on the British National Health Service and the Kaiser Permanente health maintenance organization to show how system infrastructures vary according to market dynamics dominated by health care institutions ("push") or by consumer demand ("pull"). System control mechanisms may be technologically embedded, institutional, or behavioral. Results: The analysis suggests that telecommunications technologies and the Internet may contribute significantly to health care system performance in a context of ideological diversity. Conclusions: The study offers evidence to validate alternative models of health care governance: the national constitution model, and the enterprise business contract model. This evidence also suggests important questions for health care policy makers as well as researchers in telecommunications, organizational theory, and health care management.
Description: Reviewer: Lerer, L
Reviewer: Aparicio, J.P
URI: http://hdl.handle.net/1807/4650
ISSN: 1438-8871
Other Identifiers: doi:10.2196/jmir.4.3.e21
Rights: Copyright (cc) Retained by author(s) under a Creative Commons License: http://creativecommons.org/licenses/by/2.0/
Appears in Collections:Volume 4 (2002)

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