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Identifying micro-level generative mechanisms of ICT-enabled performance improvement in resource-constrained healthcare organisations: a critical realist perspective

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dc.date.accessioned 2018-09-27 en
dc.date.accessioned 2020-11-30T16:17:00Z
dc.date.available 2020-11-30T16:17:00Z
dc.date.issued 2018-09-27 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/12703
dc.description.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. en
dc.format.medium Print en
dc.subject INFORMATION AND COMMUNICATION TECHNOLOGY en
dc.subject PRIMARY HEALTH CARE CENTRES en
dc.title Identifying micro-level generative mechanisms of ICT-enabled performance improvement in resource-constrained healthcare organisations: a critical realist perspective en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 84(6) en
dc.BudgetYear 2018/19 en
dc.ResearchGroup Center for Science, Technology and Innovation Indicators en
dc.SourceTitle Electronic Journal of Information Systems in Developing Countries en
dc.ArchiveNumber 10552 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=20343 en
dc.PageNumber Online en
dc.outputnumber 9543 en
dc.bibliographictitle Buchana, Y., Garbutt, M. & Seymour, L.F. (2018) Identifying micro-level generative mechanisms of ICT-enabled performance improvement in resource-constrained healthcare organisations: a critical realist perspective. <i>Electronic Journal of Information Systems in Developing Countries</i>. September:Online. http://hdl.handle.net/20.500.11910/12703 en
dc.publicationyear 2018 en
dc.contributor.author1 Buchana, Y. en
dc.contributor.author2 Garbutt, M. en
dc.contributor.author3 Seymour, L.F. en


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