{"id":"https://openalex.org/W2082045935","doi":"https://doi.org/10.3109/17483107.2013.823573","title":"Technology as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare","display_name":"Technology as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare","publication_year":2013,"publication_date":"2013-08-06","ids":{"openalex":"https://openalex.org/W2082045935","doi":"https://doi.org/10.3109/17483107.2013.823573","mag":"2082045935","pmid":"https://pubmed.ncbi.nlm.nih.gov/23919407"},"language":"en","primary_location":{"id":"doi:10.3109/17483107.2013.823573","doi":"https://doi.org/10.3109/17483107.2013.823573","is_oa":false,"landing_page_url":"https://doi.org/10.3109/17483107.2013.823573","pdf_url":null,"source":{"id":"https://openalex.org/S43413649","display_name":"Disability and Rehabilitation Assistive Technology","issn_l":"1748-3107","issn":["1748-3107","1748-3115"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Disability and Rehabilitation: Assistive Technology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://openresearch.lsbu.ac.uk/download/d37878938a9aff0db4491bec9975ccd2ad14c1722fe36f2c638f94106554cb6d/58494/Main%20document_revised%282%29.docx","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074824752","display_name":"Paul Sugarhood","orcid":"https://orcid.org/0000-0002-8286-9804","observed_orcids":["https://orcid.org/0000-0002-8286-9804"]},"institutions":[{"id":"https://openalex.org/I225661044","display_name":"Barts Health NHS Trust","ror":"https://ror.org/00b31g692","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I225661044"]},{"id":"https://openalex.org/I4210131620","display_name":"Newham University Hospital","ror":"https://ror.org/045r28721","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I225661044","https://openalex.org/I4210131620"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Paul Sugarhood","raw_affiliation_strings":["Newham University Hospital, Barts Health NHS Trust , London , UK "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Newham University Hospital, Barts Health NHS Trust , London , UK ","institution_ids":["https://openalex.org/I225661044","https://openalex.org/I4210131620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077083399","display_name":"Joseph P. Wherton","orcid":"https://orcid.org/0000-0001-7701-4783","observed_orcids":["https://orcid.org/0000-0001-7701-4783"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Joseph Wherton","raw_affiliation_strings":["Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry LondonUK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry LondonUK","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056201855","display_name":"Rob Procter","orcid":"https://orcid.org/0000-0001-8059-5224","observed_orcids":["https://orcid.org/0000-0001-8059-5224"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Rob Procter","raw_affiliation_strings":["Department of Computer Science, University of Warwick CoventryUK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Computer Science, University of Warwick CoventryUK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Sue Hinder","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sue Hinder","raw_affiliation_strings":["Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry LondonUK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry LondonUK","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059176055","display_name":"Trisha Greenhalgh","orcid":"https://orcid.org/0000-0003-2369-8088","observed_orcids":["https://orcid.org/0000-0003-2369-8088"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Trisha Greenhalgh","raw_affiliation_strings":["Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry LondonUK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry LondonUK","institution_ids":["https://openalex.org/I166337079"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5074824752"],"corresponding_institution_ids":["https://openalex.org/I225661044","https://openalex.org/I4210131620"],"apc_list":null,"apc_paid":null,"fwci":13.8258,"has_fulltext":false,"cited_by_count":79,"citation_normalized_percentile":{"value":0.9861123,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"9","issue":"1","first_page":"79","last_page":"87"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.7235999703407288,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.7235999703407288,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.27320000529289246,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10068","display_name":"Technology Adoption and User Behaviour","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/telecare","display_name":"telecare","score":0.9950000047683716},{"id":"https://openalex.org/keywords/diffusion-of-innovations","display_name":"diffusion of innovations","score":0.7820000052452087},{"id":"https://openalex.org/keywords/technology-adoption","display_name":"technology adoption","score":0.9679999947547913},{"id":"https://openalex.org/keywords/assistive-technology","display_name":"assistive technology","score":0.6240000128746033},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7490000128746033},{"id":"https://openalex.org/keywords/social-influence","display_name":"social influence","score":0.8650000095367432},{"id":"https://openalex.org/keywords/co-production","display_name":"co-production","score":0.6019999980926514},{"id":"https://openalex.org/keywords/stakeholder-coordination","display_name":"stakeholder coordination","score":0.6290000081062317},{"id":"https://openalex.org/keywords/technology-readiness","display_name":"technology readiness","score":0.32899999618530273}],"concepts":[{"id":"https://openalex.org/C2780519836","wikidata":"https://www.wikidata.org/wiki/Q3546507","display_name":"Telecare","level":4,"score":0.7749286890029907},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.6630515456199646},{"id":"https://openalex.org/C3017618536","wikidata":"https://www.wikidata.org/wiki/Q304994","display_name":"Innovation diffusion","level":2,"score":0.5795242786407471},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.5553890466690063},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.4166501462459564},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3873118758201599},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3731054961681366},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.27783316373825073},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.1770564615726471},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.17034795880317688},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.08018067479133606},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004867","descriptor_name":"Equipment Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012656","descriptor_name":"Self-Help Devices","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D020380","descriptor_name":"Needs Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.3109/17483107.2013.823573","doi":"https://doi.org/10.3109/17483107.2013.823573","is_oa":false,"landing_page_url":"https://doi.org/10.3109/17483107.2013.823573","pdf_url":null,"source":{"id":"https://openalex.org/S43413649","display_name":"Disability and Rehabilitation Assistive Technology","issn_l":"1748-3107","issn":["1748-3107","1748-3115"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Disability and Rehabilitation: Assistive Technology","raw_type":"journal-article"},{"id":"pmid:23919407","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23919407","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Disability and rehabilitation. Assistive technology","raw_type":"Journal Article"},{"id":"pmh:oai:openresearch.lsbu.ac.uk:8v8q8","doi":null,"is_oa":true,"landing_page_url":"https://openresearch.lsbu.ac.uk/download/d37878938a9aff0db4491bec9975ccd2ad14c1722fe36f2c638f94106554cb6d/58494/Main%20document_revised%282%29.docx","pdf_url":null,"source":{"id":"https://openalex.org/S4306401135","display_name":"Research Open (London South Bank University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I28257850","host_organization_name":"London South Bank University","host_organization_lineage":["https://openalex.org/I28257850"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"","raw_type":"journal-article"}],"best_oa_location":{"id":"pmh:oai:openresearch.lsbu.ac.uk:8v8q8","doi":null,"is_oa":true,"landing_page_url":"https://openresearch.lsbu.ac.uk/download/d37878938a9aff0db4491bec9975ccd2ad14c1722fe36f2c638f94106554cb6d/58494/Main%20document_revised%282%29.docx","pdf_url":null,"source":{"id":"https://openalex.org/S4306401135","display_name":"Research Open (London South Bank University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I28257850","host_organization_name":"London South Bank University","host_organization_lineage":["https://openalex.org/I28257850"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/9","score":0.651199996471405,"display_name":"Industry, innovation and infrastructure"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G6271322643","display_name":"NIHR Senior Investigator Award","funder_award_id":"NF-SI-0512-10031","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W135604948","https://openalex.org/W153041280","https://openalex.org/W194147919","https://openalex.org/W238041975","https://openalex.org/W1791587663","https://openalex.org/W1864859000","https://openalex.org/W1904088887","https://openalex.org/W2081753990","https://openalex.org/W2096821621","https://openalex.org/W2098025845","https://openalex.org/W2100276831","https://openalex.org/W2108134421","https://openalex.org/W2114623493","https://openalex.org/W2118966165","https://openalex.org/W2121024182","https://openalex.org/W2121066794","https://openalex.org/W2132784358","https://openalex.org/W2146384540","https://openalex.org/W2153475744","https://openalex.org/W2154814920","https://openalex.org/W2169453967","https://openalex.org/W2314045099","https://openalex.org/W2416129928","https://openalex.org/W2479568559","https://openalex.org/W4233010461","https://openalex.org/W4236509012"],"related_works":["https://openalex.org/W7028200791","https://openalex.org/W355239552","https://openalex.org/W2742607549","https://openalex.org/W2087321244","https://openalex.org/W1985647479","https://openalex.org/W2132784358","https://openalex.org/W2118265919","https://openalex.org/W2527164032","https://openalex.org/W2325751017","https://openalex.org/W2339313868"],"abstract_inverted_index":{"Purpose:":[0],"To":[1,185],"identify":[2,264],"and":[3,10,47,51,76,98,103,109,112,125,143,157,162,179,183,188,197,210,221,225,229,242,245,257,276,283],"explore":[4],"factors":[5,70,192,237],"that":[6,71,149],"influence":[7],"adoption,":[8,108,142],"implementation":[9,102],"continued":[11],"use":[12,139,230],"of":[13,19,61,63,93,100,114,127,154,206,231,235,255,287],"telecare":[14,49,138,155],"technologies.":[15],"Method:":[16],"As":[17,78],"part":[18],"the":[20,81,87,91,96,110,123,128,132,145,158,252],"Assistive":[21],"Technologies":[22],"for":[23,200],"Healthy":[24],"Living":[25],"in":[26,45],"Elders:":[27],"Needs":[28],"Assessment":[29],"by":[30,80],"Ethnography":[31],"(ATHENE)":[32],"project,":[33],"16":[34],"semi-structured":[35],"interviews":[36],"were":[37,54],"conducted":[38],"with":[39,270],"key":[40],"participants":[41],"from":[42],"organisations":[43,159],"involved":[44],"developing":[46],"providing":[48],"technologies":[50,156,266],"services.":[52],"Data":[53],"analysed":[55],"thematically,":[56],"using":[57],"a":[58,170,173,208,215,233],"conceptual":[59],"model":[60],"diffusion":[62],"innovations.":[64],"Results:":[65],"Participants":[66],"identified":[67],"numerous":[68],"interacting":[69],"facilitated":[72],"or":[73,289],"hindered":[74],"adoption":[75,187,228],"use.":[77],"predicted":[79],"model,":[82],"these":[83,117,190],"related":[84],"variously":[85],"to":[86,136,263],"technology,":[88],"individual":[89],"adopters,":[90],"process":[92],"social":[94,274],"influence,":[95],"innovativeness":[97],"readiness":[99],"organisations,":[101],"routinisation":[104],"processes":[105],"following":[106],"initial":[107,141],"nature":[111],"strength":[113],"linkages":[115],"between":[116,152],"elements.":[118],"Key":[119],"issues":[120],"included":[121],"(i)":[122],"complexity":[124],"uniqueness":[126],"\u201cuser":[129],"system\u201d,":[130],"(ii)":[131],"ongoing":[133],"work":[134],"needed":[135],"support":[137],"beyond":[140],"(iii)":[144],"relatively":[146],"weak":[147],"links":[148],"typically":[150],"exist":[151],"users":[153,244],"who":[160],"design":[161,256],"distribute":[163],"them.":[164],"Conclusions:":[165],"Telecare":[166],"is":[167],"not":[168,203],"merely":[169],"technology":[171,212],"but":[172,213],"complex":[174,216],"innovation":[175,217],"requiring":[176,218],"input":[177,219],"from,":[178,220],"coordination":[180,222],"between,":[181,223],"people":[182,224],"organisations.":[184],"promote":[186,227],"use,":[189],"contextual":[191,236],"must":[193,238],"be":[194,204,239,249],"specified,":[195,240],"understood":[196,241],"addressed.":[198],"Implications":[199],"RehabilitationTelecare":[201],"should":[202,248,261],"thought":[205],"as":[207,214],"\u201cplug":[209],"play\u201d":[211],"organisations.To":[226],"telecare,":[232],"number":[234],"addressed.End":[243],"other":[246],"stakeholders":[247],"linked":[250],"at":[251],"earliest":[253],"stages":[254],"development.":[258],"Such":[259],"co-production":[260],"aim":[262],"how":[265],"might":[267],"better":[268],"fit":[269],"users\u2019":[271],"material":[272],"surroundings,":[273],"networks":[275],"desired":[277],"lifestyles,":[278],"rather":[279],"than":[280],"being":[281],"technology-driven":[282],"focused":[284],"on":[285],"proof":[286],"concept":[288],"usability.":[290]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":13},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
