{"id":"https://openalex.org/W92478638","doi":null,"title":"A THEORY OF RURAL TELEHEALTH INNOVATION - A PARADOXICAL APPROACH","display_name":"A THEORY OF RURAL TELEHEALTH INNOVATION - A PARADOXICAL APPROACH","publication_year":2009,"publication_date":"2009-01-01","ids":{"openalex":"https://openalex.org/W92478638","mag":"92478638"},"language":"en","primary_location":{"id":"pmh:oai:aisel.aisnet.org:icis2009-1079","doi":null,"is_oa":false,"landing_page_url":"http://aisel.aisnet.org/icis2009/126","pdf_url":null,"source":{"id":"https://openalex.org/S30879505","display_name":"Journal of the Association for Information Systems","issn_l":"1536-9323","issn":["1536-9323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a-star","anvur-scientific","cwts-core","dongbi-a","fnege-1","jufo-3","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321080","host_organization_name":"Association for Information Systems","host_organization_lineage":["https://openalex.org/P4310321080"],"host_organization_lineage_names":["Association for Information Systems"],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"ICIS 2009 Proceedings","raw_type":"text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026073626","display_name":"Rajendra Singh","orcid":"https://orcid.org/0000-0001-6581-2710","observed_orcids":["https://orcid.org/0000-0001-6581-2710"]},"institutions":[{"id":"https://openalex.org/I179420787","display_name":"Indian Council of Agricultural Research","ror":"https://ror.org/04fw54a43","country_code":"IN","type":"government","lineage":["https://openalex.org/I179420787"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rajendra Singh","raw_affiliation_strings":["Indian Council of Agricultural Research, New Delhi, India"],"raw_orcid":"https://orcid.org/0000-0001-6581-2710","affiliations":[{"raw_affiliation_string":"Indian Council of Agricultural Research, New Delhi, India","institution_ids":["https://openalex.org/I179420787"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041554519","display_name":"Lars Mathiassen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I181565077","display_name":"Georgia State University","ror":"https://ror.org/03qt6ba18","country_code":"US","type":"education","lineage":["https://openalex.org/I181565077"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lars Mathiassen","raw_affiliation_strings":["Georgia State University, Atlanta, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Georgia State University, Atlanta, United States","institution_ids":["https://openalex.org/I181565077"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040614306","display_name":"Abhay Nath Mishra","orcid":"https://orcid.org/0000-0002-2448-0139","observed_orcids":["https://orcid.org/0000-0002-2448-0139"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abhay Nath Mishra","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-2448-0139","affiliations":[]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":94},"biblio":{"volume":null,"issue":null,"first_page":"126","last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9878000020980835,"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"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9878000020980835,"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/T11024","display_name":"Information Systems Theories and Implementation","score":0.0034000000450760126,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13194","display_name":"ICT in Developing Communities","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/telemedicine-implementation","display_name":"telehealth implementation","score":0.7770000100135803},{"id":"https://openalex.org/keywords/resource-constraints","display_name":"resource constraints","score":0.5960000157356262},{"id":"https://openalex.org/keywords/innovation-theory","display_name":"innovation theory","score":0.5249999761581421},{"id":"https://openalex.org/keywords/underserved-populations","display_name":"underserved populations","score":0.8370000123977661}],"concepts":[{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.975843608379364},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.6342710256576538},{"id":"https://openalex.org/C2778431023","wikidata":"https://www.wikidata.org/wiki/Q878249","display_name":"Alliance","level":2,"score":0.5685102939605713},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.476106733083725},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.4746335446834564},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.4633427560329437},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.43421176075935364},{"id":"https://openalex.org/C2780510313","wikidata":"https://www.wikidata.org/wiki/Q178706","display_name":"Institution","level":2,"score":0.4253268837928772},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.35724928975105286},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.34764981269836426},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3408765494823456},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.32793036103248596},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.26139259338378906},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.24070486426353455},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.24014532566070557},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.2331589162349701},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.22766900062561035},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.12006601691246033},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:aisel.aisnet.org:icis2009-1079","doi":null,"is_oa":false,"landing_page_url":"http://aisel.aisnet.org/icis2009/126","pdf_url":null,"source":{"id":"https://openalex.org/S30879505","display_name":"Journal of the Association for Information Systems","issn_l":"1536-9323","issn":["1536-9323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a-star","anvur-scientific","cwts-core","dongbi-a","fnege-1","jufo-3","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321080","host_organization_name":"Association for Information Systems","host_organization_lineage":["https://openalex.org/P4310321080"],"host_organization_lineage_names":["Association for Information Systems"],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"ICIS 2009 Proceedings","raw_type":"text"},{"id":"mag:92478638","doi":null,"is_oa":false,"landing_page_url":"http://dblp.uni-trier.de/db/conf/icis/icis2009.html#SinghMM09","pdf_url":null,"source":{"id":"https://openalex.org/S4306419566","display_name":"International Conference on Information Systems","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"conference"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"International Conference on Information Systems","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9","score":0.5378999710083008}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":88,"referenced_works":["https://openalex.org/W169276664","https://openalex.org/W203766253","https://openalex.org/W1494401083","https://openalex.org/W1517087321","https://openalex.org/W1527311855","https://openalex.org/W1527650240","https://openalex.org/W1561620361","https://openalex.org/W1570555560","https://openalex.org/W1585393095","https://openalex.org/W1670323232","https://openalex.org/W1738138370","https://openalex.org/W1803846393","https://openalex.org/W1904623365","https://openalex.org/W1965303146","https://openalex.org/W1967843122","https://openalex.org/W1968227793","https://openalex.org/W1974025712","https://openalex.org/W1975180707","https://openalex.org/W1978518526","https://openalex.org/W1986626572","https://openalex.org/W1989354996","https://openalex.org/W1993023795","https://openalex.org/W1994079146","https://openalex.org/W1996957103","https://openalex.org/W2000735608","https://openalex.org/W2006510205","https://openalex.org/W2008089547","https://openalex.org/W2011526406","https://openalex.org/W2015692129","https://openalex.org/W2019909466","https://openalex.org/W2021623614","https://openalex.org/W2024111593","https://openalex.org/W2024449779","https://openalex.org/W2024641550","https://openalex.org/W2024930272","https://openalex.org/W2025206453","https://openalex.org/W2026950436","https://openalex.org/W2029138457","https://openalex.org/W2032560392","https://openalex.org/W2038689539","https://openalex.org/W2039651736","https://openalex.org/W2044265377","https://openalex.org/W2051253644","https://openalex.org/W2051334416","https://openalex.org/W2052435721","https://openalex.org/W2053514464","https://openalex.org/W2063129520","https://openalex.org/W2065435080","https://openalex.org/W2068155429","https://openalex.org/W2069694962","https://openalex.org/W2072120243","https://openalex.org/W2076524966","https://openalex.org/W2076898809","https://openalex.org/W2081673340","https://openalex.org/W2081899264","https://openalex.org/W2084612155","https://openalex.org/W2085134595","https://openalex.org/W2090040728","https://openalex.org/W2097206604","https://openalex.org/W2105780808","https://openalex.org/W2106634059","https://openalex.org/W2110612143","https://openalex.org/W2110747032","https://openalex.org/W2112697655","https://openalex.org/W2118109876","https://openalex.org/W2118717649","https://openalex.org/W2127089424","https://openalex.org/W2131846008","https://openalex.org/W2135999969","https://openalex.org/W2137240809","https://openalex.org/W2140918053","https://openalex.org/W2146360789","https://openalex.org/W2148676114","https://openalex.org/W2148940838","https://openalex.org/W2160178930","https://openalex.org/W2160365544","https://openalex.org/W2164284962","https://openalex.org/W2166858912","https://openalex.org/W2168661650","https://openalex.org/W2171770533","https://openalex.org/W2175803407","https://openalex.org/W2313173454","https://openalex.org/W2323234829","https://openalex.org/W2324093677","https://openalex.org/W2602994426","https://openalex.org/W3122378574","https://openalex.org/W3144127399","https://openalex.org/W3150073563"],"related_works":["https://openalex.org/W7096694189","https://openalex.org/W2170011833","https://openalex.org/W4283785071","https://openalex.org/W4417025689","https://openalex.org/W2506551166","https://openalex.org/W7000200466","https://openalex.org/W4313885974","https://openalex.org/W7134926685","https://openalex.org/W4205953967","https://openalex.org/W4205092040"],"abstract_inverted_index":{"Telehealth":[0],"promises":[1],"to":[2,11,25,35,79,86,95,147],"provide":[3],"underserved":[4],"communities":[5],"with":[6],"better":[7],"medical":[8],"services":[9],"and":[10,90,103,136,140],"help":[12],"rural":[13,44,118,127],"healthcare":[14],"institutions":[15,21],"become":[16],"financially":[17],"sustainable.":[18],"However,":[19],"these":[20,148],"find":[22],"it":[23],"challenging":[24],"implement":[26],"telehealth":[27,54,72,119,128],"because":[28],"their":[29],"resources":[30],"are":[31],"severely":[32],"constrained":[33],"even":[34],"maintain":[36],"current":[37],"operations.":[38],"This":[39],"paper":[40],"investigates":[41],"how":[42,142],"a":[43,59,97,115],"health":[45],"institution":[46],"successfully":[47],"addressed":[48],"this":[49],"paradoxical":[50,108],"situation":[51],"by":[52],"integrating":[53],"into":[55],"its":[56],"operations":[57],"over":[58],"20-year":[60],"period.":[61],"We":[62,121],"identify":[63],"three":[64,124],"sets":[65],"of":[66,117,131,134,138],"tensions":[67],"that":[68,123],"manifest":[69],"during":[70],"the":[71,88],"implementation":[73],"process:":[74],"autonomy":[75],"vs.":[76,83,92],"dependence":[77],"(relating":[78,85,94],"resource":[80],"acquisition),":[81],"controlling":[82],"drifting":[84],"enabling":[87],"innovation),":[89],"exploration":[91],"exploitation":[93],"creating":[96],"sustainable":[98],"solution).":[99],"Drawing":[100],"on":[101],"Poole":[102],"Van":[104],"de":[105],"Ven\u2019s":[106],"(1989)":[107],"approach,":[109],"we":[110],"develop":[111],"four":[112],"propositions":[113],"comprising":[114],"theory":[116],"innovation.":[120],"suggest":[122],"paradoxes":[125],"shape":[126],"innovation:":[129],"Paradox":[130,133,137],"Alliance,":[132],"Governance,":[135],"Learning,":[139],"explain":[141],"innovation":[143],"unfolds":[144],"in":[145],"response":[146],"paradoxes.":[149]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2016-06-24T00:00:00"}
