Projects per year
Abstract
Rural-urban healthcare access inequality refers to a disparity between rural and urban people with severe medical ailments in gaining access to the high-quality healthcare services they need. Although much hope has been pinned on the use of health information technology (HIT) to alleviate this critical and enduring societal challenge, the realized societal impact of HIT is unclear. Anchoring on both social transformation theory and affordance actualization theory, we conducted an in-depth qualitative study with two rounds of data collection in China. In addition to investigating how the societal challenge has triggered transformative HIT interventions, our analysis contributes to a theory on an HIT solution for the rural-urban healthcare access inequality challenge by establishing a link between HIT affordances and HIT interventions. This is done by examining how microlevel HIT effects escalate to macrolevel HIT effects through societal-level affordance actualization, which can affect this healthcare access inequality challenge. Along with providing policy implications on introducing HIT solutions to address intricate and complex societal challenges, this study extends existing theories by revealing the adaptation of the HIT intervention and differentiating the effects of collective and shared affordances.
Original language | English |
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Pages (from-to) | 1937-1982 |
Journal | MIS Quarterly |
Volume | 46 |
Issue number | 4 |
Online published | 18 Nov 2022 |
DOIs | |
Publication status | Published - Dec 2022 |
Funding
This research is partially supported by the National Natural Science Foundation of China [Grant 72022017, 92146001, 72091312, 71821002, 71531004], the Zhejiang Qiantang River Talents Program C in China [Grant QJC1902009], the Research Grants Council of Hong Kong [RGC-GRF grant 9042571], and City University of Hong Kong [Grant 11504417]. The research is also supported by Dean Strategic Fund - Health Informatics Grant No. C-251-000- 068-001 from National University of Singapore.
Research Keywords
- Healthcare IT
- healthcare inequality
- social transformation theory
- affordance actualization
- UNINTENDED CONSEQUENCES
- SOCIAL REPRODUCTION
- DIGITAL DIVIDE
- AFFORDANCE
- TELEMEDICINE
- DISPARITIES
- EVOLUTION
- ADOPTION
- RECORDS
- IMPACT
Publisher's Copyright Statement
- COPYRIGHT TERMS OF DEPOSITED FINAL PUBLISHED VERSION FILE: Tong, Y., Tan, C.-H., Sia, C. L., Shi, Y., & Teo, H.-H. (2022). Rural–Urban Healthcare Access Inequality Challenge: Transformative Roles of Information Technology. MIS Quarterly, 46(4), 1937-1982. https://doi.org/10.25300/misq/2022/14789
- Copyright © 2019 by the Management Information Systems Research Center (MISRC) of the University of Minnesota. Permission to make digital or hard copies of part or all of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and full citation on the first page. Copyright for components of this work owned by others than the MISRC must be honored. Abstracting with credit is permitted. To copy otherwise, to post on servers, or to redistribute to lists requires prior specific permission and possibly a fee. Request permission to publish from: MIS Quarterly; Carlson School of Management; University of Minnesota; 321 19th Ave. So.; Minneapolis, MN 55455. ISSN: 0276-7783.
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- 1 Finished
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GRF: Development of a Model of Antecedents of Trust and Distrust: Validating through Health Information Websites
SIA, C. L. (Principal Investigator / Project Coordinator)
1/01/18 → 8/12/21
Project: Research