Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers' beliefs matter
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Abstract
Background: Technology support and person-centred care are the new mantra for healthcare programmes in Western societies. While few argue with the overarching philosophy of person-centred care or the potential of information technologies, there is less agreement on how to make them a reality in everyday clinical practice. In this paper, we investigate how individual healthcare providers at four innovation arenas in Scandinavia experienced the implementation of technology-supported person-centred care for people with long-term care needs by using the new analytical framework nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability (NASSS) of health and care technologies. We also discuss the usability and sensitivity of the NASSS framework for those seeking to plan, implement, and evaluate technology-supported healthcare programmes. This study is part of an interdisciplinary research and development project called Patients and Professionals in Partnership (2016–2020). It originates at one of ten work packages in this project. Method: The main data consist of ethnographic field observations at the four innovation arenas and 29 interviews with involved healthcare providers. To ensure continuous updates and status on work in the four innovation arenas, we have also participated in a total of six annual network meetings arranged by the project. Results: While the NASSS framework is very useful for identifying and communicating challenges with the adoption and spread of technology-supported person-centred care initiatives, we found it less sensitive towards capturing the dedication, enthusiasm, and passion for care transformation that we found among the healthcare providers in our study. When it comes to technology-supported person-centred care, the point of no return has passed for the involved healthcare providers. To them, it is already a definite part of the future of healthcare services. How to overcome barriers and obstacles is pragmatically approached. Conclusion: Increased knowledge about healthcare providers and their visions as potential assets for care transformation might be critical for those seeking to plan, implement, and evaluate technology-supported healthcare programmes.
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The NASSS framework has been widely used across a range of settings for evaluating and explaining the fortunes of various kinds of health technology projects and draws on complexity theory.
“The NASSS framework has been widely used across a range of settings for evaluating and explaining the fortunes of various kinds of health technology projects [see for example (18–20)] and draws on complexity theory (21).”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [20]
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“Frameworks such as the NASSS framework and the TAM should inform subsequent steps to promote responsible and ethical use of generative AI [58, 69].”
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- Authors
- Dyb, K., Berntsen, G. R., & Kvam, L.
- Affiliations
- University Hospital of North Norway (NO)
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Dyb, Kari
- Venue
- BMC Health Services Research
- Published
- 2021-03-17
- Volume
- 21
- Issue
- 1
- Pages
- 240-240
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC7968358
- OpenAlex
- W3138120464
- Cited by
- 67
- References
- 45
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 18 · 2023: 10 · 2022: 13 · 2021: 2
- FWCI
- 12.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
- Health Sciences › Health Professions › General Health Professions › Social Policies and Healthcare Reform
- Keywords
- person-centred care, technology-supported care, technology adoption, NASSS framework, long-term care, care transformation, health technology implementation
- MeSH terms
- Anthropology, Cultural, Delivery of Health Care, Health Personnel, Humans, Technology, Biomedical Technology
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