The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan
This paper illustrates the diffusion of information and communication technology (ICT) in the healthcare sector, using a case study focusing on a medical information system, namely, Ajisai Net, based in Nagasaki Prefecture, Japan. Regional differences in diffusion patterns and their factors are indi...
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| Publicat a: | URI:https://journals.openedition.org/netcom, |
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| Format: | Article ou chapitre numérique |
| Idioma: | Anglais |
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Netcom
2020
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| Accés en línia: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
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openedition-oai:revues.org:netcom_4577 |
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openedition-oai:revues.org:netcom_4577 https://doi.org/10.4000/netcom.4577 urn:doi:10.4000/netcom.4577 en https://journals.openedition.org/netcom/4577 2020-02-12T01:00:00Z info:eu-repo/semantics/openAccess article info:eu-repo/semantics/article urn:handle:20.500.13089/ij9g https://creativecommons.org/licenses/by-nc-nd/4.0/ The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan Netcom Netcom Association info:eu-repo/semantics/reference/issn/2431-210X info:eu-repo/semantics/reference/issn/0987-6014 URI:https://journals.openedition.org/netcom Nakamura, Tsutomu TIC Japon diffusion technologie de l’information et de la communication santé Nagasaki ICT Japan diffusion information and communication technology healthcare This paper illustrates the diffusion of information and communication technology (ICT) in the healthcare sector, using a case study focusing on a medical information system, namely, Ajisai Net, based in Nagasaki Prefecture, Japan. Regional differences in diffusion patterns and their factors are indicated through a focus on the decision-making of related actors, including system-promoting agencies. This study also clarifies the status of system utilization and the effects of and issues with the system. System utilization spreads through system-promoting agencies in the form of increases in information-disclosure facilities. The diffusion process of this case differed from the hierarchical effect. The city of Omura was the first place where participating facilities could access the system in the infrastructure-building phase, followed by Nagasaki and Kamigoto in the spatial-expansion phase, followed by Sasebo, Isahaya, and Shimabara when widespread dissemination was achieved to the entire prefecture. Based on the ICT’s utilization, the results demonstrate that the diffusion of medical information system was determined by existing social relations ; however, the degree of social relations was not always proportional to the size of the urban area. System-diffusion patterns were found to be a different form than those in previous studies. Nagasaki Prefecture contains many isolated islands and has large internal regional differences in medical resources. In response to these geographical conditions, cooperative relationships among healthcare providers had already been developed before the introduction of ICT. This study suggests that effective use of existing social relationships can establish governance that moves a pattern from competition to coexistence. Cet article s’appuie sur une étude de cas (Ajisai Net) dont le périmètre d’action porte sur la préfecture de Nagasaki au Japon qui dispose de nombreuses îles isolées et présente de grandes différences régionales internes en termes de ressources médicales. L’objectif est d’illustrer la montée en puissance du numérique dans le secteur de la santé en analysant les modes de diffusion et d’utilisation du système d’informations médicales dans différentes villes (Omura, Nagasaki, Kamigoto, Sasebo, Isahaya et Shimabara). Les différences s’expliquent notamment par des logiques d’acteurs et par l’efficacité des agences dont la vocation est de promouvoir le système. Les résultats montrent que la diffusion du système d'informations médicales dépend grandement des relations sociales préexistantes, notamment pour des territoires marqués par l’isolement géographique. Les plus performants sont ceux qui avaient déjà développé des formes de coopération distante. Il est donc très important d’identifier ces réseaux de relations préalables pour mieux les intégrer au système de gouvernance de la e-santé en cours de déploiement au Japon. |
| collection |
OpenEdition Journal |
| language |
Anglais |
| format |
Article ou chapitre numérique |
| building |
0/Bibliothèque numérique/ 1/Bibliothèque numérique/OpenEdition Journals/ |
| topic |
TIC Japon diffusion technologie de l’information et de la communication santé Nagasaki ICT Japan diffusion information and communication technology healthcare |
| spellingShingle |
TIC Japon diffusion technologie de l’information et de la communication santé Nagasaki ICT Japan diffusion information and communication technology healthcare Nakamura, Tsutomu The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan |
| description |
This paper illustrates the diffusion of information and communication technology (ICT) in the healthcare sector, using a case study focusing on a medical information system, namely, Ajisai Net, based in Nagasaki Prefecture, Japan. Regional differences in diffusion patterns and their factors are indicated through a focus on the decision-making of related actors, including system-promoting agencies. This study also clarifies the status of system utilization and the effects of and issues with the system. System utilization spreads through system-promoting agencies in the form of increases in information-disclosure facilities. The diffusion process of this case differed from the hierarchical effect. The city of Omura was the first place where participating facilities could access the system in the infrastructure-building phase, followed by Nagasaki and Kamigoto in the spatial-expansion phase, followed by Sasebo, Isahaya, and Shimabara when widespread dissemination was achieved to the entire prefecture. Based on the ICT’s utilization, the results demonstrate that the diffusion of medical information system was determined by existing social relations ; however, the degree of social relations was not always proportional to the size of the urban area. System-diffusion patterns were found to be a different form than those in previous studies. Nagasaki Prefecture contains many isolated islands and has large internal regional differences in medical resources. In response to these geographical conditions, cooperative relationships among healthcare providers had already been developed before the introduction of ICT. This study suggests that effective use of existing social relationships can establish governance that moves a pattern from competition to coexistence. |
| author |
Nakamura, Tsutomu |
| author_facet |
Nakamura, Tsutomu |
| author_sort |
Nakamura, Tsutomu |
| title |
The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan |
| title_short |
The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan |
| title_full |
The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan |
| title_fullStr |
The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan |
| title_full_unstemmed |
The geographical factors affecting ICT diffusion process in the healthcare sector. A case study in Nagasaki Prefecture, Japan |
| title_sort |
geographical factors affecting ict diffusion process in the healthcare sector. a case study in nagasaki prefecture, japan |
| publisher |
Netcom |
| publishDate |
2020 |
| container_title |
URI:https://journals.openedition.org/netcom |
| url |
https://ezproxy.univ-orleans.fr/login?url=https://doi.org/10.4000/netcom.4577 https://ezproxy.univ-orleans.fr/login?url=https://journals.openedition.org/netcom/4577 |
| _version_ |
1877294097736138752 |