Scaling Digital Remote Care Technology: Installed Base Cultivation
European Society for Socially Embedded Technologies (EUSSET)
Digital remote care is considered a way to address the rising costs of healthcare by moving the treatment of patients to the homes, supporting a shift from episodic to continuous care, and promoting preventive care. However, it is still a challenge for user organizations (e.g., hospitals and health centers) to scale digital remote care to large patients’ populations beyond small-scale pilot projects. Research has shown that the implementation and deployment of digital remote care requires both the reorganization of resources, responsibility, competences in the organization and the development of the existing infrastructures. These processes are therefore challenging, and the existing organizational, infrastructural, and digital capabilities of a user organization seem to play a critical role. Thus, in this paper we address the research question of what is the role of the installed base in the scaling of remote care? We have addressed this question by conducting a case study in primary care setting in Norway. This study contributes to increased insight into how existing socio-technological arrangements affect the configuration, adoption and scaling of digital remote care for people with chronic illness.