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Prof. Mike Chiasson
Management, University of British Columbia, Kelowna, BC, V1Y 6L1, Canada

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Research Keywords & Expertise

0 Critical Theory
0 Informaton systems development
0 Influence of IT on organizations
0 Health care information systems
0 Technological and social theory

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Journal article
Published: 30 July 2019 in International Journal for Equity in Health
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Considerable evidence has advanced the role of citizen-led coalitions (CLC) in supporting the health and social needs of rural citizens. There has been little research focusing on the experiences and strategies of coalitions, with their limited resources and status, in targeting health inequities in their rural communities. The aim of this study was to understand the entrepreneurial strategies and experiences of rural coalitions to effect change in the delivery of health services for their older adult populations. A qualitative descriptive study method was used to generate understanding of the entrepreneurial experiences and strategies of CLCs in advancing health services to meet the health and social needs of their citizens. Seven diverse CLCs (n = 40) from different rural communities participated in focus groups and in individual and coalition-level surveys. Thematic analysis was used to construct themes from the data. Two over-riding themes emerged: entrepreneurial strategies and societal recognition. CLCs engaged in numerous entrepreneurial strategies that enabled actions and outcomes in meeting their health care needs. These strategies included: securing quick wins, leveraging existing resources, and joining forces with stakeholder groups/individuals. However, despite these strategies and successes, coalitions expressed frustration with not being seen and not being heard by decision-makers. This pointed to a key structural barrier to coalition successes -- a broader societal and institutional problem of failing to recognize not only the health needs of rural citizens, but also the legitimacy of the community coalitions to represent and act on those needs. Despite the potential for coalitions to mobilize and effect change in addressing the inequities of rural health service access for older adults, broader barriers to their recognition, may undermine their entrepreneurial strategies and success.

ACS Style

Kathy L. Rush; Mike Chiasson; Mary Butterfield; Silvia Straka; Barbara Jean Buckley. Recognition: key to the entrepreneurial strategies of rural coalitions in advancing access to health care. International Journal for Equity in Health 2019, 18, 119 -12.

AMA Style

Kathy L. Rush, Mike Chiasson, Mary Butterfield, Silvia Straka, Barbara Jean Buckley. Recognition: key to the entrepreneurial strategies of rural coalitions in advancing access to health care. International Journal for Equity in Health. 2019; 18 (1):119-12.

Chicago/Turabian Style

Kathy L. Rush; Mike Chiasson; Mary Butterfield; Silvia Straka; Barbara Jean Buckley. 2019. "Recognition: key to the entrepreneurial strategies of rural coalitions in advancing access to health care." International Journal for Equity in Health 18, no. 1: 119-12.

Journal article
Published: 03 July 2019 in The Journal of Strategic Information Systems
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This study addresses calls to expand the boundaries of digital innovation research at multiple levels of society to comprehensively study the structure and evolution of innovation processes and outcomes. We contribute by proposing a framework composed of systems of innovation (SIs)1 as an alternative and holistic conceptual base and unit of analysis, which accounts for the interconnected components located beyond the organizational microenvironments that ultimately affect innovation in organizations. Given the compatibility of SIs and the ontology of critical realism (CR)2 as well as some flaws in SI research practice, we also use critical realist research approaches to guide the study of the state and transformation of SIs. We further explain the joint use of SIs and CR by applying them to the area of information systems innovation diffusion.

ACS Style

Arturo Vega; Mike Chiasson. A comprehensive framework to research digital innovation: The joint use of the systems of innovation and critical realism. The Journal of Strategic Information Systems 2019, 28, 242 -256.

AMA Style

Arturo Vega, Mike Chiasson. A comprehensive framework to research digital innovation: The joint use of the systems of innovation and critical realism. The Journal of Strategic Information Systems. 2019; 28 (3):242-256.

Chicago/Turabian Style

Arturo Vega; Mike Chiasson. 2019. "A comprehensive framework to research digital innovation: The joint use of the systems of innovation and critical realism." The Journal of Strategic Information Systems 28, no. 3: 242-256.