Technology adoption and innovation in healthcare (Record no. 222319)

MARC details
000 -LEADER
fixed length control field 03228nam a22001937a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240510b |||||||| |||| 00| 0 eng d
082 ## - DEWEY DECIMAL CLASSIFICATION NUMBER
Classification number TH 2024-15
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Rathi, Sawan
245 ## - TITLE STATEMENT
Title Technology adoption and innovation in healthcare
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc Ahmedabad
Name of publisher, distributor, etc Indian Institute of Management
Date of publication, distribution, etc 2024
300 ## - PHYSICAL DESCRIPTION
Extent 124 p.
Dimensions Includes tables and figures
500 ## - GENERAL NOTE
General note Thesis Advisory Committee<br/>Prof. Anindya Chakrabarti(Chair Person)<br/>Prof. Chirantan Chatterjee, Prof. Anuj Kapoor & Prof. Mohsen Mohaghegh (Member)
520 ## - SUMMARY, ETC.
Summary, etc What explains differential rates of healthcare technology adoption in low- and middle-income countries (LMICs)? Three determinants that can help determine the technology adoption trajectory in LMICs are – demand-pull from patients, technology push through actors with an appropriate network, and ecosystem provided by the market and non-market institutions. This thesis aims to study these three determinants to understand the changing dynamics of technology adoption and innovation in healthcare.<br/><br/>In the first chapter, we exploit the COVID-19 shock to examine how intra-organization technology replacements occurred due to concurrent shifts in the demand and supply side. We use unique electronic medical records data from LV Prasad Eye Institute (LVPEI), which is one of the largest not-for-profit eye hospitals in India. We focus on the adoption of high-end medical technology by ophthalmologists to diagnose prevalent eye diseases – replacing less costly and older technology. We find that visual acuity among the non-paying patients worsened during the lockdown. Demand-pull generated through increased impairment propelled new technology adoption, predominantly facilitated through technology- push by young physicians. Higher adoption of new technology, in turn, contributed to improving the eyesight of non-paying patients.<br/><br/>In the second chapter, we focus on the demand-side factors to examine how sudden change in the opportunity cost of time changes technology engagement. We analyzed two million call records of enrolled users of ARMMAN. ARMMAN is an internationally recognized NGO that leverages mHealth to send timely informational calls to mobile phones of underprivileged pregnant women in Mumbai. We find that during the COVID-19 induced lockdown period, the hearing duration of these calls significantly increased; however, technology engagement behavior exhibited demographic heterogeneity.<br/><br/>In the third chapter, we focus on the institutional side and propose a framework for the governments in the LMIC setting. We conceptualize the role of margins of digital endowment and methods of information dissemination through digitalization in healthcare. We substantiate this framework with empirical evaluation based on Indian data to find that when public health information is disseminated individuals with digital endowments report better health. However, the distribution of this benefit is not uniform, and heterogeneities exist based on caste and location.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element LMICs
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Healthcare
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Technology
856 ## - ELECTRONIC LOCATION AND ACCESS
Materials specified e-Thesis
Uniform Resource Identifier https://vslir.iima.ac.in:8443/xmlui/handle/11718/27342
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Thesis (FPM)
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Use restrictions Not for loan Collection code Home library Current library Shelving location Date acquired Full call number Barcode Date last seen Price effective from Koha item type
    Dewey Decimal Classification   Restricted Access Not for Issue Non-fiction Vikram Sarabhai Library Vikram Sarabhai Library Reference 10/05/2024 TH 2024-15 CD002743 10/05/2024 10/05/2024 Thesis (FPM)