Abstract

SAMPEDRO HERNANDEZ, José Luis. Innovación y cambio microinstitucional en el sector salud: evidencia de la telemedicina en México. Econ: teor. práct [online]. 2013, n.39, pp.31-57. ISSN 2448-7481.

This paper contributes to understand how the adoption and absorption of new technologies, in particular telemedicine, influence on change of technical and cognitive structures of healthcare units, and on changes of perceptions and making decisions. This change affect the configuration of learning, innovations and micro-institutional processes. It also analyzes how these processes influence on healthcare services. We will try to explain how the adoption of new technologies influence on the reconfiguration of learning processes, on the creation of new knowledge, and on the modes of coordination of different cumuli of information and knowledge, and how that reconfiguration influences on the healthcare services. We suggest that telemedicine is a social technology that allows transferring of specific knowledge and information in order to take critical and complex decisions in a short time, affecting the development of skills, knowledge, and the modes of coordination among the actors. It will be illustrated by an exploratory multiple-case study. The cases are medical units that internalized telemedicine services in Oaxaca, Chiapas and Guerrero. In these cases, telemedicine projects are the unit of analysis. The fieldwork was done between June of 2011 and January of 2012.

Keywords : knowledge; innovation; collaborative learning; coordination modes; micro-institutional change; telemedicine.

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