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Vectors and drivers of connected health in Europe: a foundation for integrated care

2017-05-10, Mountford, Nicola, Chouvarda, Ioanna, Isomursu, Minna, Caulfield, Brian, et al.

Coordinated, integrated care requires connected 'inputs, delivery, management and organization of services related to diagnosis, treatment, care, rehabilitation and health promotion' (Grone & Barbero, 2002). Connected health (CH) offers a key building block as a 'paradigm shift, looking after the individual and community health in a process that speaks to the health journey of the person, through the entire lifespan, leveraging a variety of technologies to do so”' (ENJECT, 2016). However, CH is failing to reach its full potential – and therefore failing in its contribution to the realization of integrated care. We conducted a multi-disciplinary literature review across business, technology and healthcare journals, triangulated with a survey of CH experts from academia, industry and clinical settings representing 19 European countries (ENJECT, COST Action TD1405).

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Duos and Duels in Field Evolution: How Governments and Interorganizational Networks Relate

2018-08-13, Mountford, Nicola, Geiger, Susi

We live in an era where models of governing are changing rapidly under multifaceted evolutionary pressures and where, at the same time, organizational fields are becoming increasingly networked. With this paper, we add to the field dynamics literature, focusing on the space where these evolutionary pressures coincide – the interactions of Governments and interorganizational networks. We examine the roles that interorganizational networks play in relation to Government actors under particular long- and short-term institutional and governance conditions. We articulate four roles that networks may play in relation to Government: advocate, technology, judge and ruler. We argue that long-term institutional logics, combined with short-term Government action in response to a particular field evolution, may predict the role that the interorganizational network will assume in relation to Government in that particular field scenario. We discuss flows through the typology as conditions change and we conclude by presenting an agenda for future research in the field dynamics and interorganizational networks research domains that leverages our proposed network role typology.

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An Interdisciplinary 4th Level Education Model: Connected Health

2017-06-23, Mountford, Nicola, Kessie, Threase, Watts, Gemma, Cusack, Tara, et al.

This paper responds to the need for interdisciplinary approaches to fourth level education that better reflect the complexity of the world in which we work and conduct research. We discuss this need in technology-enabled healthcare, Connected Health. We propose a model for fourth level interdisciplinary education and discuss its trial application in two European structured PhD programmes in the Connected Health research arena. We suggest broader learning objectives for the emerging fourth level graduate, methods of incorporating multiple disciplinary inputs and perspectives into deep disciplinary PhD training, intersectoral approaches to ensure employability and impact, and innovative training methods and structures to facilitate interdisciplinary and intersectoral learning. We give some examples of innovative training modules used within the pilot programmes. Finally we discuss six core elements of a truly interdisciplinary programme at fourth level – exposure to different environments, joint supervision, a genuine role for the non academic sector, career development training and planning, the development of a sustainable training network beyond the life of the programme, and data openness.

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Markets and institutional fields: foundational concepts and a research agenda

2021-05-15, Mountford, Nicola, Geiger, Susi

We borrow the notion of field from institutional theory to think through how markets and their ‘outsides’–or at least one particular manifestation of an ‘outside’–stand in a dynamic and interactive relationship. We distinguish the field and the market in terms of issues versus exchange and identity versus position. We argue that the lack of clarity as to how fields and markets differ, relate, overlap, and are bounded, jeopardizes our ability to address important societal debates concerning the roles of markets within and across other areas of social life. It also hinders a consolidation of insights across different approaches to studying markets, even though researchers from different disciplines often address similar concerns. Key questions for which both conceptual and analytical clarity are essential include how markets and their ‘outsides’ (here: fields) intersect; whether and how diverse sets of actors interact, work, and migrate between fields and markets; and what dynamics may be observable between field and market. We provide four illustrative examples of field/market relationships and a theoretical, methodological, and empirical research agenda for future research into markets and their ‘outsides’.

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Connected Health in Europe: Where are we today?

2016, Mountford, Nicola, Kessie, Threase, Quinlan, M., Maher, R., Smolders, R., Van Royen, P., Todorovic, I., Belani, H., Horak, H., Ljubi, I., Stage, J., Lamas, D., Shmorgun, I., Perälä-Heape, M., Isomursu, Minna, Managematin, V., Trajkovik, V., Madevska-Bogdanova, A., Stainov, R., Chouvarda, Ioanna, Dimitrakopoulos, G., Stulman, A., Haddad, Y., Alzbutas, R., Calleja, N., Tilney, M., Moen, A., Thygesen, E., Lewandowski, R., Klichowski, M., Oliveira, P., Machado da Silva, J., Loncar Turukalo, T., Marovic, B., Drusany Staric, K., Cvetkovic, B., Luque, E., Fernandez Luque, L., Burmaoglu, S., Dolu, N., Curcin, V., McLaughlin, J., Caulfield, Brian

This report, which has grown out of an ENJECT survey of 19 European countries, examines the situation of Connected Health in Europe today. It focuses on creating a clear understanding of the current and developing presence of Connected Health throughout European healthcare systems under five headings: The Policy Environment, Education, Business and Health Models, Interoperability, and The Person.