Abstract
The provision of technologically based services to meet pressing social needs often calls for a broader approach than leaving it to the market. This study examined the development of telemedicine in Japan, focusing on the knowledge transfer from the technology development process to technology usage development, and the dynamics of the participants in this pre-paradigmatic phase. The method employed is a combination of various approaches including political, network perspectives and relationships, and case studies. The results showed that the extent of success or failure appears to hang not on the quality of the technology, and often not on the evident importance of the social need, but on the overall coherence (‘alignment’) of the highly complex socio-technical system. Copyright , Beech Tree Publishing.
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