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Eye-tracking and digitalization in hands-free healthcare: A study about value co-creation interactions
Halmstad University, School of Business, Innovation and Sustainability.ORCID iD: 0000-0001-9033-3957
Halmstad University, School of Business, Innovation and Sustainability.ORCID iD: 0000-0002-0030-3402
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(English)Manuscript (preprint) (Other academic)
Abstract [en]

Eye-tracking technology is gaining significance in the healthcare industry because it can potentially reduce the need of physical contact between professionals, patients and contaminated surfaces, thereby reducing the risk of transmitting infections during healthcare. Despite its wide range of applications, the use of eye-tracking remains suboptimal, primarily due to data interpretation challenges and the effects on resource management, information flow, and internal workflows. This study explores value co-creation (VCC) interactions between technology providers and technology end-users that enable the adoption and use of eye-tracking in digitalized and hands-free healthcare settings. Adopting a qualitative approach, this study assembles data from exploratory and semi-structured interviews with professionals at eye-tracking providers and with physicians who use eye-tracking in clinical practice and research. Thematic analysis was used to analyze these data. The findings indicate that the VCC interactions in value co-production are driven by the alignment of technology potentialities and end-user needs, co-development of manuals and guidelines, and collaborative sensemaking of legal and scientific requirements. The findings also indicate that the VCC interactions in value-in-use focus on the alignment of technology performance and end-user experience, co-development of implementation strategies, and collaborative interpretation and assessment of outcomes. This study provides evidence on how technology end-users are involved in the development of technology with technology providers in the co-production of value and how the active participation of technology providers in the adoption and use of technologies helps end-users understand the benefits of the technology. The findings also shed light on interactions between technology providers and technology end-users that can help overcome barriers to the adoption of eye-tracking in healthcare. 

Keywords [en]
Digitalization, Hands-free healthcare, Touchless interactions, Eye- tracking, Value co-creation, Technology adoption
National Category
Business Administration
Research subject
Health Innovation, IDC
Identifiers
URN: urn:nbn:se:hh:diva-54830OAI: oai:DiVA.org:hh-54830DiVA, id: diva2:1910489
Part of project
Business Models for Information-driven Healthcare Ecosystems – BINECO, Knowledge Foundation
Funder
Knowledge Foundation, 3086
Note

Submitted to a peer-reviewed journal

Available from: 2024-11-05 Created: 2024-11-05 Last updated: 2025-10-01Bibliographically approved
In thesis
1. Value Creation and Digitalization in Healthcare: Technology Adoption and MedTech Firm’s Capabilities
Open this publication in new window or tab >>Value Creation and Digitalization in Healthcare: Technology Adoption and MedTech Firm’s Capabilities
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Healthcare is undergoing a digital transformation as advanced analytics, artificial intelligence (AI), and connected devices revolutionize clinical decision-making, care delivery, and patient outcomes. Digital technologies, particularly AI, have created unprecedented opportunities for value creation through improved diagnostics, automated workflows, and data-driven care. Despite this potential, the adoption of digital technologies in healthcare remains slower than in other industries. Multiple factors contribute to this gap, with value creation emerging as central to adoption decisions. While individual factors - such as healthcare professionals' responses to new technologies - significantly influence adoption, medical technology (MedTech) firms play an essential role in facilitating value creation through digitalization. Previous research has largely overlooked this complexity, particularly the interplay between healthcare professionals' adoption decisions and MedTech firms' capabilities. 

Purpose: The purpose of this doctoral thesis is to explore how healthcare professionals adopt digital technologies and how MedTech firms acquire capabilities to facilitate digitalization and value creation in healthcare. 

Method: To fulfill the overall purpose of this thesis, five independent papers were developed. The papers comprise one qualitative descriptive study, one sys- tematic literature review, one exploratory qualitative study, one embedded case study, and one survey. The data collection is based on exploratory and semi-structured interviews, workshops, observation, and questionnaires. The data analysis follows a thematic analysis technique and linear regression analysis. 

Findings: The findings of this thesis indicate that digitalization and value creation in healthcare emerge through dynamic interactions between healthcare professionals and MedTech firms. Healthcare professionals, as technology adopters, evaluate multiple value dimensions (cost-sacrifice, instrumental, hedonic, and symbolic) that shape their attitudes toward digital technologies. They engage in facilitation activities to manage resistance to change and develop paradoxical mindsets to navigate tensions arising from technological transitions. MedTech firms acquire the necessary capabilities through formal, vii semi-formal, and informal mechanisms to facilitate digitalization. These capabilities - health-related, data-driven, and social capabilities - are primarily accessed through external actors. Value co-creation occurs through structured encounters between healthcare professionals and MedTech firms, where they share resources and knowledge, align expectations, and collaborate to enhance technology adoption and value realization. This interplay creates a foundation for successful healthcare digitalization while ensuring technologies meet clinical needs and create sustainable value. 

Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2024. p. 124
Series
Halmstad University Dissertations ; 122
Keywords
Digitalization, Health Technology, Technology Adoption, Value Creation, Organizational Capabilities, Healthcare Professionals, MedTech Firms
National Category
Business Administration
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-54833 (URN)978-91-89587-61-8 (ISBN)978-91-89587-60-1 (ISBN)
Public defence
2024-12-06, S1022, Kristian IV:s väg 3, Halmstad, 13:15 (English)
Opponent
Supervisors
Funder
Knowledge Foundation, 3086
Available from: 2024-11-14 Created: 2024-11-05 Last updated: 2025-10-01Bibliographically approved

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Irgang dos Santos, Luís FernandoBarth, HenrikHolmén, Magnus

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Citation style
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