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Healthcare workers’ adoption of and satisfaction with artificial intelligence: The counterintuitive role of paradoxical tensions and paradoxical mindset
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
Halmstad University, School of Business, Innovation and Sustainability.ORCID iD: 0000-0002-0560-7392
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Artificial intelligence (AI) is revolutionizing healthcare by introducing novel treatments and applications, thereby transforming the sector. However, the complexity, ambiguity, diversity, and inherent risks of AI can create tensions for healthcare workers, manifesting as dilemmas that lead to stress, anxiety, and discomfort in decision-making. These tensions are paradoxical in nature, as they present conflicting demands that persist over time and develop into seemingly irrational or absurd situations. Understanding how these paradoxical tensions affect healthcare workers’ responses to AI is crucial for successful integration and addressing potential concerns. This study investigates the role of paradoxical tensions and the paradoxical mindset in shaping healthcare workers’ responses toward AI. Specifically, the study examines how these factors influence end individuals’ intentions to adopt AI systems and tools and their satisfaction with them. Using a quantitative survey design, data were collected from 357 healthcare workers. The results, based on regression analysis, indicate that paradoxical tensions positively influence individuals’ intention to use AI systems and tools and their satisfaction with AI systems and tools, and that these relationships are mediated by paradoxical mindset. 

Keywords [en]
Paradox Theory, Paradoxical Tensions, Paradoxical Mindset, Artificial Intelligence, Technology Adoption, User Satisfaction, Health Technology
National Category
Business Administration
Research subject
Health Innovation, IDC
Identifiers
URN: urn:nbn:se:hh:diva-54832OAI: oai:DiVA.org:hh-54832DiVA, id: diva2:1910491
Part of project
Business Models for Information-driven Healthcare Ecosystems – BINECO, Knowledge Foundation
Funder
Knowledge Foundation, 3086
Note

Som manuscript i avhandling/As manuscript in thesis

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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