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Dual scripts and incongruent innovation: implementing social technology in homecare services
Martin Vinther Bavngaard1, Anne Lund1, Erik Børve Rasmussen2
1Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University, Postboks 4, St. Olavs Plass, 0130, Oslo, Norway.
None:
Despite continuous policy efforts, implementing technology in healthcare services remains a precarious venture. This study reports from a collaborative research and development project in Norway that aimed to implement a social technology - Komp - in community homecare services. Originally designed for social contact in the family setting, the project repurposed Komp as a solution connecting homecare services to home-dwelling older adults for service provision. Using the concept of script, we apprehend Komp as dually scripted: aiming to be different solutions to different user groups. Drawing on 68 fieldwork sessions conducted over a two-year period and 16 semi-structured interviews across four homecare teams, we trace Komp's implementation towards a split position between implemented and not implemented. We unpack this position using the dual script concept, first by highlighting how Komp's original family script primed homecare professionals' de-inscription of its new service script. Second, we emphasise the project's failure to collaboratively construct the service script, which impeded implementation. Third, we showcase how opposition to Komp as a service solution arose during implementation because of the coexistence - and superimposition - of the two scripts. While these thematic emphases remain specific to this implementation process, our study offers empirical and theoretical insights on the movement of multi-purpose technologies into service contexts and co-creation projects as vehicles for service innovation.
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