Exploring the Innovation Model of Hospital Cloud Service: A Case of Show Chwan Hospital
This study explores the innovation model of hospital cloud service (HCS) based on the perspective of activity theory. The activity theory consists of six elements concerning subject, tool, object, rule, community, and division of labor. Through collecting the secondary data of the case from 1990 to 2013, we originally obtained 2322 events. However, only 109 projects are related to the service innovations provided by the case through screening the originally collected data. Furthermore, we used each role of the activity theory as an unit of analysis and finally obtained 439 units of analysis. This study adopts method of content analysis and further seeks the insights of part of the results through in-depth interviews. Finally this study proposes the following four findings. First, health cloud service pays little attention to object element and care cloud service emphasizes community element. The rate of rule element in medical cloud service is lowest among the three cloud service systems. Second, subject element emphasizes the hospital-to-patient service provision and the service collaboration design with community. However, subject element places less emphasis on patient-to-hospital service requirements. Third, there are six driven models existing in HCS innovation, where community element plays key driver role and objective element is the least. Fourth, HCS innovation model is a master-slave type and the slave model driven by community is the key. In addition, the model emphasizes the collaboration development and quality control by subject element and community element in order to enhance organizational control mechanism.