Prosocial Motivation of Private Sector IT Professionals Joining Government

Attracting highly skilled IT talent has become a priority and an immense burden for government organizations—especially when they have other—higher paying—employment opportunities. We set out to explore why IT professionals choose a government job to make an impact on society. We aim at disentangling the effects of different types of motives, such as extrinsic, intrinsic, and other-oriented motivational forces on the decision to accept a challenging government IT job. We use self-determination theory (SDT) to analyze publicly available statements of former private sector IT professionals reporting their reason for joining 18F. Our study is one of the first attempts to use SDT as a comprehensive framework for conducting qualitative research into work motivation in the public sector. We shed light on the conceptual and empirical distinctiveness of motives, behaviors, and perceptions of prosocial impact, which are often lumped together in the public service motivation (PSM) literature. We contribute novel empirical evidence to a nascent stream of research that uses SDT to disentangle the intrinsic, prosocial, and purely extrinsic motives that drive individuals' decisions to join public-sector organizations

Only hearing what they want to hear: Assessing when and why performance information triggers intentions to coproduce

While performance information is often used to communicate the importance of public policies and stimulate civic engagement, we know little about the processes that connect the two. This study proposes a conceptual model that links performance information to a specific form of public engagement: coproduction. Drawing on insights from information aversion theory, we argue that the effect of performance information on engagement in coproduction depends on levels of policy understanding and the valence of performance information that individuals are exposed to. Specifically, we predict that individuals exposed to positive performance information will understand the policy better than those exposed to negative performance information. Further, we predict that higher levels of policy understanding will increase coproduction engagement intentions. These predictions are examined using two experiments and a representative sample of US residents (n = 836). Findings indicate that participants best understood positive information and that understanding significantly increased coproduction engagement intentions

Only hearing what they want to hear:Assessing when and why performance information triggers intentions to coproduce

While performance information is often used to communicate the importance of public policies and stimulate civic engagement, we know little about the processes that connect the two. This study proposes a conceptual model that links performance information to a specific form of public engagement: coproduction. Drawing on insights from information aversion theory, we argue that the effect of performance information on engagement in coproduction depends on levels of policy understanding and the valence of performance information that individuals are exposed to. Specifically, we predict that individuals exposed to positive performance information will understand the policy better than those exposed to negative performance information. Further, we predict that higher levels of policy understanding will increase coproduction engagement intentions. These predictions are examined using two experiments and a representative sample of US residents (n = 836). Findings indicate that participants best understood positive information and that understanding significantly increased coproduction engagement intentions

The performance of mHealth in cancer supportive care:A research agenda

Background: Since the advent of smartphones, mhealth has risen to the attention of all actors in the health care system as something that could radically change the way health care has been thought of, managed, and delivered to date. This is particularly relevant for cancer, as it is one of the leading causes of death worldwide, and for cancer supportive care (CSC) since patients and care givers have a key role in managing side effects: given adequate knowledge, they are able to expect appropriate assessments and interventions. In this scenario, mhealth has great potential for linking patients, care givers, and health care professionals, for enabling early detection and intervention, for lowering costs and achieving better quality of life. Given its great potential, it is important to evaluate the performance of mhealth. This can be considered from several perspectives, of which organizational performance is a particularly relevant dimension, since mhealth may increase the productivity of health care providers and as a result even the productivity of health care systems. Objective: This paper aims to review studies on the evaluation of the performance of mhealth, with particular focus on cancer care and cancer supportive care processes, concentrating on its contribution to organizational performance, and identifying some indications for a further research agenda. Methods: We carried out a review of literature, aimed at identifying studies related to the performance of mhealth in general or focusing on cancer care and cancer supportive care. Results: Our analysis revealed that studies are almost always based on a single dimension of performance. Any evaluations of the performance of mhealth are based on very different methods and measures, with a prevailing focus on issues linked to efficiency. This fails to consider the real contribution that mhealth can offer for improving the performance of health care providers, health care systems, and the quality of life in general

Determinants and barriers of e-procurement: A European comparison of public sector experiences

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Beyond Co-Production : Value Creation and Public Services

This present paper is a conceptual one that responds to this debate. It argues that PAM has traditionally focused on the production of public services, whilst a holistic model must integrate this with their use/consumption. This deficit has begun to be rectified in recent years (e.g. Hodgkinson et al 2017) – with a core debate being about understanding the nature of value creation within public service ecosystems (Petrescu 2019) – and with co-production as part of this larger debate. However, the concept of ‘value’ continues to be under-theorised and poorly understood in PAM – in theory and in practice (Jo & Nabatchi 2016). This paper is a response to this gap. It offers a novel three-dimensional appreciation of value creation and co-production in public services that links their production and use/consumption

Digital health reimbursement strategies of 8 European countries and Israel: scoping review and policy mapping

Background: The adoption of digital health care within health systems is determined by various factors, including pricing and reimbursement. The reimbursement landscape for digital health in Europe remains underresearched. Although various emergency reimbursement decisions were made during the COVID-19 pandemic to enable health care delivery through videoconferencing and asynchronous care (eg, digital apps), research so far has primarily focused on the policy innovations that facilitated this outside of Europe. Objective: This study examines the digital health reimbursement strategies in 8 European countries (Belgium, France, Germany, Italy, the Netherlands, Poland, Sweden, and the United Kingdom) and Israel. Methods: We mapped available digital health reimbursement strategies using a scoping review and policy mapping framework. We reviewed the literature on the MEDLINE, Embase, Global Health, and Web of Science databases. Supplementary records were identified through Google Scholar and country experts. Results: Our search strategy yielded a total of 1559 records, of which 40 (2.57%) were ultimately included in this study. As of August 2023, digital health solutions are reimbursable to some extent in all studied countries except Poland, although the mechanism of reimbursement differs significantly across countries. At the time of writing, the pricing of digital health solutions was mostly determined through discussions between national or regional committees and the manufacturers of digital health solutions in the absence of value-based assessment mechanisms. Financing digital health solutions outside traditional reimbursement schemes was possible in all studied countries except Poland and typically occurs via health innovation or digital health-specific funding schemes. European countries have value-based pricing frameworks that range from nonexistent to embryonic. Conclusions: Studied countries show divergent approaches to the reimbursement of digital health solutions. These differences may complicate the ability of patients to seek cross-country health care in another country, even if a digital health app is available in both countries. Furthermore, the fragmented environment will present challenges for developers of such solutions, as they look to expand their impact across countries and health systems. An increased emphasis on developing a clear conceptualization of digital health, as well as value-based pricing and reimbursement mechanisms, is needed for the sustainable integration of digital health. This study can therein serve as a basis for further, more detailed research as the field of digital health reimbursement evolves

The role of mobile technologies in health care processes:The case of cancer supportive care

Background: Health care systems are gradually moving towards new models of care based on integrated care processes, shared by different care givers, and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care. Objective: This paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care. Methods: We carried out a review of literature with the aim of identifying studies related to the use of mhealth in cancer care and cancer supportive care. The final sample size consists in 106 records. Results: There is scant literature concerning the use of mhealth in cancer supportive care. Looking more generally at cancer care, we found that mhealth is mainly used for self management activities carried out by patients. The main tools used are mobile devices like smartphones and tablets, but remote monitoring devices also play an important role. SMS technologies have a minor role with the exception of middle income-countries where SMS plays a major role. Tele-health technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mhealth is mainly used during the treatment of patients, especially for self management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities. Conclusions: Since mhealth only seems to be employed for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose of introducing mhealth is to promote the adoption of integrated care models, using mhealth should not be limited to some activities or to some phases of the health care process. Instead, there should be a higher degree of pervasiveness at all stages and in all health care delivery activities

Managing health care in the digital world:A comparative analysis

Recently, most reforms affecting healthcare systems have focused on improving the quality of care and containing costs. This has led many scholars to advocate the adoption of Health Information systems, especially electronic medical records, by highlighting their potential benefits. This study is based on a comparative analysis using a multiple method approach to examine the implementation of the same electronic medical record system at two different hospitals. Its findings offer insights into the processes of the adoption of innovation and its implementation in a healthcare context. The need to innovate, the decision to innovate, the implementation process and consequently, the results produced are quite distinctive at each study site. This comparative case study reveals that what appears to be the same can be quite different: this can be due to several conditions at the organization, the organization’s characteristics, and the process of implementation adopted. We need to understand these elements in order to be able to plan and manage such programs in the future