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International Journal of Telemedicine and Applications
Volume 2012 (2012), Article ID 673731, 12 pages
Research Article

Installed Base as a Facilitator for User-Driven Innovation: How Can User Innovation Challenge Existing Institutional Barriers?

1Department of Business and Tourism, Finnmark University College, N-9509 Alta, Norway
2Section for e-Government Studies, Department of Private Law, University of Oslo, 0130 Oslo, Norway

Received 2 May 2012; Accepted 21 October 2012

Academic Editor: Velio Macellari

Copyright © 2012 Synnøve Thomassen Andersen and Arild Jansen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The paper addresses an ICT-based, user-driven innovation process in the health sector in rural areas in Norway. The empirical base is the introduction of a new model for psychiatric health provision. This model is supported by a technical solution based on mobile phones that is aimed to help the communication between professional health personnel and patients. This innovation was made possible through the use of standard mobile technology rather than more sophisticated systems. The users were heavily involved in the development work. Our analysis shows that by thinking simple and small-scale solutions, including to take the user’s needs and premises as a point of departure rather than focusing on advanced technology, the implementation process was made possible. We show that by combining theory on information infrastructures, user-oriented system development, and innovation in a three-layered analytical framework, we can explain the interrelationship between technical, organizational, and health professional factors that made this innovation a success.