Dual scripts and incongruent innovation: implementing social technology in homecare services
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.
Authors
- Anne Davidson Lund (ORCID: https://orcid.org/0000-0003-3180-8013)
- Martin Vinther Bavngaard (ORCID: https://orcid.org/0000-0003-3441-073X)
- Erik Børve Rasmussen (ORCID: https://orcid.org/0000-0001-8781-0636)
Institutions
- OsloMet – Oslo Metropolitan University (NO)
- Metropolitan University (BD)
- Universidad Metropolitana (PR)
Publication Details
- Journal
- Social Science & Medicine
- Published
- 2025-12-06
- DOI
- https://doi.org/10.1016/j.socscimed.2025.118867
- Primary Topic
- Information Systems Theories and Implementation
- Type
- article
- Field-Weighted Citation Impact
- 0.00