Environmental Engineering Reference
In-Depth Information
and cultural also, 'everything comes - clinical educational cultural - back to benefi t'
(
male doctor and director
), 'benefi ts are huge' (
male IT manager
) .
There was evidence of doctors who did not want to engage with telemedicine
perceiving the new technology as an enemy. It was reported as a fear of using the
technology, 'fear of using this high technology' (
female doctor
)
.
Older doctors
reacted by holding onto their way of doing things, 'impose their own way - this is
like this, you cannot tell me otherwise' (
male trainee doctor and e-librarian
)
.
The power that older doctors had over their younger colleagues was also a factor
in the perception of the technology. Whilst the older established doctors had
depended on outdated books, the newer technology-driven doctors were engaging
with the technology, 'seminars done by young assistant professors more up to date
but exam must be taken from old topics....and must be word for word' (
male trainee
doctor and e-librarian
)
.
This infl ux of new information could also provoke prob-
lems between older and younger doctors, 'cases where younger professors got very
up to date information older professors became jealous and afraid of him - more
famous than him' (
male trainee doctor and e-librarian
)
.
8
Conclusions
The successful implementation of a large-scale ICT project in a post-confl ict region
can load additional complications to an already complex situation. Ciborra (
2002
)
argues that ICT creates a backdrop for human actors that work with it and can both
refl ect and impact on the organisation it has become part of. This is evident in the
fi ndings from the successful implementation of TCK. The hosts' identity changed
with the hosting of the technology, both through the realisation of previously hoped
for changes and through losing fears associated with gaps in their skill sets. Not
controlling the technology and allowing it to be utilised in different ways can be
seen, as the technology is used in ways that differ from its original purpose. The new
confi dence the hosts developed with the technology enabled them to say yes or no
to the technology and to the centre. The perception of the technology and the centre
dictated how the centre and its technology were received. Some welcomed the
technology as part of hope for change. Others resented the sudden infl ux of new
technology and the changes it brought. The impact on the organisation of hosting
the technology emerges as one of the main factors which infl uenced the success of
the centre. These fi ndings suggest that to examine the success rate of large-scale
technology projects in post-confl ict developing regions, this impact of the technology
should be explored.
Acknowledgements
The authors would like to thank Dr. Ismet Lecaj, Director of the Telemedicine
Centre of Kosovo, and Mr. Flamur Bekteshi, Information Technology Expert, for making this data
available.
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