Information economics: The disconnect between information communication technology and strategic intent

The dynamic nature and rapid evolution of Information and Communications Technology (ICT) in the last decade (which is also referred to as the digital revolution or industrial revolution 4.0) has given little time for organisations to evaluate the nature of the technological change to their business. This research project aims to identify if there is a disconnection between organisational strategic intent and ICT use, such as, analyze ICT adoption and use issues from various perspectives concerning digital evolution, strategic outcomes and long-term objectives of the organisation, and report findings. The study also aims to identify the alignment factors for technology use with strategic intent. In today's digital age, the healthcare industry has been undergoing a transformational change in patient care pathways and patient safety with the help of digital technologies. Digital technologies such as electronic medical records, mobile applications, telehealth, assisted diagnosis, and prevention have been changing the ways healthcare services are being delivered to patients. But little success has been achieved in implementing these transformations due to the complexity of ICT requirements in healthcare. This challenge in achieving successful digital transformation has given rise to a knowledge gap requiring further research. Until now, a review of the literature reveals few studies have been undertaken to understand connections and disconnections between strategic intent and technology use in healthcare. Therefore, this study aims to understand if there is a disconnect between organisational strategic intent and technology used in the digital age. The primary audience for this research is senior policy and decision-makers in healthcare and senior ICT staff. This research is designed to understand the technology use and its impact on organisational strategic intent from the perspective of clinical staff, non-clinical staff, and executive management. The multi-stage mixed-method design has been used in this study. The findings indicate that technology should be part of strategic intent, and technology adoption should flow from the edge inwards. The findings will enhance the delivery of digital transformation initiatives in healthcare and enable more successful digital transformations with lesser technology adoption, and use issues.