How to successfully integrate innovative technological systems within organizational complex systems? : Application on telehealth in France
type: Dataset
contact point: Organization
  fn: CCSD
keyword: spiotherengineering-sciences-physicsother
keyword: value-creation
keyword: infoeu-reposemanticsdoctoralthesis
keyword: approche-systemique
keyword: sdvmheplife-sciences-q-biohuman-health-and-pathology
keyword: processus
keyword: process-modeling
keyword: creation-de-valeurs
keyword: theses
keyword: systemic-approach
landing page: https://theses.hal.science/tel-00997404
description: Healthcare systems are currently facing intense challenges due to the growing demand for health care, the decreasing of medical demography and the increasing budgetary constraints. Telehealth appears as a major innovation to overcome these challenges through the use of new information and communication technologies. It is defined as a form of cooperation in medical practice by relating at distance, between them or with a patient, one or more healthcare professionals. Telehealth integration within the existing healthcare system is considered in this research as the incorporation of an innovative technological system within an organizational complex system. Thus, our problematic is to provide an effective help to the success of this integration. This underlies three major questions: How to design new processes for the integration of a new technology into an existing organization? How to design the suitable models to share the economic value in order to succeed in this integration? How to define the strategies to be mobilized to deploy this integration? To develop new processes based on the value creation desired by each stakeholder of the telehealth system, we propose the OCSM (Organizational Complex System Modeling) method. We apply it to model and analyze two processes: a process of teleexpertises in dermatology and a process of specialized teleconsultations with an identification of the patient path across different types of healthcare establishments. To develop new business models, we recommend the FFM (Financial Flow Modeling) method. We designed a specific tool to support it, which calculates the balances margins of each stakeholder. We apply this method to model the economic flows between the telehealth system stakeholders. Thus, hypotheses of shared value can be tested. This work identifies a particular example of sustainable economic model for future deployments. To model the behavior of a system in its environment we use the SDM (System Dynamics Modeling) me…
identifier: NNT: 2013ECAP0068
issued: 2026-05-05T10:04:57.144912
language: fr
modified: 2026-05-05T10:04:57.144916

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type: Agent

How to successfully integrate innovative technological systems within organizational complex systems? : Application on telehealth in France
type: Distribution
access URL: https://theses.hal.science/tel-00997404
format: HTML
issued: 2026-05-05T10:04:57.146442
modified: 2026-05-05T10:04:57.128844