Publication
Harnessing individual dynamic capabilities for blockchain technology adoption in healthcare
| Summary: | Healthcare organizations are experiencing increasing pressure to adopt protective technologies like permissioned blockchains to ensure data integrity, facilitate seamless interoperability, and enable auditable environmental, social, and governance reporting. However, the majority of pilots encounter difficulties in implementing these changes due to the absence of micro-routines in frontline staff, like healthcare professionals. As delineated in Dynamic Capability theory, these micro-routines entail the sensing of novel use cases, the mobilization of cross-disciplinary resources, and the refactoring of workflows. The present thesis encompasses a total of eight studies, of which five have been published in journals related to business management, health informatics, computers, industrial engineering, and intelligent medicine systems. These studies encompass a wide range of research methodologies, including systematic reviews, qualitative discovery, scale development, case analysis, and a survey of healthcare professionals regarding advanced digital technologies like blockchain adoption in healthcare operations management. The aggregate of these studies suggests that Individual Dynamic Capabilities outrank budget or perceived usefulness as a driver of sustained ledger adoption. Also, a validated five-level maturity scale has been demonstrated to correlate higher capability with enhanced outcomes. The thesis contributes to the field by providing a micro-founded model integrating Individual Dynamic Capabilities into Technology-Organization-Environment logic. Additionally, it provides empirical evidence that substantiates the Dynamic Capabilities' mediating capacity. |
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| Main Authors: | Pesqueira, Antonio Miguel Barreiras |
| Subject: | Blockchain Dynamic capabilities Operations management Healthcare Technology Capacidades dinâmicas Gestão de operações Saúde Tecnologia |
| Year: | 2026 |
| Country: | Portugal |
| Document type: | doctoral thesis |
| Access type: | open access |
| Associated institution: | ISCTE |
| Language: | English |
| Origin: | Repositório ISCTE |
| Summary: | Healthcare organizations are experiencing increasing pressure to adopt protective technologies like permissioned blockchains to ensure data integrity, facilitate seamless interoperability, and enable auditable environmental, social, and governance reporting. However, the majority of pilots encounter difficulties in implementing these changes due to the absence of micro-routines in frontline staff, like healthcare professionals. As delineated in Dynamic Capability theory, these micro-routines entail the sensing of novel use cases, the mobilization of cross-disciplinary resources, and the refactoring of workflows. The present thesis encompasses a total of eight studies, of which five have been published in journals related to business management, health informatics, computers, industrial engineering, and intelligent medicine systems. These studies encompass a wide range of research methodologies, including systematic reviews, qualitative discovery, scale development, case analysis, and a survey of healthcare professionals regarding advanced digital technologies like blockchain adoption in healthcare operations management. The aggregate of these studies suggests that Individual Dynamic Capabilities outrank budget or perceived usefulness as a driver of sustained ledger adoption. Also, a validated five-level maturity scale has been demonstrated to correlate higher capability with enhanced outcomes. The thesis contributes to the field by providing a micro-founded model integrating Individual Dynamic Capabilities into Technology-Organization-Environment logic. Additionally, it provides empirical evidence that substantiates the Dynamic Capabilities' mediating capacity. |
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