{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T17:49:54Z","timestamp":1776188994328,"version":"3.50.1"},"reference-count":48,"publisher":"Emerald","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,11,13]]},"abstract":"<jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>The purpose of this paper is to help explain the paradox between the high potential of telehealth innovations and their slow diffusion by investigating the challenges involved in a successful case.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design\/methodology\/approach<\/jats:title>\n                  <jats:p>The paper is based on a longitudinal study of a telestroke program from 2003-2007 seen from the point-of-view of the inventors. The program was initially used by a network of hospitals; it faced several challenges when the inventors sought to diffuse it to a broader marketplace; but, the inventors eventually succeeded to create a viable technology and business model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Findings<\/jats:title>\n                  <jats:p>The authors offer a process model of this telehealth innovation consisting of four phases: invention, pilot test, commercialization, and penetration \u2013 with each phase demarcated by specific actors and activities. In addition, a chasm between the pilot test within a network of hospitals and the subsequent commercialization of a product aimed for the market is identified. Finally, the authors reveal how key actors negotiated the chasm to successfully diffuse the innovation beyond the initial hospital setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Originality\/value<\/jats:title>\n                  <jats:p>The paper offers two contributions. First, it contributes a new model of IT-enabled innovation processes seen from the inventor's perspective and emphasizing the diffusion chasm as a key challenge. Second, it contributes a longitudinal, in-depth analysis of a telehealth innovation from initial invention to successful market penetration.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1108\/09593840911002450","type":"journal-article","created":{"date-parts":[[2009,11,14]],"date-time":"2009-11-14T07:05:49Z","timestamp":1258182349000},"page":"351-366","source":"Crossref","is-referenced-by-count":34,"title":["Crossing the diffusion chasm: from invention to penetration of a telehealth innovation"],"prefix":"10.1108","volume":"22","author":[{"given":"Sunyoung","family":"Cho","sequence":"first","affiliation":[{"name":"Virginia State University, Petersburg, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Mathiassen","sequence":"additional","affiliation":[{"name":"Robinson College of Business, Center for Process Innovation, Georgia State University, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Gallivan","sequence":"additional","affiliation":[{"name":"Robinson College of Business, CIS Department, Georgia State University, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"issue":"1-3","key":"2025072819455692200_b3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S1386-5056(99)00045-3","article-title":"Using a descriptive model of change when implementing large scale clinical information systems to identify priorities for further research","volume":"56","author":"Aarts","year":"1999","journal-title":"International Journal of Medical Informatics"},{"issue":"3","key":"2025072819455692200_b1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.ijinfomgt.2003.12.014","article-title":"An internet-based telemedicine system in Nigeria","volume":"24","author":"Adewale","year":"2004","journal-title":"International Journal of Information Management"},{"issue":"8","key":"2025072819455692200_b2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1145\/257874.257895","article-title":"Clearing the way for physicians' use of clinical information systems","volume":"40","author":"Anderson","year":"1997","journal-title":"Communications of the ACM"},{"key":"2025072819455692200_b4","doi-asserted-by":"crossref","unstructured":"Bali, R.K.\n           and Naguib, R.N.G. 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