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Maria Cucciniello

Other affiliations: Bocconi University
Bio: Maria Cucciniello is an academic researcher from University of Edinburgh. The author has contributed to research in topics: Health care & Transparency (behavior). The author has an hindex of 12, co-authored 46 publications receiving 649 citations. Previous affiliations of Maria Cucciniello include Bocconi University.


Papers
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Journal ArticleDOI
TL;DR: In this paper, the authors synthesize the cross-disciplinary literature on government transparency and present an agenda for future research on transparency and its effects that calls for more systematically investigating the ways in which contextual conditions shape transparency outcomes, replicating studies with varying methodologies, and paying greater attention to understudied claims of transparency such as improved decision making and management.
Abstract: This article synthesizes the cross-disciplinary literature on government transparency. It systematically reviews research addressing the topic of government transparency published between 1990 and 2015. The review uses 187 studies to address three questions: (1) What forms of transparency has the literature identified? (2) What outcomes does the literature attribute to transparency? and (3) How successful is transparency in achieving those goals? In addressing these questions, the authors review six interrelated types of transparency and nine governance- and citizen-related outcomes of transparency. Based on the findings of the analysis, the authors outline an agenda for future research on government transparency and its effects that calls for more systematically investigating the ways in which contextual conditions shape transparency outcomes, replicating studies with varying methodologies, investigating transparency in neglected countries, and paying greater attention to understudied claims of transparency such as improved decision making and management.

246 citations

Journal ArticleDOI
TL;DR: If the purpose of introducing mHealth is to promote the adoption of integrated care models, using mHealth should not be limited to some activities or to some phases of the health care process, but there should be a higher degree of pervasiveness at all stages and in all health care delivery activities.
Abstract: Background: Health care systems are gradually moving toward new models of care based on integrated care processes shared by different care givers and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care. Objective: This paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care. Methods: We carried out a review of literature with the aim of identifying studies related to the use of mHealth in cancer care and cancer supportive care. The final sample size consists of 106 records. Results: There is scant literature concerning the use of mHealth in cancer supportive care. Looking more generally at cancer care, we found that mHealth is mainly used for self-management activities carried out by patients. The main tools used are mobile devices like mobile phones and tablets, but remote monitoring devices also play an important role. Text messaging technologies (short message service, SMS) have a minor role, with the exception of middle income countries where text messaging plays a major role. Telehealth technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mHealth is mainly used during the treatment of patients, especially for self-management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities. Conclusions: Since mHealth seems to be employed only for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose of introducing mHealth is to promote the adoption of integrated care models, using mHealth should not be limited to some activities or to some phases of the health care process. Instead, there should be a higher degree of pervasiveness at all stages and in all health care delivery activities. [J Med Internet Res 2015;17(2):e26]

135 citations

Journal ArticleDOI
TL;DR: In this article, the authors measure the levels of transparency of governments and the needs of citizens for government information and consequently assesses whether there is a gap, offering recommendations for reducing it.
Abstract: Many countries refer to transparency not only as the right to access information, but also as a tool for enhancing government efficiency and accountability. However, the practice of transparency is still linked to the need to comply with legal obligations, not necessarily meeting citizens’ needs. The purpose of this article is twofold: it measures the levels of transparency of governments and the needs of citizens for government information and consequently assesses whether there is a gap, offering recommendations for reducing it. This should contribute to reaching higher levels of useful rather than formal transparency and may help in facilitating government-constituent relations.

79 citations

Journal ArticleDOI
TL;DR: The interaction of sociological and technological factors in the implementation of an Electronic Medical Record system by a major national hospital is examined to obtain insights for managers planning such projects in the future and to examine the usefulness of Actor Network Theory (ANT) as a research tool in this context.
Abstract: Background: Recent health care policies have supported the adoption of Information and Communication Technologies (ICT) but examples of failed ICT projects in this sector have highlighted the need for a greater understanding of the processes used to implement such innovations in complex organizations. This study examined the interaction of sociological and technological factors in the implementation of an Electronic Medical Record (EMR) system by a major national hospital. It aimed to obtain insights for managers planning such projects in the future and to examine the usefulness of Actor Network Theory (ANT) as a research tool in this context. Methods: Case study using documentary analysis, interviews and observations. Qualitative thematic analysis drawing on ANT. Results: Qualitative analyses revealed a complex network of interactions between organizational stakeholders and technology that helped to shape the system and influence its acceptance and adoption. The EMR clearly emerged as a central ‘actor’ within this network. The results illustrate how important it is to plan innovative and complex information systems with reference to (i) the expressed needs and involvement of different actors, starting from the initial introductory phase; (ii) promoting commitment to the system and adopting a participative approach; (iii) defining and resourcing new roles within the organization capable of supporting and sustaining the change and (iv) assessing system impacts in order to mobilize the network around a common goal. Conclusions: The paper highlights the organizational, cultural, technological, and financial considerations that should be taken into account when planning strategies for the implementation of EMR systems in hospital settings. It also demonstrates how ANT may be usefully deployed in evaluating such projects.

54 citations

Journal ArticleDOI
TL;DR: In this article, a conceptual framework that ties policy transparency and policy understanding to voluntary policy compliance intentions was proposed and empirically tested, showing that the extent to which citizens understand a policy contributes to their intentions to comply with that policy.
Abstract: Voluntary policy compliance is an important yet rarely studied topic in public administration. To address the paucity of research, this article proposes and empirically tests a conceptual framework that ties policy transparency and policy understanding to voluntary policy compliance intentions. The reasoning is that the extent to which citizens understand a policy contributes to their intentions to comply with that policy. Further, the authors argue that policy transparency indirectly influences voluntary policy compliance intentions through a positive effect on citizens’ levels of policy understanding. To enhance the validity of the findings, the authors assess these relationships across two policy domains. The findings reflect an indirect positive effect of transparency on voluntary compliance occurring through policy understanding. However, this emerged only for one policy domain. These results suggest that the effects of policy transparency on policy understanding and voluntary policy compliance intentions may depend on the policy domain.

36 citations


Cited by
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01 Jan 2008
TL;DR: In this article, the authors argue that rational actors make their organizations increasingly similar as they try to change them, and describe three isomorphic processes-coercive, mimetic, and normative.
Abstract: What makes organizations so similar? We contend that the engine of rationalization and bureaucratization has moved from the competitive marketplace to the state and the professions. Once a set of organizations emerges as a field, a paradox arises: rational actors make their organizations increasingly similar as they try to change them. We describe three isomorphic processes-coercive, mimetic, and normative—leading to this outcome. We then specify hypotheses about the impact of resource centralization and dependency, goal ambiguity and technical uncertainty, and professionalization and structuration on isomorphic change. Finally, we suggest implications for theories of organizations and social change.

2,134 citations

Journal Article
TL;DR: The Digital Divide: Civic Engagement, Information Poverty, and the Internet Worldwide as discussed by the authors examines theories of technological diffusion and points out that the American response to the Internet is more akin to the rapid spread of televisions and VCRs than the slower adoption of telephones and radios.
Abstract: Digital Divide: Civic Engagement, Information Poverty, and the Internet Worldwide. Pippa Norris. New York: Cambridge University Press, 2002. 303 pp. $60 hbk., $20 pbk. Forecasts that the Internet heralds a world of more democracy and less poverty seem as inflated as dot.com stocks. This rosy view has electronic voting, political chat rooms, and email access re-engaging apathetic publics in politics. Digital technologies redress economic disparities, and the benefits of the Internet percolate down to transform poor societies. Equally exaggerated is the gloom of naysayers. The Internet Age has done little to narrow the gap between rich and poor countries, the information haves and havenots, cyber-skeptics contend. Indeed, digital technologies could create new inequalities and reinforce the dominance of power elites. In her new book, Digital Divide, Pippa Norris, associate director of the Joan Shorenstein Center on the Press, Politics and Public Policy at Harvard University, steps into this fusillade of cyber-hyperbole, lowers the decibel with a well-written and thoughtful examination of Internet use and access in 179 countries and dissects the claims and counter-claims. Her research and findings place her on middle ground, somewhere between current reality and optimism. The Internet era seems to be changing "politics as usual" in a number of countries, expanding and loosening information about governments and politics, allowing the entrance of new political players, and fostering international movements on the environment, women's rights, and other issues across borders. The disappointment is that digital technologies are activating the already politically active and passing up the disengaged and uninterested. A major challenge to digital democracy is the gulf between the United States, Scandinavia, and other early Internet adopters and the rest of the world. That gap is now so wide that at the turn of the century, more than three-quarters of the online community lived in the developed world. Internet use tracks the path of economic and technological development. But that situation could begin to change, Norris says. The Internet is in its technological adolescence. Costs of access are falling. And governments can make a difference if policymakers take the initiative. We have the historical patterns of other communication technologies to study. Norris examines theories of technological diffusion and points out that the American response to the Internet is more akin to the rapid spread of televisions and VCRs than the slower adoption of telephones and radios. American dominance could recede as Internet access grows worldwide. Contrary to what officials of the Bush Administration contend, Norris finds that the digital divide between rich and poor within the United States remains substantial. Europe mirrors that trend. In the long run, the Internet could become more accessible to the excluded: lower income families, minorities, and women. …

940 citations

Journal ArticleDOI
TL;DR: To provide relevant solutions for improving public health, healthcare providers are required to be fully equipped with appropriate infrastructure to systematically generate and analyze big data.
Abstract: ‘Big data’ is massive amounts of information that can work wonders. It has become a topic of special interest for the past two decades because of a great potential that is hidden in it. Various public and private sector industries generate, store, and analyze big data with an aim to improve the services they provide. In the healthcare industry, various sources for big data include hospital records, medical records of patients, results of medical examinations, and devices that are a part of internet of things. Biomedical research also generates a significant portion of big data relevant to public healthcare. This data requires proper management and analysis in order to derive meaningful information. Otherwise, seeking solution by analyzing big data quickly becomes comparable to finding a needle in the haystack. There are various challenges associated with each step of handling big data which can only be surpassed by using high-end computing solutions for big data analysis. That is why, to provide relevant solutions for improving public health, healthcare providers are required to be fully equipped with appropriate infrastructure to systematically generate and analyze big data. An efficient management, analysis, and interpretation of big data can change the game by opening new avenues for modern healthcare. That is exactly why various industries, including the healthcare industry, are taking vigorous steps to convert this potential into better services and financial advantages. With a strong integration of biomedical and healthcare data, modern healthcare organizations can possibly revolutionize the medical therapies and personalized medicine.

615 citations