Anna Essén

Anna Essén
Stockholm School of Economics · Department of Business Administration

Associate Professor, business administration

About

42
Publications
8,070
Reads
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760
Citations
Introduction
Anna Essén currently works at the Department of Business Administration, Stockholm School of Economics.
Additional affiliations
January 2010 - January 2014
Karolinska Institutet
Position
  • Senior Researcher
January 2004 - January 2008
Stockholm University
Position
  • Ph D

Publications

Publications (42)
Technical Report
Full-text available
Background. Mission-driven innovation (MDI) policies are founded on governmental attempts to address fundamental but complex societal challenges. The rationale behind such attempts is typically to influence the directionality of innovation towards addressing the perceived challenge. This report focuses on a particular instance of MDI policy execute...
Article
Full-text available
An abundant and growing supply of digital health applications (apps) exists in the commercial tech-sector, which can be bewildering for clinicians, patients, and payers. A growing challenge for the health care system is therefore to facilitate the identification of safe and effective apps for health care practitioners and patients to generate the m...
Article
Research has demonstrated how ignorance is made, manipulated and called upon; how it is the result of strategies, activities and structures. This article extends the literature on ignorance by exploring actors’ own explanations of their self-inflicted ignorance following acts of ignoring. By means of a case analysis, we explore how actors explain a...
Chapter
Full-text available
The aim of the present chapter is to juxtapose the current infrastructure and governance of Health Information Exchanges, HIEs, focusing on the Swedish setting as an empirical example, with the completely decentralized blockchain-based HIE scenario that can be inferred from the blockchain debate. We discuss on what grounds the latter scenario may b...
Poster
Full-text available
Background: Social relationships (i.e.interpersonal relations with individuals or groups) have been shown to have long- and short-term effects on health outcomes including reduced mortality risk and quality of life among cancer patients. Patients with tumors in the central nervous system (CNS) often suffer cognitive, neuropsychological and function...
Presentation
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Tema 1: Hur avbildar siffror verkligheten?
Presentation
Full-text available
Diskussionen om digitalisering av vården har historiskt fokuserat på ”externa”, ”färdiga” system, och en tro på chefsstyrda, sekventiellt planerade och välfinansierade implementeringsprocesser. Men, är det enda sättet att skapa hållbar förändring? Den här rapporten sammanfattar ett antal studier av en innovationsprocess som såg annorlunda ut; den...
Article
Full-text available
The information systems literature has paid vast attention to how macro-level structures shape local technology enactments. Less research has focused on the mutual shaping of situated technology enactments and such extra-organizational structures. This study explores how technology-afforded human action at the micro level may transform field-level...
Article
Full-text available
The application of economic incentives to providers in health care governance is debated. Advocates argue that it drives efficiency and improvement, opponents claim that it leads to unintended consequences for patients and professionals. Research shows that incentives can increase well-defined activities and targets, but there is a lack of substant...
Article
Framing has been presented as a way for micro-level actors to change and diffuse innovations. However, most framing studies have given primacy to language, whereas the role of material artifacts has been largely ignored. The aim of this study is to conceptualize and illustrate how the materiality of technology enables and constrains framing practic...
Article
Full-text available
Link to paper - free access 30 days: https://authors.elsevier.com/a/1Witm7sx9FGH7o Objectives Patient-accessible electronic health records (PAEHRs) are being implemented at international scale. Comparing policies and systems could allow countries to learn from each other to address global and nation-specific challenges. We compare national PAEHR...
Article
Full-text available
Background The Stanford Health Assessment Questionnaire-Disability Index (HAQ) is widely used to measure functional ability in persons with Rheumatoid Arthritis (RA). The instrument was developed with limited involvement from persons with RA, and their perception of the instrument has not been studied in depth. The aim of this study was to explore...
Article
While there is a proliferation of numerical data in healthcare, little attention has been paid to the role of numbers in constituting the healthcare reality they are intended to depict. This study explores the performativity of numbers in the microlevel management of rheumatoid disease. We draw on a study of patients' and physicians' use of the num...
Article
Full-text available
Purpose Policy makers are applying market-inspired competition and financial incentives to drive efficiency in healthcare. However, a lack of knowledge exists about the process whereby incentives are filtered through organizations to influence staff motivation, and the key role of managers is often overlooked. The purpose of this paper is to explor...
Article
Objectives The study provides a conceptual model for analyzing the connections and gaps between national policy and care provider processes aimed at patient accessible electronic health records. We illustrate the model using empirical data from the Netherlands as an explorative case study. Methods The conceptual model integrates governance and orga...
Preprint
Full-text available
Background. The Stanford Health Assessment Questionnaire-Disability Index (HAQ) is widely used to measure functional ability in persons with Rheumatoid Arthritis (RA). The instrument was developed with limited involvement from persons with RA, and their perception of the instrument has not been studied in depth. The aim of this study was to explore...
Article
Research in sociology suggests that the effects of standards are not nearly as straightforward or as homogenising as they first appear. The present study extends these insights by demonstrating how even standards designed simply to collect data can produce extensive and unanticipated effects in medical fields as their uses evolve across actors and...
Article
Full-text available
Background: Value-based health care is increasingly used for developing health care services by relating patient outcomes to costs. A hierarchical value scorecard for creating outcome measurements has been suggested: the 3-tier model. The objective of this study was to test the model against the patient's view of value in a chronic care setting. M...
Article
Full-text available
Purpose Many scholars have urged firms to empower consumers to become co-producers, arguing that this empowerment leads to a win-win situation that benefits consumers and providers alike. However, critical voices have emphasised that co-production is a way to exploit rather than empower consumers and hence represents a win–lose idea that benefits p...
Article
Full-text available
The research process and production of scientific knowledge has traditionally been understood to be based on abstract analysis and intellectual capacity rather than physical and emotional resources, promoting an understanding of academic practice as a detached, non-emotional and objective activity. Lately, several researchers have bemoaned this lac...
Article
Full-text available
Objective: We describe and explain the development of a clinical quality database and its use for different clinical, management and patient empowerment purposes. Design: A longitudinal case study covering 1993-2009. Setting: Rheumatology departments in Swedish hospitals. Participants: Those involved in developing the clinical database and i...
Article
Full-text available
The Heideggerian strand of organization studies has highlighted important aspects of organizational practices. Because of the emphasis of the practice-oriented approach on routine practice, researchers have taken a special interest in how innovative, improvised action arises. One of the dominant views is that innovative action is the outcome of dif...
Article
Full-text available
Involving users in the design process is increasingly discussed as the quickest and most reliable way to capture the needs of users and consumers. In parallel, the fastest growing population segment in Asia and the West is older people. This article asks whether their involvement in the design process could accelerate a growing service market and i...
Article
Full-text available
This paper explores the embodied dimension of creativity in academic knowledge work. Drawing on Merleau-Ponty (1962) among others, we provide rich illustrations of how creative performances in terms of the development of new 'theoretical' ideas involve our pre-reflective, sensory and bodily emotionality. The paper contributes to the field of creati...
Article
Full-text available
Purpose – The purpose of this paper is to propose a framework for studying the process of technology-based service system innovation from a broad perspective using an approach that elucidates the non-linear facets of this process. The framework draws on Lévy-Strauss's concept of bricolage, which implies that individuals' “making do with resources a...
Article
Full-text available
While it is agreed that there can be a difference between the routine as inscribed in artefacts, the ostensive aspect of the routine and its performative aspect, little is known about the relationship between these parts of the routine. Further, while authors acknowledge that there is variability in routines as performed, the contemporary literatur...
Article
Purpose: This paper explores the constituents of and challenges related to the innovation of technology-based services in the long-term homecare sector. Methods: This research used purposeful extreme case sampling, a mixed methods approach to research that included focus groups and interviews, to learn from the experiences of an innovative teleh...
Article
Scholars are increasingly questioning the notion that electronic surveillance merely constrains individuals' liberty and privacy. However, illustrations of alternative perspectives are few and there is a need for empirical research exploring the actual experience of surveilled subjects. This study, carried out in Sweden, seeks to offer a nuanced ac...
Article
Full-text available
Purpose – This paper aims to explore the role of emotions in consumers' evaluations of service quality. Design/methodology/approach – The study uses empirical qualitative data from in-depth interviews with 26 senior citizens who are consumers of long-term residential care services in a Swedish rural community. The empirical findings are analysed in...
Article
Full-text available
Contemporary literature typically conceptualises standardisation and customisation as two ends on a continuum. Using qualitative data from the public home‐help services setting, this paper explores how standardisation and customisation can concurrently operate in practice. The findings suggest that in many cases, services in this setting include a...

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Projects

Projects (7)
Project
WHAT IS “SMART”? THE EMERGENCE OF AUTONOMOUS TRANSPORT AND SUSTAINABLE CITIES Together with industry partners Ericsson and Scania, this research collaboration examines the international emergence of “Smart” Ecosystems, with an initial focus on automated public transport. Vision and Importance Digital Automation—through advances like machine learning, connected sensors and advanced analytics—has led to increased interest in creating social and organizational value through automation. The hope is that automation will allow for more stream-lined services, done with less waste, and thus executed more sustainably. However, neither how automation is conceived of by societies and organizations, nor what it will take to implement a scalable solution are well understood. Indeed, the very definition of “smart” is unclear: should a smart solution be the most sustainable, the fastest, or the one that delivers the most social value? These questions are deserving of exploration and understanding as we progress in an increasingly automated world. Zooming in on Automated Transport One particularly cutting-edge area of automation, automated transport, stands out as particularly fast-moving, and as such may set the standard for how digital automation is implemented at scale—and what the social and organization antecedents and implications are that emerge. Drawing on a unique opportunity to follow the development of Smart solutions and autonomous transport at an early stage, we are interested in the following questions: How does the definition of “Smart” affect the emergence of automated transport technologies? How is the value that results from digital automation shared and measured? How, and why, does such an ecosystem emerge given the implicit ambiguities involved? Given the scale of the digital innovations, how do the actors involve organise themselves in pursuit of their shared goals? Sere more at: https://www.hhs.se/en/research/research-houses/house-of-innovation/the-research/project-2/
Project
Provides new knowledge about the new roles and relationships that emerge in association with the evolution of digital health-data infrastructures. The project studies infrastructure solutions developed by tech-industry, patient networks, professional associations, and the government.