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HAL Id: tel-01182544

https://pastel.archives-ouvertes.fr/tel-01182544

Submitted on 6 Aug 2015

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Communication Technologies on interaction dynamics

between citizens, service providers and rulers in

precarious health care settings: insights from an

mHealth pilot experiment in rural Guatemala

José Tomás Prieto

To cite this version:

José Tomás Prieto. The effects of the Introduction of Information and Communication Technologies on

interaction dynamics between citizens, service providers and rulers in precarious health care settings:

insights from an mHealth pilot experiment in rural Guatemala. Humanities and Social Sciences. Ecole

polytechnique, 2015. English. �tel-01182544�

(2)

PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

École polytechnique

Institut Interdisciplinaire de l'Innovation i

3

Centre de Recherche en Gestion

Thèse présentée pour l’obtention du titre de

Docteur de l’École polytechnique

Spécialité Économie et Gestion

José Tomás PRIETO

Soutenue le 25 mars 2015

Membres du jury:

Les effets de l'introduction de Technologies de l'Information et de la

Communication sur les interactions entre citoyens, fournisseurs de

services et gouvernants dans des contextes précaires de santé.

Un regard empirique à travers une expérience pilote de santé mobile

en milieu rural au Guatemala.

1

10

20

30

Pierre-Jean BENGHOZI

Professeur - École polytechnique, France

Co-directeur de thèse

Eric BROUSSEAU

Professeur - Université Paris-Dauphine, France

Co-directeur de thèse

Laurent GILLE

Professeur - Télécom ParisTech, France

Examinateur

Flore GUBERT

Chargée de Recherche - IRD, France

Rapporteur

Anna KYDD

Directrice - The SHM Foundation, Royaume-Uni

Examinateur

Patricia MECHAEL

Senior Advisor mHealth - UN Foundation, États-Unis

Examinateur

Étienne MINVIELLE

Professeur - École des Hautes Etudes en Santé Publique, France

(3)

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

The effects of the introduction of Information and Communication

Technologies on interaction dynamics between citizens, service

providers and rulers in precarious health care settings.

Insights from an mHealth pilot experiment in rural Guatemala.

Les effets de l'introduction de Technologies de l'Information et de la

Communication sur les interactions entre citoyens, fournisseurs de

services et gouvernants dans des contextes précaires de santé.

Un regard empirique à travers une expérience pilote de santé mobile

en milieu rural au Guatemala.

José Tomás PRIETO

25 mars 2015

I3

- CRG CNRS - UMR 9217

Bâtiment ENSTA – 828, Boulevard des Maréchaux

91762 Palaiseau Cedex, France.

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

L’Ecole Polytechnique n’entend donner aucune approbation ni improbation aux

opinions émises dans les thèses ; ces opinions doivent être considérées comme

propres à leurs auteurs.

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

Table of contents

...

Preamble

17

...

Résumé (summary in French)

19

...

Summary

21

...

General introduction

23

...

Part 1: Formalizing the effects of ICTs in low-resource health settings

33

....

Chapter 1: The ubiquity of ICTs in health: self-care, tribal-care, e/m-health 35

...

1. Chapter introduction

37

...

2. A disruption in patient's behavior

38

...

2.1. Assiduous patients and the limits of self-care

38

...

2.2. Neotribes and group health

44

...

3. Electronic health as a public health strategy

48

...

3.1. E-health and high-income contexts

48

...

3.2. mHealth in developing world

50

...

4. Discussion

56

...

Chapter 2: Framing the empirical panorama with a literature review

59

...

1. Chapter introduction

61

...

2. Self-care and the production of good health

63

...

3. Embracing and maintaining health

65

...

4. Healthy collaborations and co-production of services

69

...

4.1. Co-production of health services and implications

70

...

4.2. Co-production cycles and adaptive governance

72

...

5. The tendency towards hybridity

75

...

5.1. ICTs and co-production of services

75

...

5.2. E-governance

77

...

6. Discussion

79

Chapter 3: A model for the analysis of the effects of mobile technology in

low-...

resource health settings

81

...

Foreword

83

...

1. Chapter introduction

83

...

2. A conceptualization of medical services

84

...

3. The standard low-resource health setting

87

...

3.1. Citizens and service providers

87

...

3.2. Citizens and rulers

89

...

3.3. Service providers and rulers

91

...

3.4. Summary

92

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

...

4. Vertical top-down platforms

93

...

4.1. Auto-interpreters

93

...

4.2. Patient-maximizers and auto-interpretation effects

94

...

4.3. Quality-maximizers and auto-interpretation effects

95

...

4.4. Discussion

96

...

5. Horizontal platforms

98

...

5.1. Neotribal interpreters

98

...

5.2. The patient-maximizer with tribal interpretation effects

100

...

5.3. The quality-maximizer with tribal interpretation effects

101

...

5.4. Discussion

102

...

6. Hybrid platforms

103

...

6.1. Patient-maximizer and tribal synergy

103

...

6.2. Quality-maximizer and tribal synergy

104

...

6.3. Discussion

105

...

7. A discussion on the limits of the model

106

...

8. A glimpse of Part 2

108

...

Part 2: Testing theoretical insights in a low-resource health setting

111

...

Chapter 4: The pilot field experiment Patojitos in Guatemala

117

...

1. The Guatemalan context

119

...

2. Aims of the study

122

...

3. Details of the intervention

124

...

3.1. Study design and recruitment plan

124

...

3.2. Actual recruitment and participant demographics

129

...

3.3. Overview of the experiment's technology

136

...

3.4. Risk assessment

137

...

3.5. Discussion: design, recruitment and participants

138

...

4. Analysis plan

138

...

4.1. Data collection and analysis plan

138

...

4.2. Assessment details and expected outcomes

140

...

5. Results of Patojitos in the next chapters

141

Chapter 5: Exposure to information, co-production of health and the effects of the

...

introduction of ICTs: assessing the results of Patojitos

143

...

1. Chapter introduction

145

...

2. The nature of exchanges: results and discussion

146

...

2.1. Overview

146

...

2.2. Comparisons by group

151

...

2.3. Comparisons by neotribe

153

...

2.4. The intervention of health professionals in hybrid platforms

156

...

2.5. Discussion

157

...

3. Knowledge and behavior of participants: results and discussion

160

...

3.1. Health knowledge, self-reported health behavior

160

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

...

3.2. The time price of services and the demand for health

162

...

3.3. Discussion

163

...

4. Changes in infant's health: results and discussion

166

...

4.1. Representing stocks of health and gains in health

166

...

4.2. Health and the form of ICT platform

169

...

4.3. Health and consumption of medical services in informational forms

170

...

4.4. Discussion

173

...

5. Chapter's closing remarks

176

Chapter 6: Bargaining capital, spaces of negotiation and ICTs in health care

envi-...

ronments: insights from Patojitos

179

...

1. Chapter introduction

181

...

2. ICTs and bargaining capital

183

...

3. Power and bargaining in vertical, horizontal and hybrid platforms

184

...

3.1. Top-down establishments and bargaining capital

185

...

3.2. Horizontal and bottom-up enablers of bargaining capital

186

...

3.3. Hybrid enablers of bargaining capital

186

...

4. Testing the effects of ICT platforms on bargaining dynamics in Guatemala 187

...

4.1. The political economy component of the experiment

187

...

4.2. Participants

187

...

4.3. Data

188

...

4.4. Results

190

...

5. Discussion

198

...

General conclusion

201

...

Bibliography

213

...

List of Figures

231

...

List of Tables

233

...

List of abbreviations and acronyms

235

...

Appendix

237

Appendix A. Ethics approval letter for Patojitos

Appendix B. Technical and institutional arrangements during the pilot

Appendix C. Participant questionnaire for initial and final interviews

Appendix D. Letter addressed to the Mayor of San Juan Sacatepéquez, and answer

Appendix E. Discussion points in educational talk at the end of Patojitos

Appendix F. Informed consent form sample for participants of Patojitos

Appendix G. Sample text-messages from the Mobile Alliance for Maternal Action

Appendix H. Signs of co-production of public security in San Juan Sacatepéquez

Appendix I. Additional figures and tables

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PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu PRIETO, JT. 2014. The impact of Information and Communication Technologies on interaction dynamics between citizens, service providers and rulers in health settings. Doctoral thesis. Jose-tomas.prieto@polytechnique.edu

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Figure

Figure  1 shows  a  visual guide  to the dissertation.  The  reader  will  find it  useful  while reading through the chapters.

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