2.1 The Framework
On the level of the overall project, the work was
organized in stand-alone pilots focusing on a specific
field. Within the pilot focusing on the field of ICT,
the work was further organized as “inspect and adapt”
cycles and concurrent implementations with a more
refined focus (Figure 1). In the ICT pilot, one of the
implementations focusing on eHealth (i.e. the eHealth
pilot) organized the work even further by employing
a more specific methodological framework.
The employed framework based on the works of
Stewart and Hyysalo (2008), and previous work by
Stewart (2000) on the roles of cybercafés in the
1990s. Their work on intermediary roles in the
development and appropriation of new technologies,
defines intermediaries as individuals who a) facilitate
user innovation, and b) link user innovation into
supply side activities, such as marketing, branding or
product development (Stewart and Hyysalo, 2008).
Using a more down-to-earth, or even a bland
definition, intermediaries can be seen as ‘go-
betweens’; individuals who bring different people
together, and help them in appropriation and
generation of new technologies (or related
innovations). As such, intermediary is not a fixed
concept or a profession, and there are different
intermediaries in different fields of business, and their
alignment in the supply-use axis may wary
(Lahtiranta, 2014.).
The three-tiered framework used by Stewart and
Hyysalo (2008) to categorize primary roles of
intermediaries, consists of the following: 1)
facilitating, 2) configuring, and 3) brokering. In their
framework, facilitating represents providing
opportunities to other, and as such it covers aspects
such as education, setting rules, influencing
regulations, and gathering and distributing resources.
(Stewart and Hyysalo, 2008)
Configuring does not only represent technology-
related configuring (actually technical aspect of
configuring is often present only in a minor way), but
also creation of space that facilitates appropriation.
Configuring also represents influencing individual’s
perceptions and goals (Stewart and Hyysalo, 2008).
A cybercafé is a prime example of configuring; the
space (café) existed before function, and the clientele
brought in their own ideas on how and for what it is
used (Stewart, 2000).
Brokering, as the name suggests, refers to
negotiating on the behalf of represented organizations
and individuals, for example when features of a new
product are discussed. Brokering is one of the most
direct ways of interacting within the framework, as
the intermediaries are often involved with direct
negotiations with different parties, such as sponsors,
suppliers or end-users. (Stewart and Hyysalo, 2008)
2.2 The Framework and the eHealth
Pilot
In the eHealth pilot, the three-tiered framework was
used in a) outlining the needed skill-set, b) organizing
the lectures, and c) setting up the platform used in
education. As such, the role of the intermediary
(Stewart and Hyysalo, 2008) became intertwined with
the concept of a product owner; a key stakeholder in
project implemented in according to the Agile
approach (Cohn, 2005).
Definition of the skill-set, and gaining
understanding on what kind of professionals are
needed in the field, was done personally – brokered
by a domain-specialist. Instead of formal
questionnaires, public seminars or workshops,
representatives working in the organizations were
met face-to-face (when possible). These meetings
were flexible and informal, there was no written
agenda or minutes, and they were organized on the
terms of the representatives (time and place).
The free-spirited meetings gave room for
exploring additional topics in addition to the skill-set
and the expert profile. These included ongoing
projects, potential avenues for future collaboration,
and the organizations themselves. It followed from
this that the meetings were also about facilitating and
brokering, linking organizations together, and not just
about the project.
In relation to the goals of the eHealth pilot, the
primary result of these 18 meetings was a collection
of topics the organizations considered to be of the
relevance in the field (Figure 2).
The topics covered the field of eHealth in a wide
scale. While some of the topics were extremely
specific, related to a single technology or standard,
others were vaguer by nature, reflecting concerns of
the potential employers.
Example: “We have this problem that is not really
related to technology. When a person starts working
in the company, he or she is rather young, typically in
late twenties. Most of them have never been seriously
ill, neither have their parents. A consequence of this
is that they [new employees] do not know how the
field [of health care] works, or how it is organized.
They can’t separate a health center from a university
hospital.” [Lahtiranta, personal communication,
translated]
The topics were also prioritized using a simple
and straightforward method; if the organizations
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