Technology has for long been predicted to be a key development factor in answering the difficult questions on how to secure welfare in industrialised countries as life expectancy increases and the working population and taxpayers diminish. This is particularly assumed for information and communication-based technologies (ICT) for homecare and monitoring (telemedicine, telehomecare). Despite major investments and national commitment, public policies have not yet found a general approach to move from technological and clinical opportunity and into large-scale regular use of the technology (normalisation). This article provides two case studies from Denmark; one case with hypertension monitoring at a local level and another case on national policy implementation through funding of selected demonstration projects. Among the findings are that policy-making processes certainly face major challenges in capturing research and development for the transition of technologies into working practice. Furthermore, policy approaches of supporting experimentation and demonstration are found inadequate in promoting technology into a level of normalisation in highly cross-organisational operational environments. A research lens and a policy-making process are suggested upon balancing the rationales of infrastructure, business case, strategy and organisational constructivism over time with continuous review of the qualitative dimension of public policies in securing the fulfilment of societal needs. Improvements of policies have critical social implications in development of future technology-based welfare systems.
International Public Policy Review, 2012, Vol 7, Issue 1