Hybridity as a process of technology's ‘translation’: Customizing a national Electronic Patient Record

Petrakaki, Dimitra; Klecuń, Ela

doi:10.1016/j.socscimed.2014.11.047

Cited by 16 publications

(7 citation statements)

References 49 publications

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“…Among these, power and legitimacy are suggested as core attributes for defining dominant stakeholders (Agle et al, 1999; Rawlins, 2006). The IS literature illustrates how stakeholders’ power, interests, and values, and in particular work ethos, influence their perceptions of HIT and their ability to shape related policy and strategies before and during implementation (Petrakaki and Klecun, 2015; Pouloudi et al, 2016). Also, it discusses how they apply discretion when using (or refusing to use) such systems (Azad and King, 2012; Petrakaki et al, 2016).…”

Section: Conceptual Background and An Integrative Frameworkmentioning

confidence: 99%

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Klecuń

Zhou

Kankanhalli

et al. 2019

Journal of Information Technology

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Through electronic health record implementation, national healthcare systems are aiming for care integration and enhancement. However, the path to large-scale electronic health record implementation is seldom smooth, involving multiple stakeholders with diverse interests and influences. This study proposes a framework that draws on both stakeholder and institutional theories to understand the complex dynamics of stakeholder interactions and institutional pressures over time during electronic health record systems implementation. This framework is utilized to analyze the national electronic health record programs of Singapore and England, which provide contrasting perspectives on how two top-down system implementations took place with different outcomes. Our results suggest that in the Singapore case, the presence of boundary spanners, supporting implementation agency that included IT staff from healthcare organizations, and greater engagement with medical professionals were associated with more positive dynamics of stakeholder interactions (e.g. limited pushback from professionals or the press) during electronic health record implementation than in England. Differences in the healthcare structures and systems, electronic health record project organization, and the combined influences of institutional pressures shed light on the varying implementation paths and outcomes in the two cases. This study adds to the health information technology literature through a comparative examination of the organizational and social processes during complex national healthcare integration projects. It also contributes to the institutional and stakeholder literatures in several ways, in particular by depicting the processes and outcomes of the dynamics of isomorphic pressures played out under different institutional conditions. Finally, our proposed framework provides a useful conceptual tool for analyzing such complex IT implementations across multiple stakeholders.

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Section: Conceptual Background and An Integrative Frameworkmentioning

confidence: 99%

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Klecuń

Zhou

Kankanhalli

et al. 2019

Journal of Information Technology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Since we conducted a study at one hospital within a decentralized healthcare system, we acknowledge that other hospitals, especially those working in more centralized healthcare systems, may face other constellations of key stakeholders (Petrakaki & Klecun, 2015). Another limitation is our primary focus on the stakeholders that affect IT governance decisions within the organization rather than on those that are affected, such as patients.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

“…In organizations, stakeholders with different functions and professional backgrounds have their own culture and are socialized within different worldviews through their work and education (Greenwood, Oliver, Guddaby, & Sahlin-Andersson, 2008;Guzman & Stanton, 2009). Therefore, different stakeholders can have different perspectives on Information Technology (IT) (Petrakaki & Klecun, 2015), and we expect the same for its governance. Yet, common IT governance frameworks (e.g., Weill & Ross, 2005;Xue, Liang, & Boulton, 2008) are prescriptive and unilateral in nature.…”

Section: Introductionmentioning

confidence: 99%

Stakeholders’ enactment of competing logics in IT governance: polarization, compromise or synthesis?

Boonstra

Eseryel

Offenbeek

2017

European Journal of Information Systems

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Governing IT while incorporating stakeholders with diverse institutional backgrounds remains a challenge. Stakeholder groups are typically socialized differently and may have different perspectives on IT governance dilemmas. Yet, extant literature offers only limited insight on socialized views on IT governance. This study uses an institutional logics lens to examine how competing institutional logics get connected in IT governance practices through dominant stakeholders' enactment patterns and how these enactment patterns may affect the organization's IT performance. We find that logics were coupled to the three dominant stakeholder groups, but only loosely so. Congruence between the three logics they enacted depended on the IT governance dilemma at hand. Our findings demonstrate how within a triad of competing logics, switching rivalry among hybrid logics may develop. Here, the enactments led to two hybrid logics, none of which became dominant. Remarkably, the IT professionalism logic accommodated polarization between medical professionalism and the managerial logic, causing unstable IT governance. We propose that IT professionalism offers room for agency and is crucial in determining the resulting enactment patterns: polarizing, compromising or even synthesizing. This study may raise managers' awareness of the competing logics underlying IT governance practices and clarify the pivotal role of IT professionalism in IT governance debates.

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“…However, technical changes in medicine do not involve only development and use of knowledge; the institutional framework, particularly regulation and demand formation, influence both creation and dissemination of new medical knowledge and medical practices (Metcalfe et al, 2005). Consoli and Mina, 2009;Ramlogan, 2008, 2011;Essen and Lindblad, 2013;Merito and Bonaccorsi, 2007;Mina et al, 2007;Petrakaki and Klecun, 2015). With this in mind, the point is made that the mainstream health-care management literature all too often separates implementation from innovation (Essen and Lindblad, 2013).…”

Section: Hospitals' Roles In Innovation Processes and Systemsmentioning

confidence: 99%

Hospitals as innovators in the health-care system: A literature review and research agenda

2016

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This paper aims to improve the understanding of the role of hospitals in the generation of innovations. It presents a systematic and critical review of the interdisciplinary literature that addresses the links between the activities of hospitals and medical innovation. It identifies three major research streams: studies of the contribution of medical research and clinical staff to innovation, analyses of novel practices developed and diffused in hospitals, and evolutionary studies of technical change in the context of human health care. This is a highly heterogeneous body of literature, in which comprehensive theoretical frameworks are rare, and empirical studies have tended to focus on a narrow range of hospitals’ innovation activities. The paper introduces and discusses a framework integrating different perspectives that can be used to analyze the functions performed by hospitals at the intersection with different partners in the health innovation system and at different stages of innovation trajectories. On the basis of current gaps in the literature, a research agenda is discussed for a relational and co-evolutionary approach to the study of hospitals as innovators

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Hybridity as a process of technology's ‘translation’: Customizing a national Electronic Patient Record

Cited by 16 publications

References 49 publications

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Stakeholders’ enactment of competing logics in IT governance: polarization, compromise or synthesis?

Hospitals as innovators in the health-care system: A literature review and research agenda

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