Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory

Greenhalgh, Trisha; Stones, Rob

doi:10.1016/j.socscimed.2009.12.034

Cited by 292 publications

(367 citation statements)

References 20 publications

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“…Different e-health solutions are being implemented with mixed results [13], [29]. Therefore, it is important to evaluate these technologies with theoretically informed approaches.…”

Section: Resultsmentioning

confidence: 99%

“…There are many organisational barriers to implementation and adoption of eHealth technologies in organisations reported in the literature -for example, poor governance, organisational culture and proper management of the change process that could harm the flow of transformation [23], [28], [29]. These issues can aggravate the resistance to the change process, and complicate the dissemination of the ehealth technology.…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Critical Issues in Implementing and Adopting National e-Health Solutions: Lessons from Australia’s MyHealth Record

Muhammad

Wickramasinghe

2018

Proceedings of the 51st Hawaii International Conference on System Sciences

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Globally, healthcare reforms are being initiated to address the tremendous challenges facing healthcare systems. Without exception, these reforms include the implementation of a variety of e-health solutions. Such e-health solutions are complex and have far reaching implications. We argue that while these implementations and adoptions of e-health solutions are necessary, it is essential that an appropriate lens of analysis should be used to maximise and sustain the benefits of IS/IT (information systems/information technology) in healthcare delivery. Hence, in this paper, we proffer Actor-Network Theory (ANT) as an appropriate lens to evaluate these various e-health solutions and illustrate in the context of MyHealth Record, the chosen e-health solution for Australia. The results of this study reveal that the implementation of eHealth is a complex process and approaching it nationally, serves to make it significantly more challenging with enormous barriers.

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“…Different e-health solutions are being implemented with mixed results [13], [29]. Therefore, it is important to evaluate these technologies with theoretically informed approaches.…”

Section: Resultsmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Critical Issues in Implementing and Adopting National e-Health Solutions: Lessons from Australia’s MyHealth Record

Muhammad

Wickramasinghe

2018

Proceedings of the 51st Hawaii International Conference on System Sciences

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“…First, structuration theory being a meta-theory does not lend itself well to empirical studies (Stones, 1996) and can at best be considered only as an analytical or sensitizing device (Giddens, 1984). Secondly, studies using structuration theory do not consider the evolution of technology itself over time -an added dimension that makes the structure-agency duality three dimensional and non-linear (Greenhalgh & Stones, 2010). Thirdly, the assumption of relatively homogeneous actors poses a challenge when the scope of the study includes groups of heterogeneous actors.…”

Section: Structuration Theory and Diffusion Studiesmentioning

confidence: 99%

Organizational Assimilation of Technology in a Sunrise Industry – A Story of Successes and Failures

Rao¹,

Dé²

2013

Grand Successes and Failures in IT. Public and Private Sectors

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Abstract. The study analyzes the contextual factors impacting technology assimilation in an environment that is characterized by macro-economic changes, rapid technological innovations, emerging industry practices and shifting organizational contexts. Stones' strong structuration theory (SST), a refinement of Giddens' structuration theory, is used as the theoretical lens for studying the technology assimilation process. SST is used to analyze the structuration process at the micro-level and its impact on the structures at the meso/macrolevel. In addition, actor network theory (ANT) is used to analyze the role of heterogeneous actors in altering the structures as the actor network adapts to the technological innovations and changing contexts.Keywords: Structuration theory, Actor network theory, Technology diffusion, Technology assimilation. IntroductionStudies of technology in organizations can be classified into two broad streams of research. The first stream adopts the ontological stance of discrete entities; the primary mechanism of diffusion being the moderation effect or technology impact; the methodology being variance-based studies; and the key concepts studied being technological imperatives or contingency models (Orlikowski & Scott, 2008). Most of the early diffusion studies fall into such a positivist stream of research and attempt to understand the relation between technology and organizational context, and its impact on the innovation diffusion process. The second stream of research adopts an ontological stance that assumes technology and organizations being part of a mutually dependent ensemble; the primary mechanism of diffusion being the interaction effect of technology with the organizational context and human actors; the methodology being process-based studies; and the key concepts being the duality of technology with technology viewed as both a physical and a social object (Orlikowski & Scott, 2008). A majority of the studies that fall into this stream of research focus on the interplay of technology and organization / human actors and the resultant impact on technology and organizational structures. While technology impact in organizations has attracted research approaches from both of these paradigms, technology adoption and diffusion studies has largely remained positivist in nature. Fichman (Fichman, 2000) points out the limitations of the

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“…It is, therefore, a determination of their powers and responsibilities according to Greenhalgh and Stones (2010), from the interplay of configuration in humans and non-humans. According to Bled et.al (1992), in ANT actions are no longer identified as a mere representation of a particular intention but, rather, as a construction of the relations which occur in real life situations.…”

Section: Introduction To Actor Network Theorymentioning

confidence: 99%

“…Holstrom and Robey (2005) in the information systems discipline describe inscription as a lens with which actions and roles of individuals inside a network can be examined through different medias such as software, hardware, standards as well as process and procedures. Greenhalgh & Stones (2010) found inscription useful for investigating a change in the behavior of a social practice which involves information technology. Since ANT believes that technology can not be isolated from its social aspect, then the technology is something which can not be detached from the social either (Ruikar & Pei-Chia, 2012).…”

Section: Introduction To Actor Network Theorymentioning

confidence: 99%

Sustainability of a Web 2.0 application from the perspective of Actor Network Theory: The case of LibGuide

Koczkas¹,

Arasteh²

2012

PsycEXTRA Dataset

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PrefaceWriting this thesis has been more than just a writing process. We have shared all types of feelings through this journey that includes sleepless nights, doubts in our own work and capabilities, frustration and happiness. But in the end we can both conclude that it has led to an extension of our knowledge and experience when it comes to the field of Information Systems. We would like to take the opportunity to thank a number of people through this challenging act. Håkan Sterner our supervisor:An inspiring and helping hand throughout this entire process. Thank you for your constant support and believing us. All involved respondents:Thank you all for your participation in this research, without you wouldn't this be possible Professor Geoffrey C. BowkerThank you sir for taking your time and reading this thesis, sending us some valuable comments, especially when it came to the question about the abductive reasoning. Professor Anita MirijamdotterWe are grateful for the guidance and the constructive feedback we received after the presentation which helped us to improve to make this even better, thank you so much. Professor Christina MörtbergThank you for all the guidance and feedback, this helped us in so many ways.. Our beloved families and friends:For the constant support, love and motivation. Without you we wouldn't have the energy it took in order to write this thesis. 3 ABSTRACT Title:Sustainability of a web 2.0 application from the perspective of This thesis aims to focus on relational controversy about the causes behind the inconsistency in number of students who use a Web 2.0 application named "LibGuide" inside the Linnaeus University and the attempts of program coordinator to develop certain strategies to perform a better use of it in a particular department of Healthcare. The nature of the problem will be discussed, suggesting that how the these strategies maintained a high significant of use in that department. The research foregoes, as it uses a process of translation which are the moments of struggles by a program coordinator to impose itself by its role to the definition of the situation. The research suggests a network within which the series of processes and interrelation of the sociotechnical role of each member is drawn and allocated.

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Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory

Cited by 292 publications

References 20 publications

Critical Issues in Implementing and Adopting National e-Health Solutions: Lessons from Australia’s MyHealth Record

Critical Issues in Implementing and Adopting National e-Health Solutions: Lessons from Australia’s MyHealth Record

Organizational Assimilation of Technology in a Sunrise Industry – A Story of Successes and Failures

Sustainability of a Web 2.0 application from the perspective of Actor Network Theory: The case of LibGuide

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