liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Implementing Healthcare Information Systems: Mirroring a Wide Spectrum of Images of an IT Project
Linköping University, Department of Management and Engineering, Information Systems. Linköping University, Faculty of Arts and Sciences. (VITS - Laboratoriet för verksamhetsinriktad systemutveckling)ORCID iD: 0000-0002-2784-863X
Linköping University, Department of Management and Engineering, Information Systems. Linköping University, Faculty of Arts and Sciences. (VITS - Laboratoriet för verksamhetsinriktad systemutveckling)ORCID iD: 0000-0003-4701-6272
2014 (English)In: Health Policy and Technology, ISSN 2211-8837, E-ISSN 2211-8845, Vol. 3, no 1, 26-35 p.Article in journal (Refereed) Published
Abstract [en]

The main purpose of this paper is to discuss the spectrum of interpretations that can be related to the implementation and use of a healthcare information system (HIS). The empirical part of this paper is based on a qualitative case study of a Swedish healthcare provider, called “Alpha”, where a HIS was implemented. By studying how different actors interpret technological and organizational changes in a healthcare case, we mirror different images of the implementation project. Put together, this diversity of images provides an illustration of the complexity associated with the process of implementing a HIS. We apply an adjusted version of Orlikowski’s practice lens, with its roots in Structuration Theory, in order to study technology in organizations (focusing inertia, application and change). The implementation process of a HIS is much too complex to be judged as being either entirely positive or negative; instead it offers an illustration of the multi-faceted and reciprocal relation between IS and organization. This challenge literature on critical success factors. This study illustrates several images of HIS implementation and use. Highlighting images is one way to illustrate reluctance, support, complexity and power that are present in HIS implementation and use. This is one important contribution from this article. The complexity in the implementation is linked to healthcare organizations as professional bureaucracies, being highly politicized and institutionalized and to the IT artefact as an integrated HIS. Viewing images as rational myths is also discussed in this paper as an original approach to understand HIS implementation.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 3, no 1, 26-35 p.
Keyword [en]
Healthcare information system, structuration theory, implementation, IT project, resistance, images, enterprise system
National Category
Information Systems, Social aspects
Identifiers
URN: urn:nbn:se:liu:diva-106368DOI: 10.1016/j.hlpt.2013.11.001ISI: 000356025500004Scopus ID: 2-s2.0-84892994206OAI: oai:DiVA.org:liu-106368DiVA: diva2:715669
Projects
Safe publice-services – an issue of trust and organization, financed by: Swedish Civil Contingencies Agency
Available from: 2014-05-05 Created: 2014-05-05 Last updated: 2017-12-05Bibliographically approved

Open Access in DiVA

fulltext(586 kB)838 downloads
File information
File name FULLTEXT01.pdfFile size 586 kBChecksum SHA-512
3b2caefb70c1689e81735e680eb9d4dd21dcf3102b0c2ea80457958754e0d7d94219936a9f4e5126602fcacfdc3e7b66cabf4d59534d42cb5617222e777c6489
Type fulltextMimetype application/pdf

Other links

Publisher's full textScopus

Authority records BETA

Melin, UlfAxelsson, Karin

Search in DiVA

By author/editor
Melin, UlfAxelsson, Karin
By organisation
Information SystemsFaculty of Arts and Sciences
In the same journal
Health Policy and Technology
Information Systems, Social aspects

Search outside of DiVA

GoogleGoogle Scholar
Total: 838 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 254 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf