Institutional Logics Shaping E-health Projects: A Case Study of the EMR System in Dubai
Abstract
This is a research-in-progress article that aims to explore the extent emergent formats for public health sector as new projects for EMR systems are launched and negotiated locally. The article adopts institutional theory and the concept of institutional logics to explore ICTs projects in Dubai’s public health organizations. To set the scene for this study, the article traces temporal developments and trends of health ICT projects, through an institutional analysis of associated discourses, over the course of almost a decade. The article identifies three institutional influences during consecutive periods of time that shaped how ICT projects are depicted and approached. The aim is to explore how these new formats for health projects are enacted by healthcare workers and their implications for public health organizations.
References
[1] Asangansi I, Braa K. The emergence of mobile-supported national health information systems in developing countries. Studies in Health Technology and Informatics Journal. 2010;160(1):540.
[2] Avgerou, C. (2002). The Institutional Nature of I.C.T. and Organizational Change. In Information Systems and Global Diversity C. (Avgerou, C. Ed.), p. 23, Oxford University Press. New York.
[3] Azad, B. & Faraj, S., 2009. E-Government institutionalizing practices of a land registration mapping system. Government Information Quarterly, 26(1), pp.5–14.
[4] Cordella, A., & Bonina, C. M. (2012). A public value perspective for ICT enabled public sector reforms: A theoretical reflection. Government Information Quarterly, 29(4), 512–520. Journal of Public Administration Research and Theory, 16(3), pp.467– 494.
[5] Currie, G., & Spyridonidis, D. (2016). Interpretation of multiple institutional logics on the ground: Actors’ position, their agency and situational constraints in professionalised contexts. Organization Studies, 37, 77–98.
[6] Fountain, J., 2001. Building the Virtual State: Information Technology and Institutional Change, Washington, DC: Brookings Institution Press.
[7] Goodrick, E. and T. Reay. 2011. ‘Constellations of Institutional Logics: Changes in the Professional Work of Pharmacists’, Work and Occupations, 38, 3, 372–416.
[8] Greenwood, R., Diaz, A. M., Li, S. X., & Lorente, ]. C. 2010. The multiplicity of institutional logics and the hetero? geneity of organizational responses. Organization Science, 21: 521-539.
[9] Jensen, T.B., Kj\aergaard, A. & Svejvig, P., 2009. Using institutional theory with sensemaking theory: a case study of information system implementation in healthcare. Journal of Information Technology, 24(4), pp.343–353
[10] Lockett A, El Enany N, Currie G, et al. A formative evaluation of Collaboration for Leadership in Applied Health Research and Care (CLAHRC): institutional entrepreneurship for service innovation. Health Serv Deliv Res 2014; 2: 31.
[11] McGivern, G., G. Currie, E. Ferlie, L. Fitzgerald, and J. Waring 2015. ”’Hybrid managerprofessionals” identity work, the maintenance and hybridization of professionalism in managerial contexts’, Public Administration
[12] Miscione, G., 2007. Telemedicine in the Upper Amazon: Interplay with local health care practices. MIS quarterly, 31(2), pp.403–425.
[13] Rajão, R., and N. Hayes. 2009. Conceptions of control and IT artefacts: an institutional account of the Amazon rainforest monitoring system. Journal of Information Technology 24:320-331.
[14] Sahay, S., Sæbø, J.I., Mekonnen, S.M. and Gizaw, A.A. (2010), ”Interplay of institutional logics and implications for deinstitutionalization: Case study of HMIS implementation in Tajikistan”, Information Technologies & International Development, Vol. 6 No. 3, pp. 19-32.
[15] Scott, W.R., 2001. Institutions and Organizations, Sage Publications.
[16] Thornton, P. H., & Ocasio, W. 1999. Institutional logics and the historical contingency of power in organizations: Executive succession in the higher education publish? ing industry, 1958-1990, I. American Journal of Sociology, 105: 801-843.