Abstract

In this study, we analyze the adoption of IT resources within the U.S. healthcare system from the perspective of institutional logics. We focus on the impact of adoption of EHR and other health IT on the interactions between diverse stakeholders and the values and objectives driving EHR adoption. Our findings reveal a wider range of observable institutional logics than discussed in previous research within healthcare. We see evidence of both conflicting and complementary logics in the move to an IT-intensive healthcare system. Our study calls attention to institutional logics that may unite healthcare stakeholders around a common reform vision. We also observe conflicting logics whose relative prevalence is likely to be impacted with growing EHR adoption. This research also highlights the value of framing institutional logics in a more systems-oriented fashion than reflected in previous research.

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Spinning the Web of Care: Logics of IT in the Healthcare Marketplace

In this study, we analyze the adoption of IT resources within the U.S. healthcare system from the perspective of institutional logics. We focus on the impact of adoption of EHR and other health IT on the interactions between diverse stakeholders and the values and objectives driving EHR adoption. Our findings reveal a wider range of observable institutional logics than discussed in previous research within healthcare. We see evidence of both conflicting and complementary logics in the move to an IT-intensive healthcare system. Our study calls attention to institutional logics that may unite healthcare stakeholders around a common reform vision. We also observe conflicting logics whose relative prevalence is likely to be impacted with growing EHR adoption. This research also highlights the value of framing institutional logics in a more systems-oriented fashion than reflected in previous research.