Abstract

The healthcare sector is one where two co-existing and competing institutional logics – professional and market logics – occur. Following extant research on institutional logics and institutional work, we propose to understand “what microprocesses and institutional practices do institutional actors enact during the implementation of healthcare IT system? What are the impacts of these practices on project outcomes?” In our study, we were interested to understand how actors within organizations were constrained and enabled by the co-existing and competing institutional logics as they implemented a new integrated health IT project. Health IT implementation projects are especially revelatory episodes since different stakeholders with different logics need to collaborate closely and build integrated solutions to make such projects successful. Furthermore such projects typically aim to support significant organizational and even institutional change occur. It is our goal to understand the interplay between actors and their competing logics within such a context.

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Microprocesses of healthcare technology implementation under competing institutional logics

The healthcare sector is one where two co-existing and competing institutional logics – professional and market logics – occur. Following extant research on institutional logics and institutional work, we propose to understand “what microprocesses and institutional practices do institutional actors enact during the implementation of healthcare IT system? What are the impacts of these practices on project outcomes?” In our study, we were interested to understand how actors within organizations were constrained and enabled by the co-existing and competing institutional logics as they implemented a new integrated health IT project. Health IT implementation projects are especially revelatory episodes since different stakeholders with different logics need to collaborate closely and build integrated solutions to make such projects successful. Furthermore such projects typically aim to support significant organizational and even institutional change occur. It is our goal to understand the interplay between actors and their competing logics within such a context.