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Contradictions and Interventions in Health IS

dc.contributor.authorWeeger, Andy
dc.contributor.authorWagner, Heinz-Theo
dc.contributor.authorGewald, Heiko
dc.contributor.authorWeitzel, Tim
dc.date.accessioned2022-01-17T12:15:13Z
dc.date.available2022-01-17T12:15:13Z
dc.date.issued2021
dc.description.abstractThe study analyzes data collected in two case studies in the healthcare industry, which is characterized by a variety of social and technical elements forming an activity system where all elements interact with each other. The findings indicate that many problems emerging during the implementation of a health information system can be traced back to contradictions between elements of the activity systems that are created or amplified by the new IS. The authors find that some contradictions are latent and become salient when introducing a new IS, while other contradictions are (unintentionally) newly created. Also, the study shows that contradictions are more complex than hitherto assumed and often concern more than two elements of a healthcare activity system. In a similar vein, effective interventions geared toward countering these contradictions are found to account for additional complexity while not always achieving their goal. Drawing on activity theory, the authors develop a framework to coherently synthesize the findings. The study can help increase the understanding of the IS’s role within an activity system and help guide IS implementation projects aimed at avoiding unintended consequences.de
dc.identifier.doi10.1007/s12599-021-00697-w
dc.identifier.pissn1867-0202
dc.identifier.urihttp://dx.doi.org/10.1007/s12599-021-00697-w
dc.identifier.urihttps://dl.gi.de/handle/20.500.12116/37933
dc.publisherSpringer
dc.relation.ispartofBusiness & Information Systems Engineering: Vol. 63, No. 6
dc.relation.ispartofseriesBusiness & Information Systems Engineering
dc.subjectActivity theory
dc.subjectContradictions
dc.subjectHealth information systems (HIS)
dc.subjectHealthcare
dc.subjectHospital
dc.subjectPost-implementation
dc.titleContradictions and Interventions in Health ISde
dc.typeText/Journal Article
gi.citation.endPage710
gi.citation.startPage689

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