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A Social Informatics Account of the Assimilation of an Enterprise-Wide Health Information System
Conference paper   Open access   Peer reviewed

A Social Informatics Account of the Assimilation of an Enterprise-Wide Health Information System

Jeanette K Van Akkeren and Bruce Rowlands
Proceedings of the 18th Australasian Conference on Information Systems, pp.234-245
Australasian Conference on Information Systems (ACIS), 18th (Toowoomba, Australia, 05-Dec-2007–07-Dec-2007)
Australasian Association for Information Systems (AAIS)
2007
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Abstract

Specialist Studies in Education HIS assimilation health informatics practice social actor model
This paper presents findings from a case study of the assimilation process of an enterprise-wide information system in radiology practices in Australia. Interviews with radiologists, radiographers and administrative staff are used to explore the impact of institutional structures on the assimilation process. The paper develops an argument that culture within and outside the practice, institutional structures within the practice and organizational-level management mandates impacted on the assimilation process. The study explores a theoretical framework that integrates elements of social actor theory (Lamb & Kling, 2003) providing a more fine-grained analysis concentrating on the relationships among the radiology practitioners, the technology (an enterprise-wide HIS), and a larger social milieu surrounding its use. Findings are reported that demonstrate both the enablers and inhibitors to the assimilation process based on in-depth interviews with radiology practitioners.

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