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首页> 外文会议>29th international conference on information systems(ICIS 2008) >Marrying Work and the Technical Artifact within the Healthcare organization: A Narrative Network Perspective on IT Innovation-Mediated Organizational Change
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Marrying Work and the Technical Artifact within the Healthcare organization: A Narrative Network Perspective on IT Innovation-Mediated Organizational Change

机译：医疗机构内部的工作与技术工件的结合：叙事网络视角下的IT创新介导的组织变革

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Despite the implicit belief that IT innovations brings beneficial change, medical practitioners and healthcare professionals constantly struggle to realize the innovation potential of electronic medical records (EMR) system in revolutionizing clinical practices. To understand this conundrum, this paper uses an in-depth case study of an EMR implementation to develop a grounded theory of why, when, and how IT-innovation mediated change occur. We propose the Narrative Network Perspective that combines the analysis of the processes of configuration, implementation and use of the system. This combined view allows researchers to understand how "production narrative network ", infrastructure and the macrostructure in healthcare environment co-evolve with the idealized production narrative network inscribed in the EMR system within and across the three phases. By tracing and taking into account all these elements time, this perspective provides plausible answers to when and why organizational innovation occur with the introduction of IT innovations. (147)
机译：尽管人们暗中相信IT创新会带来有益的变化，但从业者和医疗保健专业人员仍在不断努力实现电子病历（EMR）系统在革新临床实践方面的创新潜力。为了理解这个难题，本文使用EMR实施的深入案例研究来发展基于基础的理论，说明为什么IT创新介导的变更发生，何时以及如何发生。我们提出了叙事网络视角，该视角结合了对系统的配置，实施和使用过程的分析。这种综合的观点使研究人员能够了解“生产叙事网络”，医疗环境中的基础设施和宏观结构如何与在三个阶段内以及跨三个阶段的EMR系统中刻画的理想化的生产叙事网络共同发展。通过追踪和考虑所有这些因素的时间，此观点为引入IT创新带来了何时以及为何发生组织创新提供了合理的答案。 （147）

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