Applying Adaptive Structuration Theory to Health Information Systems Adoption

2011 ◽  
pp. 1237-1252
Author(s):  
Dana Schwieger ◽  
Arlyn Melcher ◽  
C. Ranganathan ◽  
H. Joseph Wen

Adaptive Structuration Theory (AST) is rapidly becoming an important theoretical paradigm for comprehending the impact of advanced information technologies. In this paper, a modified AST model was designed to illustrate the changing inter- relationships among the variables affecting the adoption and application of a new technology into a medical organization setting. Using findings from a case study conducted over a 10-month period, the authors apply the case to the model to illustrate the complex interactions between medical billing technology and organizational processes. As the organization attempted to install and implement the new system, they found that in order to maintain daily operations, they would have to modify and adapt several aspects of the organization, technology, and operations. As the system was slowly integrated into operations and the organization’s needs evolved through the adaptation process, the study, in turn, found that different iterations of the model could emphasize different structures. The case illustrated that the capacity to manage health information systems (HIS) often requires the organization to prioritize its needs and focus its energies on a critical structure while temporarily disregarding others until the primary healthcare processes are under control.

Author(s):  
Dana Schwieger ◽  
Arlyn Melcher ◽  
Ranganathan Chandreasekaran ◽  
H. Joseph Wen

Adaptive structuration theory (AST) is rapidly becoming an important theoretical paradigm for comprehending the impact of advanced information technologies. In this chapter, a modified AST model was designed to illustrate the changing interrelationships among the variables affecting the adoption and application of a new technology into a medical organization setting. Using findings from a case study conducted over a 10-month period, the authors apply the case to the model to illustrate the complex interactions between medical billing technology and organizational processes. As the organization attempted to install and implement the new system, it found that in order to maintain daily operations, it would have to modify and adapt several aspects of the organization, technology and operations. As the system was slowly integrated into operations and the organization’s needs evolved through the adaptation process, the study, in turn, found that different iterations of the model could emphasize different structures. The case illustrated that the capacity to manage health information systems (HIS) often requires the organization to prioritize its needs and focus its energies on a critical structure while temporarily disregarding others until the primary healthcare processes are under control.


2011 ◽  
pp. 1715-1729
Author(s):  
Huub Ruël

Research on Human Resource Information Systems (HRIS) implementation lacks theoretical depth and richness. For that reason this paper applies a theory to HRIS implementation developed by Gerardine DeSanctis and Marshal Scott Poole originally for studying information systems implementation, namely Adaptive Structuration Theory (AST). AST is based on Structuration Theory, a theory from sociology, and assumes that information systems and organizations are fundamentally interrelated. They influence each other mutually. In this paper concepts from AST are applied to a HRIS implementation at Dow Chemicals. The case shows how a HRIS’ philosophy through appropriation by end-users is being realized in HRIS outcomes.


Author(s):  
Harold W. Webb ◽  
Cynthia LeRouge

Academic/industry collaboration can change learning processes and improve outcomes by integrating resources and creating opportunities not otherwise attainable (Wohlin & Regnell, 1999). However, each institution’s culture and organizational objectives influence the collaborative relationships developed as advanced information technologies (e.g., computer aided software engineering tools, enterprise resource planning [ERP] systems, and database tools) are adopted. The challenge is to facilitate mutual understanding and acknowledge distinctions in addressing each organization’s goals. The aim of these relationships is the appropriation of ERPs in a manner that enriches educational experiences, while providing industry benefit. There are many quandaries associated with this phenomenon. How does the deployment of ERPs facilitate educational processes? To what degree should these resources be utilized? What tools and methods should be used? What is the role of the ERP vendor? Can academic independence be maintained? Without a framework to identify relevant variables, it is daunting to begin to assess the impact of varying degrees of adoption, identify effective processes of deployment, and move toward assessing costs and benefits. Though some frameworks address academic/industry collaboration (Mead et al., 1999), few have considered the implications of ERPs on the evolution of inter-institutional collaborative relationships. This exposition augments a framework for understanding the forces at work when integrating ERPs into educational settings (LeRouge & Webb, 2002, 2005). We begin our discussion by reviewing adaptive structuration theory (DeSanctis & Poole, 1994) as the foundation for the academic/industry ERP collaboration framework (LeRouge & Webb, 2002). We discuss academic/industry collaboration constructs and their relationships within the context of ERP systems and then integrate examples, findings, and issues from recent research.


Author(s):  
Elina Mikelsone ◽  
Elita Liela

Information technologies that help to manage knowledge have a scientific and practical topicality. Among such technologies are web-based idea management systems (IMS). But there is little scientific evidence on how web-based IMS application materializes with in organizations and how they relate with organization effectiveness (OE). Authors of this paper aim to develop conceptual bases to fill this gap. The paper is based on an extensive review of literature about IMS, OE, and Adaptive Structuration Theory (AST). The aim is to develop a new research framework to explore how can the concepts – IMS, AST, OE, – be operationalized for empirical research to explore how IMS application and its results relate with OE and what are the main input and process elements in these relations? Based on a systematic literature review, that was analysed through content analysis technique and exploratory meta-analysis, authors created the adapted framework of AST for IMS context and proposed hypothesis. The paper contributes by developing detailed characterization of AST construct in webbased IMS application context on organizations. Authors propose theoretical guidance on how to explore the IMS impact on OE and expands the domain of outcomes of AST researching outcomes of web-based IMS by including OE dimensions.


Author(s):  
Athanasios Nikas ◽  
Angeliki Poulymenakou

This research applies contributions from the social sciences to examine how organizations adapt information systems in a project team setting. Its main concern is to study the set of events and actions implicated in the institutionalization of an information system. The motivation for this research has been to address the following questions: why well designed information systems are so often not successfully adapted or used by organizations? How the adaptation process affects and is affected by work context characteristics? In our research we are focusing on analyzing the adaptation process of a collaborative platform in a project team, in the context of the construction industry by applying adaptive structuration theory.


Author(s):  
Tommaso Federici ◽  
Alessio Maria Braccini

The literature states that when an information system is introduced to support and manage group activities a complex pattern of actions (appropriation and reinvention) can be observed. Such actions might lead to an actual use of the system different from the desired one. The Adaptive Structuration Theory is commonly used to investigate the change in the users' perceptions about an information system and their relationship with it after such a system is implemented. Appropriation and reinvention of information systems might, however, occur during the design process, contributing in this circumstance, if properly managed, to reinforce the quality of the final artefact and the involvement of the users. With this regard, this chapter discusses the case of the design of an information system to manage archaeological finds, applying the adaptive structuration theory, with some adaptations, to the design phase of an information system. The chapter highlights the presence of appropriation and reinvention by users during the design process and suggests that some managerial actions consequent to such events might contribute to successfully design a system that balances conflicting requirements by heterogeneous groups of users, technology experts, and project leaders.


Author(s):  
Huub Ruël

Research on Human Resource Information Systems (HRIS) implementation lacks theoretical depth and richness. For that reason this paper applies a theory to HRIS implementation developed by Gerardine DeSanctis and Marshal Scott Poole originally for studying information systems implementation, namely Adaptive Structuration Theory (AST). AST is based on Structuration Theory, a theory from sociology, and assumes that information systems and organizations are fundamentally interrelated. They influence each other mutually. In this paper concepts from AST are applied to a HRIS implementation at Dow Chemicals. The case shows how a HRIS’ philosophy through appropriation by end-users is being realized in HRIS outcomes.


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