Applying Adaptive Structuration Theory to Health Information Systems Adoption

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.

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A Case Study of Health Information Systems Adoption

Healthcare Information Systems and Informatics ◽

10.4018/978-1-59904-690-7.ch008 ◽

2011 ◽

pp. 164-184

Author(s):

Dana Schwieger ◽

Arlyn Melcher ◽

Ranganathan Chandreasekaran ◽

H. Joseph Wen

Keyword(s):

Information Systems ◽

Health Information ◽

Information Technologies ◽

New Technology ◽

Health Information Systems ◽

Medical Organization ◽

Adaptive Structuration Theory ◽

Complex Interactions ◽

Adaptive Structuration

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.

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Perceived Barriers and Drivers of Health Information Systems Adoption by Public Hospitals in Alhasa

2018 21st Saudi Computer Society National Computer Conference (NCC) ◽

10.1109/ncg.2018.8593111 ◽

2018 ◽

Author(s):

Eman Ahmed Al Taisan ◽

Mohamed E. Seliaman

Keyword(s):

Information Systems ◽

Health Information ◽

Health Information Systems ◽

Public Hospitals ◽

Perceived Barriers ◽

Information Systems Adoption

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Studying Human Resource Information Systems Implementation using Adaptive Structuration Theory

Enterprise Information Systems ◽

10.4018/978-1-61692-852-0.ch710 ◽

2011 ◽

pp. 1715-1729

Author(s):

Huub Ruël

Keyword(s):

Information Systems ◽

Human Resource ◽

Structuration Theory ◽

End Users ◽

Adaptive Structuration Theory ◽

Resource Information ◽

Systems Implementation ◽

Adaptive Structuration ◽

Information Systems Implementation

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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Capturing the Appropriation Dynamics of Web-Based Collaboration Support in Project Team's Work Context

Interdisciplinary Perspectives on E-Collaboration ◽

10.4018/978-1-61520-676-6.ch006 ◽

2010 ◽

pp. 95-116

Author(s):

Athanasios Nikas ◽

Angeliki Poulymenakou

Keyword(s):

Information Systems ◽

Structuration Theory ◽

Project Team ◽

Adaptation Process ◽

Work Context ◽

Adaptive Structuration Theory ◽

Web Based ◽

Adaptive Structuration ◽

Collaborative Platform ◽

Team Setting

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.

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Investigating Appropriation and Reinvention along a Design Process with Adaptive Structuration Theory

Inventive Approaches for Technology Integration and Information Resources Management - Advances in Information Quality and Management ◽

10.4018/978-1-4666-6256-8.ch015 ◽

2014 ◽

pp. 337-354

Author(s):

Tommaso Federici ◽

Alessio Maria Braccini

Keyword(s):

Information System ◽

Information Systems ◽

Design Process ◽

Structuration Theory ◽

Design Phase ◽

Adaptive Structuration Theory ◽

Group Activities ◽

Actual Use ◽

Adaptive Structuration

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.

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Studying Human Resource Information Systems Implementation using Adaptive Structuration Theory

Handbook of Research on E-Transformation and Human Resources Management Technologies ◽

10.4018/978-1-60566-304-3.ch010 ◽

2009 ◽

pp. 171-185

Author(s):

Huub Ruël

Keyword(s):

Information Systems ◽

Human Resource ◽

Structuration Theory ◽

End Users ◽

Adaptive Structuration Theory ◽

Resource Information ◽

Systems Implementation ◽

Adaptive Structuration ◽

Information Systems Implementation

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.

Download Full-text