Reflective Technology Assimilation: Facilitating Electronic Health Record Assimilation in Small Physician Practices

• 成果类型: Article
• 署名作者: Baird, Aaron; Davidson, Elizabeth; Mathiassen, Lars
• 署名单位: University System of Georgia; Georgia State University; University System of Georgia; Georgia State University; University of Hawaii System; University System of Georgia; Georgia State University; University System of Georgia; Georgia State University
• 刊物名称: JOURNAL OF MANAGEMENT INFORMATION SYSTEMS
• ISSN/ISSBN: 0742-1222
• DOI: 10.1080/07421222.2017.1373003
• 发表日期: 2017
• 页码: 664-694
• 关键词: information-systems research; organizational learning perspective; canonical action research; Knowledge transfer; MEDIATING ROLE; adoption; context; care; BUSINESS; loop

摘要

Effectively incorporating complex technology into organizational practices requires moving beyond initial plateaus of postadoption usage. However, achieving this is especially challenging for small businesses because competing priorities in addition to resource and attention constraints may lead to technology assimilation satisficing. With this context in mind, we conducted a four-year action research project in which we supported electronic health record (EHR) assimilation in 10 small physician practices by facilitating reflections to help these small organizations move beyond an initial plateau of postadoption EHR usage. Drawing from these results, we theorize reflective technology assimilation (RTA) as an emergent process of facilitating deeper learning and reflection within and across small resource- and attention-constrained organizations to enable ongoing technology assimilation. In addition, we articulate the foundational principles for reflective action research (RAR) as an approach in which researchers facilitate reflective problem solving while advancing theoretical knowledge.