HOW TECHNOLOGY-AFFORDED PRACTICES AT THE MICRO-LEVEL CAN GENERATE CHANGE AT THE FIELD LEVEL: THEORIZING THE RECURSIVE MECHANISM ACTUALIZED IN SWEDISH RHEUMATOLOGY 2000-2014

• 成果类型: Article
• 署名作者: Essen, Anna; Varlander, Sara Winterstorm
• 署名单位: Stockholm School of Economics; Stockholm School of Economics
• 刊物名称: MIS QUARTERLY
• ISSN/ISSBN: 0276-7783
• DOI: 10.25300/MISQ/2019/12164
• 发表日期: 2019
• 页码: 1155-+
• 关键词: INSTITUTIONAL LOGICS; information-technology; PROFESSIONAL-ASSOCIATIONS; CRITICAL REALISM; social-action; work; ORGANIZATIONS; STRUCTURATION; diffusion; TRANSFORMATION

摘要

The information systems literature has paid a great deal of attention to how macro-level structures shape local technology enactments. Less research has focused on the mutual shaping of situated technology enactments and such extra-organizational structures. This study explores how technology-afforded human action at the micro-level may transform field-level social structures and thus generate institutional change. We use a critical realist approach and institutional logics lens and draw on empirical data about the development and implementation of an e-health service in Swedish rheumatology between 2000 and 2014. We identify a recursive mechanism consisting of three recursive practices-material reconstruction, discursive reconstruction, and emergent use-that fostered a shift in the field's constellation of institutional logics, moving from a competitive to an additive relationship between logics.