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Research Article
Lars Erik Kjekshus
University of Oslo
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: Healthcare organisations experience organisational difficulties and inertia in the implementation of large-scale information and communication technology (ICT). The ongoing discussion concerns the full understanding of these changes and the interplay between ICT, innovation and organisational change.
Methods: We introduce ‘digitalism’ as a new institutional logic in healthcare organisations, alongside managerialism and professionalism. To develop our argument, we combine organisational and institutional logic theory with information systems research into enterprise architecture and large-scale ICT systems. We illustrate our arguments with a multi-source case study of a process of organisational development before and after the implementation of centralised large-scale ICT systems at a large Norwegian university hospital in 2015.
Conclusion: Understanding of digitalism, blending and competing with traditional institutional logics in healthcare organisations, gives insight into how large-scale technology and organisations are tied together and can contribute to effective healthcare management and prevent organisational inertia.
Keywords
digitalism, healthcare, ICT, managerialism
No competing interests reported.
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Lars Erik Kjekshus
University of Oslo
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 02 Jun, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Healthcare organisations experience organisational difficulties and inertia in the implementation of large-scale information and communication technology (ICT). The ongoing discussion concerns the full understanding of these changes and the interplay between ICT, innovation and organisational change.
Methods: We introduce ‘digitalism’ as a new institutional logic in healthcare organisations, alongside managerialism and professionalism. To develop our argument, we combine organisational and institutional logic theory with information systems research into enterprise architecture and large-scale ICT systems. We illustrate our arguments with a multi-source case study of a process of organisational development before and after the implementation of centralised large-scale ICT systems at a large Norwegian university hospital in 2015.
Conclusion: Understanding of digitalism, blending and competing with traditional institutional logics in healthcare organisations, gives insight into how large-scale technology and organisations are tied together and can contribute to effective healthcare management and prevent organisational inertia.
No competing interests reported.
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