医疗保健组织中的竞争性机构逻辑:理论化数字主义
Lars Erik Kjekshus1, Bendik Bygstad2
1Department of Sociology and Human Geography , Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Journal of health organization and management
|September 11, 2025
概括
医疗保健数字化失败的原因是机构逻辑冲突,而不是管理不善. 了解"数字化"作为一种新的逻辑有助于在这些紧张局势中进行导航,以便更好地实施IT系统.
科学领域:
- 医疗信息学 医疗信息学
- 组织研究 组织研究
- 信息系统信息系统信息系统
背景情况:
- 医疗保健服务的数字化带来了重大挑战.
- 这些困难往往源于机构逻辑的潜在冲突,而不是项目管理失败.
研究的目的:
- 探索,定义和理论化"数字主义"作为一个独特的机构逻辑.
- 将数字主义与管理主义和专业主义等既定逻辑进行对比.
- 提高对医疗保健数字化过程的理解.
主要方法:
- 挪威一家医院在实施集中式IT系统之前和之后组织发展的案例研究.
- 通过文档分析和观察收集数据 (2015年1月至2016年1月).
- 2019年和2024年与八名关键人员进行后续采访.
主要成果:
- 数字健康记录的实施涉及社会重组,新参与者,逻辑和控制系统.
- 数字主义出现,创造了紧张局势,分歧,并与现有的制度逻辑合并.
- 该过程强调了技术和组织结构之间的相互作用.
结论:
- 数字主义,作为一个敏感的概念,阐明了大规模技术和组织之间的联系.
- 认识到数字化可以减少组织的功能障碍,并改善IT系统的实施.
- 贡献了对组织中数字化过程的新理解.
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