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Exploring health-analytics adoption in indian private healthcare organizations: An institutional-theoretic perspective 探索健康分析在印度私人医疗机构的采用:制度理论的观点
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-09-01 DOI: 10.1016/j.infoandorg.2022.100430
Sathyanarayanan Venkatraman , Rangaraja P. Sundarraj , Ravi Seethamraju

In India, private hospitals are at the cusp of adopting health-analytics (HA) technology to manage their organizational performance through data-driven decision-making. Past studies have analyzed the applications and benefits of HA. Our study builds on this descriptive base to investigate the patterns of HA adoption and the institutional factors which impact adoption. We conducted a cross-sectional field study that involved ten Indian private healthcare organizations and four health-ecosystem partners and analyzed the case study data using an institutional theory lens. Our cases reveal that the breadth and depth of HA adoption varies and falls into three distinct patterns: far-sighted, conservative, and niche. We assess how these patterns are influenced by the two key dimensions of institutional environments (material-resource environment and institutional environment). We highlight distinctive factors (management support for building organizational trust on data-driven decisions and IT-Medical practitioner collaboration) that exert important contextual influences on HA adoption. Our study identifies areas of commonalty for HA adoption across national healthcare settings as well as contextual aspects representative of the burgeoning Indian healthcare field.

在印度,私立医院正处于采用健康分析(HA)技术的前沿,通过数据驱动的决策来管理其组织绩效。过去的研究分析了HA的应用和效益。我们的研究建立在这个描述性的基础上,以调查HA采用的模式和影响采用的制度因素。我们进行了一项横断面实地研究,涉及10个印度私人医疗保健组织和4个健康生态系统合作伙伴,并使用制度理论视角分析了案例研究数据。我们的案例表明,采用高可用性的广度和深度各不相同,分为三种不同的模式:有远见的、保守的和小众的。我们评估了这些模式如何受到制度环境的两个关键维度(物质资源环境和制度环境)的影响。我们强调了不同的因素(管理层支持在数据驱动的决策和it -医疗从业者协作上建立组织信任),这些因素对HA的采用产生重要的背景影响。我们的研究确定了在全国医疗保健机构中采用HA的共同领域,以及代表新兴印度医疗保健领域的背景方面。
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引用次数: 0
Dynamic capabilities for orchestrating digital innovation ecosystems: Conceptual integration and research opportunities 协调数字创新生态系统的动态能力:概念整合和研究机会
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-09-01 DOI: 10.1016/j.infoandorg.2022.100422
Bastian Kindermann , Torsten Oliver Salge , Daniel Wentzel , Tessa Christina Flatten , David Antons

While most previous research on orchestration of digital innovation ecosystems has examined governance structures, our knowledge of relevant dynamic capabilities remains abstract and lacks conceptual integration. This imbalance limits current knowledge to the extent that digital innovation ecosystem orchestration is mainly considered a structural issue. Based on a synthesis of related literature, we present a novel dynamic capabilities framework that builds on sensing, seizing, and reconfiguring capabilities for digital innovation ecosystem orchestration. We differentiate two major challenges addressed in orchestrating such ecosystems: component challenges and complement challenges. We propose six concrete routines that collectively help address these challenges. These include co-creating architectural knowledge, cultivating boundary objects, renegotiating system integration, screening complementors, co-specializing interfaces, and restructuring complementarities. We illustrate each of these routines with examples from the automotive sector. In addition, we sketch trajectories for future research both at the level of the individual routines and at the level of the overall framework.

虽然之前大多数关于数字创新生态系统编排的研究都考察了治理结构,但我们对相关动态能力的认识仍然是抽象的,缺乏概念整合。这种不平衡限制了目前的认识,数字创新生态系统的协调主要被认为是一个结构性问题。在综合相关文献的基础上,我们提出了一个新的动态能力框架,该框架建立在数字创新生态系统编排的感知、捕捉和重新配置能力的基础上。我们区分了协调这样的生态系统所面临的两个主要挑战:组件挑战和补充挑战。我们提出了六个具体的例程,共同帮助应对这些挑战。这些包括共同创建架构知识、培养边界对象、重新协商系统集成、筛选互补性、共同专门化接口和重组互补性。我们用汽车行业的例子来说明这些例程。此外,我们在个体例程水平和整体框架水平上勾画了未来研究的轨迹。
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引用次数: 3
Knowledge Commoning: Scaffolding and Technoficing to Overcome Challenges of Knowledge Curation 知识共享:克服知识管理挑战的框架和技术
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-06-01 DOI: 10.1016/j.infoandorg.2022.100410
Israr Qureshi , Babita Bhatt , Rishikesan Parthiban , Ruonan Sun , Dhirendra Mani Shukla , Pradeep Kumar Hota , Zhejing Xu

Extant approaches to information provisioning to farmers to improve agricultural productivity, and thereby alleviate poverty have relied on top-down external expert-driven knowledge. Such external knowledge involves decontextualised content and the use of technical language, and is resource-intensive. An alternative view emphasises the need to explore indigenous knowledge exists in rural communities, which, in contrast, requires the use of local resources, is easily understandable, and has greater potential for adoption. This paper explores how information and communication technologies, specifically videos, can be leveraged to curate such indigenous knowledge and convert it to knowledge commons. Adopting a case study approach that involved multiple sources of data collection over a nine-year period, we unearthed a dynamic process model that we labelled as knowledge commoning. It is a process through which latent-action-oriented knowledge from high-yield farmers embedded within its social context is made available as commons. The creation of knowledge commons is an iterative process between knowledge curation and knowledge dissemination, and is guided by the demand and uptake potential within local farming communities. Further, we describe how socio-cultural barriers in knowledge commoning can be overcome through scaffolding, involving the concealment of social transformation objectives within another goal desired by the community. Technological challenges can be overcome through the process of technoficing, which encompasses pursuing social objectives using technology that is appropriate for the purpose. Building on our process model, we offer contributions to theory, practice, and policy.

向农民提供信息以提高农业生产力从而减轻贫困的现有方法依赖于自上而下的外部专家驱动的知识。这种外部知识涉及非语境化的内容和技术语言的使用,并且是资源密集型的。另一种观点强调需要探索存在于农村社区的土著知识,相比之下,这需要利用当地资源,容易理解,并且具有更大的采用潜力。本文探讨了如何利用信息和通信技术,特别是视频,来管理这些本土知识,并将其转化为知识公地。我们采用案例研究方法,在9年的时间里收集了多个数据来源,发现了一个动态过程模型,我们将其标记为知识共有。这是一个过程,通过这个过程,来自高产农民的潜在的面向行动的知识嵌入到其社会背景中,作为公共资源提供。知识共享的创建是知识管理和知识传播之间的一个迭代过程,并以当地农业社区的需求和吸收潜力为指导。此外,我们描述了如何通过脚手架来克服知识共享中的社会文化障碍,包括在社区期望的另一个目标中隐藏社会转型目标。技术挑战可以通过技术化的过程来克服,这包括使用适合于目的的技术来追求社会目标。基于我们的过程模型,我们对理论、实践和政策做出了贡献。
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引用次数: 2
Researching digitalized work arrangements: A Laws of Form perspective 研究数字化工作安排:形式规律的视角
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-06-01 DOI: 10.1016/j.infoandorg.2022.100391
Sven-V. Rehm , Lakshmi Goel , Iris Junglas

Advances in digitalization have changed our apprehension of technology from discrete devices and application software as bounded artifacts, to dynamically evolving social-material entanglements in Digitalized Work Arrangements (DWA). This development makes studying DWAs increasingly difficult and challenges us to advance our methods that define how we can study, observe, and conceptualize DWAs. In this essay, we draw on the mathematical-logical formalism of the Laws of Form (LoF) (Spencer-Brown, 1969) to analyze how six illustrative IS studies conceptualize the social and the material to arrive at distinct perspectives on DWAs. Our analysis reveals three archetypes that capture these studies' conceptualizations and that inform a discussion of how IS research can extend qualitative methods beyond those six works. We offer two contributions. First, we provide novel insights and explanations to key conceptualizations in the study of DWAs. Second, we present the LoF as a pre-ontological and pre-theoretical formalism that enables commensurability of methods and development of novel qualitative empirical methods. Specifically, we demonstrate how the formalism helps articulating the distinctions we draw to refine our object of study and to critically examine and reconstruct other researchers' reasoning.

数字化的进步已经改变了我们对技术的理解,从作为有界工件的离散设备和应用软件,到数字化工作安排(DWA)中动态发展的社会-物质纠缠。这种发展使得研究dwa变得越来越困难,并挑战我们改进我们的方法,定义我们如何研究、观察和概念化dwa。在本文中,我们借鉴了形式法则(LoF)的数学-逻辑形式主义(Spencer-Brown, 1969)来分析六个说明性信息系统研究如何概念化社会和材料,从而得出关于DWAs的不同观点。我们的分析揭示了三个原型,这些原型捕捉了这些研究的概念化,并为讨论IS研究如何将定性方法扩展到这六个作品之外提供了信息。我们提供两种贡献。首先,我们对dwa研究中的关键概念提供了新的见解和解释。其次,我们提出LoF作为一个前本体论和前理论的形式主义,使方法的通约性和新的定性经验方法的发展。具体来说,我们展示了形式主义如何帮助阐明我们所描绘的区别,以完善我们的研究对象,并批判性地检查和重建其他研究人员的推理。
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引用次数: 1
Unpacking linguistic devices and discursive strategies in online social movement organizations: Evidence from anti-vaccine online communities 在线社会运动组织中的语言手段和话语策略:来自反疫苗在线社区的证据
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-06-01 DOI: 10.1016/j.infoandorg.2022.100409
Ludovico Bullini Orlandi , Gianluca Veronesi , Alessandro Zardini

This study investigates linguistic devices and discursive strategies employed by online social movement organizations (SMOs) in attempts to deinstitutionalize long-standing, institutionalized behaviors. The research draws from an in-depth analysis of public discourse within anti-vaccine online communities in Italy and contributes to the social movement literature on framing and the theory of discursive institutionalization. It employs semi-automated text-analysis methods and interpretive analysis of textual data from seven anti-vaccine social media communities, before and subsequent to the 2017 regulatory intervention of the Italian government to increase vaccination rates. This intervention followed a phase of intense debate centered on the decrease in vaccination coverage and the spread of anti-vaccine ideas in social media as well as in the broader public discourse. The study analyzes the discursive strategies and linguistic devices of community leaders (moderators) and followers (members), and investigates shifts in micro-level online anti-vaccine discursive strategies that developed after the government regulation. The findings suggest that anti-vaccine online SMOs employ specific sets of linguistic devices, namely rhetorical fallacies, that support well-defined discursive strategies such as those aiming to delegitimize actors that endorse vaccines. Furthermore, the evidence shows that these linguistic devices and discursive strategies, after the government regulation, shift from an evidence-based stance towards values and emotions-based argumentations.

本研究探讨了在线社会运动组织(SMOs)在试图将长期存在的制度化行为去制度化时所采用的语言手段和话语策略。该研究借鉴了对意大利反疫苗在线社区内公共话语的深入分析,并为关于框架和话语制度化理论的社会运动文献做出了贡献。该研究采用半自动文本分析方法,并对来自七个反疫苗社交媒体社区的文本数据进行解释性分析,这些数据来自意大利政府2017年监管干预之前和之后,以提高疫苗接种率。这一干预措施是在疫苗接种覆盖率下降和反疫苗思想在社交媒体以及更广泛的公共话语中传播的激烈辩论阶段之后进行的。研究分析了社区领袖(版主)和追随者(成员)的话语策略和语言手段,并调查了政府监管后微观层面网络反疫苗话语策略的变化。研究结果表明,反疫苗在线SMOs使用特定的语言手段,即修辞谬误,以支持定义明确的话语策略,例如旨在使支持疫苗的行为者合法化的策略。此外,有证据表明,在政府管制之后,这些语言手段和话语策略从基于证据的立场转向基于价值观和情感的论点。
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引用次数: 2
The digital is different: Emergence and relationality in critical realist research 数字是不同的:批判现实主义研究中的涌现和关系
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-06-01 DOI: 10.1016/j.infoandorg.2022.100408
Alexander Moltubakk Kempton

When analyzing empirical phenomena, the implicit or explicit assumptions we have of relationality guide what we take as the primary units of analysis and how we study them. This paper investigates and expands on the notion of relationality and relational explanations in the Critical Realist (CR) paradigm of Information Systems (IS) research. As digital technologies are becoming increasingly adaptive to the social and socio-technical structures they are embedded in, it is necessary to expand the field's conceptual tools in its study of digital phenomena. Therefore, to explain why the digital seems more tightly coupled to social phenomena than other types of technologies, the concept of transformational emergence is introduced. The key argument is that the malleability of digital entities entails that they are disposed to transform by emergence, which is key to understanding the constitutive relationality between the social and the technical in contemporary digital phenomena. This has fundamental implications for CR-based theories in the IS field, most notably Affordance theory and Representation theory.

在分析经验现象时,我们对关系的隐式或显式假设指导我们将什么作为分析的主要单位以及如何研究它们。本文对信息系统(IS)研究的批判现实主义范式中的关系概念和关系解释进行了研究和扩展。随着数字技术越来越适应其所嵌入的社会和社会技术结构,有必要在数字现象研究中扩展该领域的概念工具。因此,为了解释为什么数字技术似乎比其他类型的技术更紧密地与社会现象联系在一起,我们引入了转型涌现的概念。关键的论点是,数字实体的延展性意味着它们倾向于通过出现进行转换,这是理解当代数字现象中社会和技术之间构成关系的关键。这对信息系统领域中基于cr的理论具有根本性的影响,尤其是功能提供理论和表征理论。
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引用次数: 6
Coordinating knowledge work across technologies: Evidence from critical care practices 跨技术协调知识工作:来自重症监护实践的证据
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-06-01 DOI: 10.1016/j.infoandorg.2022.100411
Maria Festila , Sune Dueholm Müller

This paper examines how heterogeneous technologies impact the coordination of knowledge work in complex socio-technical settings. It is based on an in-depth field study of critical care practices characterized by intensive knowledge work and technological heterogeneity. We observe that heterogeneous technologies create workflow gaps within which health professionals adapt technology use to contingencies and local needs, prioritize interventions, and identify problems before they become detrimental to patient care. These adaptations provide opportunities for health professionals to continuously align work across heterogeneous technologies and to accomplish broader professional and ideological goals. Our analysis shows that health professionals use three coordination practices when working across heterogeneous technologies: controlling and enhancing information, reconstructing workflows, and circumventing requirements. We theorize how these practices address coordination needs associated with heterogeneous technologies and discuss implications for knowledge work. We provide a more complete understanding of coordination practices in complex, socio-technical settings which contributes to both knowledge work and coordination literatures.

本文探讨了在复杂的社会技术环境中,异质技术如何影响知识工作的协调。它是基于对重症监护实践的深入实地研究,其特点是密集的知识工作和技术异质性。我们观察到,异构技术造成了工作流程差距,卫生专业人员在其中调整技术使用以适应突发事件和当地需求,优先考虑干预措施,并在问题对患者护理有害之前识别问题。这些调整为卫生专业人员提供了机会,使他们能够不断地跨不同技术协调工作,并实现更广泛的专业和意识形态目标。我们的分析表明,卫生专业人员在跨异构技术工作时使用三种协调实践:控制和增强信息、重建工作流和规避需求。我们理论化了这些实践如何处理与异构技术相关的协调需求,并讨论了对知识工作的影响。我们提供了一个更完整的理解协调实践在复杂的,社会技术设置,这有助于知识工作和协调文献。
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引用次数: 3
Managing paradoxical tensions in the development of a telemedicine system 管理远程医疗系统发展中矛盾的紧张关系
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-03-01 DOI: 10.1016/j.infoandorg.2022.100393
Neha Agarwal , Christina Soh , Adrian Yeow

The global pandemic has escalated the demand for telemedicine systems across the world, particularly for vulnerable populations such as the elderly in nursing homes. However, challenges in implementation and high failure rates continue to affect the sustainability and capability of telemedicine systems. This study therefore addresses the question of how to sustain and develop telemedicine systems, and offers a conceptual model developed from longitudinal study data and paradox theory. We found that in the inter-organizational context of telemedicine systems, paradoxical tensions arise from conflict between demands and interests of the telemedicine system versus those of its members. We also identified when the specific tensions of belonging, learning, organizing, and performing are likely to occur. These tensions are addressed through responses, initiated by the hub, that address both system and member level demands and interests through creating collaborative governance, uplifting member capabilities, and targeted resourcing. We further demonstrate the temporal dynamics of how the hub's responses create inter-organizational norms and structures that in turn influence responses to tensions in subsequent phases. We examined variations in members' reactions to the responses, and found that they were influenced by member-specific resource factors, suggesting that while the hub does sustain the development of the telemedicine system through addressing common member demands, there are limits with regard to aspects that are more member-specific. Finally, we show how technology can be both enabler-trigger and enabler-response due to its inherent attributes of malleability and reconfigurability.

全球大流行加剧了世界各地对远程医疗系统的需求,特别是对养老院老人等弱势群体的需求。然而,实施方面的挑战和高故障率继续影响远程医疗系统的可持续性和能力。因此,本研究解决了如何维持和发展远程医疗系统的问题,并提供了一个基于纵向研究数据和悖论理论的概念模型。我们发现,在远程医疗系统的组织间背景下,远程医疗系统的需求和利益与成员的需求和利益之间的冲突产生了矛盾的紧张关系。我们还确定了归属、学习、组织和表演等特定紧张关系可能发生的时间。这些紧张关系是通过响应来解决的,由中心发起,通过创建协作治理、提升成员能力和目标资源来解决系统和成员级别的需求和利益。我们进一步展示了枢纽的反应如何创造组织间规范和结构的时间动态,这些规范和结构反过来影响后续阶段对紧张局势的反应。我们检查了成员对回复的反应的差异,发现他们受到成员特定资源因素的影响,这表明虽然中心确实通过解决共同的成员需求来维持远程医疗系统的发展,但在更具体的成员方面存在限制。最后,我们展示了由于技术固有的延展性和可重构性属性,它是如何同时成为促成者-触发者和促成者-响应者的。
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引用次数: 5
Legitimating digital technologies in industry exchange fields: The case of digital signatures 数字技术在工业交换领域的合法化:以数字签名为例
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-03-01 DOI: 10.1016/j.infoandorg.2022.100392
Laila Dahabiyeh , Panos Constantinides

Emergent digital technologies need to be legitimated for them to enable new marketplaces to diffuse and scale. The extant literature has emphasized the role of discourse in framing legitimation efforts. Despite recognizing the broader role of technology in the legitimation process, these studies have not examined the specific affordances of digital technologies used by field members and also how this relates to the institutional infrastructure of the field to influence the legitimation process. In our study of an industry exchange field, we drew on archival data between 1997 and 2001 to examine how members of the then emergent e-commerce industry exchange field achieved legitimation of digital signatures in electronic transactions through legislation. Our research contributes to extant research by showing how the legitimation process involves invoking and scaling affordances through sensegiving, translating, and decoupling mechanisms. We also show how affordances are conditioned by the specific institutional infrastructure that supports and enables them, and how issue fields can arise within exchange fields as spaces to (re)negotiate and shape institutional changes. We conclude with implications for further research into the diffusion and scale of digital marketplaces that is of increasing importance in light of recent regulatory debates.

新兴的数字技术需要合法化,才能使新的市场得以扩散和扩大。现存文献强调了话语在构建合法化努力中的作用。尽管认识到技术在合法化进程中的广泛作用,但这些研究没有审查实地成员使用的数字技术的具体功能,也没有审查这与影响合法化进程的实地体制基础设施之间的关系。在我们对行业交换领域的研究中,我们利用1997年至2001年的档案数据来研究当时新兴的电子商务行业交换领域的成员如何通过立法使电子交易中的数字签名合法化。我们的研究通过展示合法性过程如何通过感官赋予、翻译和解耦机制调用和扩展能力,为现有的研究做出了贡献。我们还展示了支持和使之成为可能的特定制度基础设施是如何制约供给的,以及问题领域是如何在交换领域中出现的,作为(重新)协商和塑造制度变革的空间。我们总结了对数字市场的扩散和规模的进一步研究的启示,鉴于最近的监管辩论,这一点越来越重要。
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引用次数: 7
Helping at NASA: Guidelines for using process consultation to develop impactful research 在NASA的帮助:使用过程咨询来发展有影响力的研究的指南
IF 6.3 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Pub Date : 2022-03-01 DOI: 10.1016/j.infoandorg.2022.100388
Loizos Heracleous

Management research has long been criticized for its perceived lack of relevance or impact beyond academia. How can we, as management scholars, create research that is more relevant and impactful? I argue that Edgar Schein's process consultation approach can be part of the answer. Process consultation's ultimate aim is to help client organizations. Key aspects of what is now recognized as engaged scholarship were fundamental to process consultation even before engaged scholarship was part of the management vocabulary. Based on my engagement process with the National Aeronautics and Space Administration since 2013, I argue that trust can fruitfully be seen as an outcome and an enabler of productive long-term helping relationships and of engaged scholarship; that what I call pragmatic bricolage is important in terms of offering help based on the client's needs as they develop at different junctures; and that unexpected dilemmas in such relationships are inevitable, but ways forward can be found by applying key principles of social systems. I conclude by outlining guidelines for impactful research and for disseminating research to wider audiences.

长期以来,管理研究一直因其被认为缺乏相关性或学术界以外的影响而受到批评。作为管理学学者,我们如何才能创造出更相关、更有影响力的研究?我认为Edgar Schein的过程咨询方法可以作为答案的一部分。过程咨询的最终目的是帮助客户组织。现在被认为是参与式学术的关键方面是过程咨询的基础,甚至在参与式学术成为管理词汇的一部分之前。根据我自2013年以来与美国国家航空航天局的接触过程,我认为信任可以被视为一种富有成效的结果,是富有成效的长期帮助关系和参与学术研究的推动者;我所说的实用主义拼凑在提供基于客户需求的帮助方面很重要,因为他们在不同的节点发展;在这种关系中,意想不到的困境是不可避免的,但通过应用社会系统的关键原则,可以找到前进的道路。最后,我概述了有影响力的研究和向更广泛的受众传播研究的指导方针。
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引用次数: 2
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