Configurational model for the process of alignment in technology implementations

The full realization of the potential of a technology requires good understanding of its implementation. During implementations, lack of compatibility between technology and its adopters require dynamic sequences of alignment. This process is understood to be central to the success in technology assimilation. This paper proposes a configurational model to explain and predict the alignment process during technology implementations, derived from a multiple case research of the implementation of a retinopathy screening program in networks of healthcare providers. It builds on and expands previous research capturing in a holistic way the alignment process and its nature of adaptation over time.