Inscribing as institutional work: a case study of the implementation of an inter-organizational information system in a German integrated care network
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Abschlussarbeit Buch |
| Sprache: | English |
| Veröffentlicht: |
2014
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | 537 S. |
Internformat
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| adam_text | TABLE OF CONTENTS - OVERVIEW
1. INTRODUCTION 23
2. INFORMATION SYSTEMS AND ORGANIZATION:
CORE CONCEPTS OF THIS STUDY AND ITS POSITION WITHIN EXTANT RESEARCH 40
2.1 TECHNOLOGY, TECHNIQUES AND INFORMATION SYSTEMS 40
2.2 TECHNOLOGY AND ORGANIZATION: A BRIEF VIEW INTO INFORMATION SYSTEMS
RESEARCH,
THE SOCIO-TECHNICAL SYSTEMS APPROACH AND THE SOCIOLOGY OF TECHNOLOGY 46
2.3 DEFINING INSTITUTIONS 65
2.4 INSTITUTIONAL LOGICS AS IDEALS, DISCOURSES AND TECHNIQUES OF CONTROL
74
2.5 TOWARD AN UNDERSTANDING OF INSCRIBING AS IMPLEMENTING LOGICS IN
TECHNOLOGY 78
2.6 TOWARD A CYCLICAL UNDERSTANDING OF INSCRIBING AS INSTITUTIONAL WORK
85
2.7 WRAPPING UP AND MOVING ON: SUMMARY AND OUTLOOK TO THE EMPIRICAL
STUDY 110
3. STUDYING INSCRIBING AS INSTITUTIONAL WORK WITH A SINGLE CASE STUDY
114
3.1 CORNERSTONES OF THE ITERATIVE RESEARCH DESIGN IN THIS STUDY: THE
GIOIA METHOD AND
PROCESS RESEARCH-TECHNIQUES 116
3.2 INSIGHTS INTO THE RESEARCH PROCESS: DETAILS OF THE HEALTHY REGION
NETWORK CASE,
THE DATA COLLECTION AND THE DATA ANALYSIS 123
3.3 SUMMARY, WRAPPING UP AND MOVING ON 184
4. HEALTHY REGION: A CASE OF INTEGRATED CARE IN GERMANY 185
HTTP://D-NB.INFO/1054966958
TABLE OF CONTENTS - OVERVIEW
4.1 DEFINING CONTEXT ISSUES 185
4.2 DEFINING THE HYBRID LOGIC IN THIS CASE:
HEALTH GAIN AND THE INSTITUTIONAL WORK IN THE HEALTHY REGION 205
4.3 SUMMARY AND OUTLOOK TO THE IDEALISTIC, DISCURSIVE
AND TECHNOLOGICAL CYCLES OF INSCRIBING 214
4.4 INSTITUTIONAL WORK IN THE IDEALISTIC CYCLE: THE CREATION OF NEW
RATIONALITIES AT ALPHAFUND,
THE PHYSICIANS NETWORK AND HEALTHMANAGEMENT 216
4.5 FROM THREE ORGANIZATIONS TO ONE NETWORK: EMBEDDING THE HYBRID LOGIC
INTO CHANGING INSTITUTIONAL
LOGICS AS INSTITUTIONAL WORK IN THE TRANSFORMATIONAL PERIOD BETWEEN THE
IDEALISTIC AND
DISCURSIVE CYCLES 240
4.6 THE FIRST SEQUENCE OF THE DISCURSIVE CYCLE: SPECIFYING THE HYBRID
LOGIC 287
4.7 SOCIOMATERIAL LOOPS IN THE HEALTHY REGION CASE:
ON ITERATIVE INTERPLAYS OF THE DISCURSIVE AND TECHNOLOGICAL CYCLES 322
4.8 SUMMARY OF THE CASE STUDY 442
5. DISCUSSION 444
5.1 INSTITUTIONAL LOGICS AND INSCRIBING: LINKING LOGICS TO TECHNOLOGY
447
5.2 INSTITUTIONAL WORK AND THE IMPLEMENTATION OF NEW TECHNOLOGIES 453
5.3 INSCRIBING AS A MECHANISM THAT LINKS LOGICS TO TECHNOLOGY 457
5.4 IMPLICATIONS FOR MANAGEMENT AND POLICY MAKING 458
TABLE OF CONTENTS - OVERVIEW
5.5 LIMITATIONS OF THIS STUDY 469
6. SUMMARY AND CONCLUSION 474
7. REFERENCES 476
8. APPENDIX 524
8.1 LST-ORDER CATEGORIES 524
8.2 CODES TO AID THE ANALYSIS 536
TABLE OF CONTENTS - DETAILS
1. INTRODUCTION 23
2. INFORMATION SYSTEMS AND ORGANIZATION:
CORE CONCEPTS OF THIS STUDY AND ITS POSITION WITHIN EXTANT RESEARCH 40
2.1 TECHNOLOGY, TECHNIQUES AND INFORMATION SYSTEMS 40
2.2 TECHNOLOGY AND ORGANIZATION: A BRIEF VIEW INTO INFORMATION SYSTEMS
RESEARCH,
THE SOCIO-TECHNICAL SYSTEMS APPROACH AND THE SOCIOLOGY OF TECHNOLOGY 46
2.2.1 TWO PARADIGMS IN INFORMATION SYSTEMS RESEARCH:,
DESIGN SCIENCE AND THE BEHAVIORAL PARADIGM 46
2.2.1.1 DESIGN SCIENCE AND BUSINESS INFORMATION SYSTEMS ENGINEERING
(BISE) 47
2.2.1.2 THE BEHAVIORAL PARADIGM IN INFORMATION SYSTEMS RESEARCH
AND EXTANT WORK ON INTER-ORGANIZATIONAL INFORMATION SYSTEMS 49
2.2.2 INFORMATION SYSTEMS RESEARCH AND THE SOCIO-TECHNICAL SYSTEMS
APPROACH 57
2.2.3 FROM THE SOCIOLOGY OF SCIENTIFIC KNOWLEDGE TO THE SOCIOLOGY OF
TECHNOLOGY 59
2.3 DEFINING INSTITUTIONS 65
2.4 INSTITUTIONAL LOGICS AS IDEALS, DISCOURSES AND TECHNIQUES OF CONTROL
74
2.5 TOWARD AN UNDERSTANDING OF INSCRIBING AS IMPLEMENTING LOGICS IN
TECHNOLOGY 78
2.6 TOWARD A CYCLICAL UNDERSTANDING OF INSCRIBING AS INSTITUTIONAL WORK
85
TABLE OF CONTENTS - DETAILS
2.6.1 THE ROOTS OF INSCRIBING AS INSTITUTIONAL WORK: INSTITUTIONAL
ENTREPRENEURSHIP
AND THE STUDY OF TECHNOLOGY 87
2.6.1.1 INSTITUTIONAL ENTREPRENEURSHIP VERSUS SCHUMPETERIAN
ENTREPRENEURSHIP 90
2.6.1.2 INSTITUTIONAL ENTREPRENEURSHIP AND INSTITUTIONAL INNOVATION 91
2.6.1.3 INFLUENCING VARIABLES OF INSTITUTIONAL ENTREPRENEURSHIP:
STARTING POINTS FOR A THEORY OF INSTITUTIONAL ENTREPRENEURSHIP 93
2.6.2 TOWARD AN UNDERSTANDING OF INSCRIBING AS INSTITUTIONAL WORK:
THE GENESIS OF INSTITUTIONAL WORK FROM THE VIEWPOINT OF AN IDEALISTIC,
DISCURSIVE AND TECHNOLOGICAL CYCLE 96
2.6.2.1 THE BASIC IDEA OF INSTITUTIONAL WORK: INSTITUTIONAL MAINTENANCE
MATTERS 96
2.6.2.2 INSCRIBING INSTITUTIONAL LOGICS INTO TECHNOLOGY: THE STARTING
POINTS
FOR A PROCESS FRAMEWORK TO UNDERSTAND INSCRIBING AS INSTITUTIONAL WORK
99
2.6.2.2.1 EXTANT THEORY AND THE IDEALISTIC AND DISCURSIVE CYCLES OF
INSTITUTIONAL WORK 101
2.6.2.2.2 EXTANT THEORY AND THE TECHNOLOGICAL CYCLE OF INSTITUTIONAL
WORK 104
2.6.2.2.3 FIRST INDICATIONS OF PROCESS VIEWS ON THE IDEALISTIC,
DISCURSIVE AND TECHNOLOGICAL CYCLES 106
2.6.2.3 EMBRACING THE CRITICS OF INSTITUTIONAL WORK: CO-EVOLUTION COUNTS
107
2.7 WRAPPING UP AND MOVING ON: SUMMARY AND OUTLOOK TO THE EMPIRICAL
STUDY 110
TABLE OF CONTENTS - DETAILS
3. STUDYING INSCRIBING AS INSTITUTIONAL WORK WITH A SINGLE CASE STUDY
114
3.1 CORNERSTONES OF THE ITERATIVE RESEARCH DESIGN IN THIS STUDY: THE
GIOIA METHOD AND PROCESS
RESEARCH-TECHNIQUES 116
3.1.1 ITERATIVE RESEARCH DESIGNS AND THE GIOIA METHOD: BRIEF
DESCRIPTIONS 116
3.1.2 THE GIOIA METHOD AND PROCESS RESEARCH 121
3.2 INSIGHTS INTO THE RESEARCH PROCESS:
DETAILS OF THE HEALTHY REGION NETWORK CASE, THE DATA COLLECTION AND THE
DATA ANALYSIS 123
3.2.1 CASE OVERVIEW: INTRODUCING THE HEALTHY REGION NETWORK 123
3.2.2 DESIGN DIMENSIONS OF THE CASE STUDY: TIME FRAME OF THE ANALYSIS
AND SEQUENCING OF THE CASE 129
3.2.3 VALIDITY AND RELIABILITY 137
3.2.4 CASE STUDY PROTOCOL OF THE HEALTHY REGION CASE 143
3.2.4.1 DEVELOPMENT OF THE RESEARCH PROJECT 143
3.2.4.2 DATA COLLECTION 145
3.2.4.2.1 SELF-WRITTEN DATA AND PRESS DOCUMENTS AS SECONDARY DATA
SOURCES 149
3.2.4.2.2 INTERVIEWS AS A PRIMARY DATA SOURCE 157
3.2.4.2.2.1 A NOTE ON THE SAMPLE STRUCTURE 157
TABLE OF CONTENTS - DETAILS
3.2.4.2.2.2 A NOTE ON THE SAMPLING STRATEGY 162
3.2.4.2.2.3 A NOTE ON INTERVIEWING: TECHNIQUES, TACTICS AND TIMING 163
3.2.4.3 DATA ANALYSIS 167
3.2.4.3.1 TWO SOFTWARE PROGRAMS AND ONE RESEARCHER:
PREPARING PROCESS DATA FOR THE ANALYSIS 167
3.2.4.3.1.1 CODING 167
3.2.4.3.1.2 ORGANIZING DATA 169
3.2.4.3.2 BUILDING THE IDEA OF INSCRIBING AS INSTITUTIONAL WORK FROM THE
CASE NARRATIVE 172
3.2.4.3.3 THE DATA STRUCTURES FOR THE THREE CYCLES OF INSCRIBING AS
INSTITUTIONAL WORK 174
3.3 SUMMARY, WRAPPING UP AND MOVING ON 184
4. HEALTHY REGION: A CASE OF INTEGRATED CARE IN GERMANY 185
4.1 DEFINING CONTEXT ISSUES 185
4.1.1 INTRODUCING MARKET ELEMENTS: A SNAPSHOT OF THE POST 2000HEALTH
CARE REFORMS 189
4.1.2 INTRODUCING THE PROFESSIONAL LOGIC:
INDIVIDUAL AUTONOMY AND EXPERTISE AS COGNITIVE INSTITUTIONS 196
TABLE OF CONTENTS - DETAILS
4.1.3 ON THE EMBEDDEDNESS OF MARKET ELEMENTS IN THE PROFESSIONAL AND
STATE LOGICS
OF GERMAN HEALTH CARE: A VIEW INTO THE ADMINISTRATION OF HEALTHY REGION
198
4.2 DEFINING THE HYBRID LOGIC IN THIS CASE:
HEALTH GAIN AND THE INSTITUTIONAL WORK IN THE HEALTHY REGION 205
4.3 SUMMARY AND OUTLOOK TO THE IDEALISTIC, DISCURSIVE AND TECHNOLOGICAL
CYCLES OF INSCRIBING.... 214
4.4 INSTITUTIONAL WORK IN THE IDEALISTIC CYCLE: THE CREATION OF NEW
RATIONALITIES
AT ALPHAFUND, THE PHYSICIANS NETWORK AND HEALTHMANAGEMENT 216
4.4.1 EMPHASIZING EFFICIENCY: LEGAL DYNAMICS AND ALPHAFUND 216
4.4.2 EMPHASIZING QUALITY: THE PHYSICIANS NETWORK 224
4.4.3 EMPHASIZING SYNERGY: HEALTHMANAGEMENT 229
4.4.4 SUMMARY OF THE IDEALISTIC CYCLE OF INSCRIBING 239
4.5 FROM THREE ORGANIZATIONS TO ONE NETWORK: EMBEDDING THE HYBRID LOGIC
INTO CHANGING
INSTITUTIONAL LOGICS AS INSTITUTIONAL WORK IN THE TRANSFORMATIONAL
PERIOD
BETWEEN THE IDEALISTIC AND DISCURSIVE CYCLES 240
4.5.1 TARGETING 242
4.5.2 COMMENSURATING ACTORS 255
TABLE OF CONTENTS - DETAILS
4.5.2.1 MEETING EFFICIENCY DEMANDS:
ASSUMING ECONOMIC RESPONSIBILITY FOR THE WHOLE POPULATION 255
4.5.2.2 MEETING QUALITY DEMANDS: INTRODUCING THE REIMBURSEMENT AGREEMENT
264
4.5.3 BROKERING LOGICS 272
4.5.4 SUMMARY OF THE TRANSFORMATIONAL PERIOD 284
4.6 THE FIRST SEQUENCE OF THE DISCURSIVE CYCLE: SPECIFYING THE HYBRID
LOGIC 287
4.6.1 DEFINING HEALTH PROGRAMS 288
4.6.2 DEFINING A BALANCED SCORE CARD AND DEMANDING TRANSPARENCY 302
4.6.3 MODIFYING THE WORK OF ASSISTANTS 316
4.6.4 SUMMARY OF THE DISCURSIVE CYCLE OF INSCRIBING 321
4.7 SOCIOMATERIAL LOOPS IN THE HEALTHY REGION CASE:
ON ITERATIVE INTERPLAYS OF THE DISCURSIVE AND TECHNOLOGICAL CYCLES 322
4.7.1 BATTLING INSCRIPTIONS 327
4.7.1.1 UPDATING HARDWARE ENDOWMENTS 328
4.7.1.2 ACCEPTING LEGACY SYSTEMS 334
4.7.1.3 MANAGING INTEROPERABILITY 348
TABLE OF CONTENTS - DETAILS
4.7.1.3.1 THE STRUCTURE OF THE INTER-ORGANIZATIONAL INFORMATION SYSTEM
349
4.7.1.3.2 ADAPTING INTERFACES: UNDERSTANDING THE LINK BETWEEN COMPUTER 1
AND THE HEALTHY REGION SERVER 356
4.7.1.3.3 HEALTH GAIN AND THE HEALTHY REGION SERVER 359
4.7.1.3.3.1 THE INTERPLAY OF THE HEALTHY REGION SOFTWARE AND THE PRAXIS
INFORMATION SYSTEM 360
4.7.1.3.3.2 HEALTH GAIN AND THE DATA TRANSMISSION SOFTWARE 368
4.7.1.3.4 INSCRIBING HEALTH GAIN AT HEALTHMANAGEMENT 374
4.7.1.3.5 THE INSCRIPTION OF DATA SECURITY 380
4.7.1.3.6 SUMMARY: CO-EXISTING LOGICS AND THE IMPORTANCE OF
INTEROPERABILITY 382
4.7.1.4 INTEROPERABILITY AND THE OCCURRENCE OF SOCIOMATERIAL LOOPS 384
4.7.1.5 REACTIVATING THE DISCURSIVE CYCLE 394
4.7.1.6 SUMMARY: THE CONTRIBUTION OF BATTLING INSCRIPTIONS
TO UNDERSTANDING INSCRIBING AS INSTITUTIONAL WORK 403
4.7.2 UNINTENDED MARGINALIZATION 405
4.7.2.1 DEVIATING DOCUMENTATION PRACTICES 408
4.7.2.2 BRINGING NOVELTY TO A BUSY SETTING 419
4.7.2.3 AVOIDING COERCION 434
TABLE OF CONTENTS - DETAILS
4.7.2.4 SUMMARY: UNINTENDED MARGINALIZATION AND SOCIOMATERIAL LOOPS 441
4.8 SUMMARY OF THE CASE STUDY 442
5. DISCUSSION 444
5.1 INSTITUTIONAL LOGICS AND INSCRIBING: LINKING LOGICS TO TECHNOLOGY
447
5.2 INSTITUTIONAL WORK AND THE IMPLEMENTATION OF NEW TECHNOLOGIES 453
5.3 INSCRIBING AS A MECHANISM THAT LINKS LOGICS TO TECHNOLOGY 457
5.4 IMPLICATIONS FOR MANAGEMENT AND POLICY MAKING 458
5.4.1 IMPLICATIONS FOR MANAGERIAL PRACTICE 459
5.4.2 POLICY IMPLICATIONS 467
5.5 LIMITATIONS OF THIS STUDY 469
6. SUMMARY AND CONCLUSION 474
7. REFERENCES 476
8. APPENDIX 524
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| spelling | Wessel, Lauri Verfasser (DE-588)1054235066 aut Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network vorgelegt von Lauri Wessel 2014 537 S. txt rdacontent n rdamedia nc rdacarrier Berlin, Freie Univ., Diss., 2013 Informationssystem (DE-588)4072806-7 gnd rswk-swf Netzwerk (DE-588)4171529-9 gnd rswk-swf Krankenpflege (DE-588)4032813-2 gnd rswk-swf Deutschland (DE-588)4011882-4 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Deutschland (DE-588)4011882-4 g Krankenpflege (DE-588)4032813-2 s Netzwerk (DE-588)4171529-9 s Informationssystem (DE-588)4072806-7 s DE-188 DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027436669&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Wessel, Lauri Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network Informationssystem (DE-588)4072806-7 gnd Netzwerk (DE-588)4171529-9 gnd Krankenpflege (DE-588)4032813-2 gnd |
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| title | Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network |
| title_auth | Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network |
| title_exact_search | Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network |
| title_full | Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network vorgelegt von Lauri Wessel |
| title_fullStr | Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network vorgelegt von Lauri Wessel |
| title_full_unstemmed | Inscribing as institutional work a case study of the implementation of an inter-organizational information system in a German integrated care network vorgelegt von Lauri Wessel |
| title_short | Inscribing as institutional work |
| title_sort | inscribing as institutional work a case study of the implementation of an inter organizational information system in a german integrated care network |
| title_sub | a case study of the implementation of an inter-organizational information system in a German integrated care network |
| topic | Informationssystem (DE-588)4072806-7 gnd Netzwerk (DE-588)4171529-9 gnd Krankenpflege (DE-588)4032813-2 gnd |
| topic_facet | Informationssystem Netzwerk Krankenpflege Deutschland Hochschulschrift |
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