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Justifying health IT investments : a process model of framing practices and reputational value

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Polykarpou, Stavros, Barrett, Michael, Oborn, Eivor, Salge, Torsten Oliver, Antons, David and Kohli, Rajiv (2018) Justifying health IT investments : a process model of framing practices and reputational value. Information and Organization, 28 (4). pp. 153-169. doi:10.1016/j.infoandorg.2018.10.003 ISSN 1471-7727.

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Official URL: http://dx.doi.org/10.1016/j.infoandorg.2018.10.003

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Abstract

Despite important research contributions on the financial and operational dimensions of information technology (IT) value, justifying health IT (HIT) investments remains a difficult and enduring issue for IT managers. Recent work has expanded our understanding of HIT value, by focusing on the initial resource allocation stage, and through conceptualizations of value across multiple dimensions. Building on these developments, we adopt a performative perspective to examine the research question of how practitioners justify early stage HIT investments, with a focus on reputational value. We explored this question through a comparative field study of two hospital organizations in the English National Health Service (NHS). We found that practitioners' temporally orientated framing practices matter in justifying HIT investments, enacting different possibilities for reputational value. We develop a process model to explain these dynamics and highlight the mutability of reputational value, which can lead to different possibilities for restoring, enhancing, or maintaining reputation. We conclude by discussing the implications for justifying HIT investments.

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Medicine -- Data processing, Health services administration -- Information technology, Information technology -- Economic aspects, Information technology -- Cost effectiveness, Capital investments -- Evaluation, Information storage and retrieval systems -- Medicine -- Management
Journal or Publication Title: Information and Organization
Publisher: Pergamon
ISSN: 1471-7727
Official Date: December 2018
Dates:
DateEvent
December 2018Published
14 November 2018Available
31 October 2018Accepted
Volume: 28
Number: 4
Page Range: pp. 153-169
DOI: 10.1016/j.infoandorg.2018.10.003
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 23 November 2018
Date of first compliant Open Access: 14 November 2020
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
1491536[ESRC] Economic and Social Research Councilhttp://dx.doi.org/10.13039/501100000269
Collaboration for Leadership in Applied Health Research and Care[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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