Adaptive Structuration Theory: A Health Information Exchange (HIE) Diffusion Study

ABSTRACT

The diffusion of an innovation is often discussed as the outcome of social processes. An alternative IT viewpoint is Adaptive Structuration Theory where IT as “appropriated” by an organization as enabling and encoding the “spirit” of that organization – why and how and where it does what it does. Examining such a case with the diffusion of an existing Health Information Exchange (HIE) in a new set of hospitals, supports the inclusion of that AST aspect.

KEYWORDS:

• Health Information Exchange (HIE)
• innovation diffusion
• Adaptive Structuration Theory (AST)

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Notes on contributors

David Gefen

David Gefen, [email protected], is a Professor of MIS and the Provost Distinguished Research Professor at Drexel University, USA. He teaches management of information systems, data analytics, and methodology. Professor Gefen has authored some of the most cited papers in MIS on trust management in information systems. His research has been published in some of the leading journals, including MISQ, ISR, JMIS, and Omega. He authored a textbook on VB.NET Programming and books on the Art of IS Outsourcing and on Trust. Professor Gefen was a senior editor at MISQ and is currently on the editorial board of JMIS and JAIS.

Ofir Ben-Assuli

Ofir Ben-Assuli, [email protected], is an associate professor in the faculty of Business Administration at the Ono Academic College, Israel. He also serves as the Associate Dean for Research at his College. He completed his Ph.D. in Management Information Systems, Tel Aviv University in 2011; MBA, Hebrew University in 2005 and a B.A. in Economics and Computer Science, Ben-Gurion University in 2002. His publications have appeared in MIS Quarterly, European Journal of Information Systems, Decision Sciences, Decision Support Systems, among others. He has been awarded several grants for his research including U.S.-Israel Binational Science Foundation and the German-Israeli Foundation, among others.

Yaron Denekamp

Yaron Denekamp, [email protected], is a board certified specialist in Internal Medicine and a Medical Informatician. He completed a post-doctoral fellowship program and a Master of Science studies in Medical Informatics at the Harvard MIT Division of Health Sciences and Technology in Boston, Massachusetts. He has a rich experience in leading clinical IT projects and conducts research in the field. Dr. Denekamp is currently the Chief Medical Informatics Officer in the Hospitals Division of Clalit Health Services in Israel, one of the largest health maintenance organizations worldwide. In addition, he is a lecturer in the field of Medical Informatics in the School of Public Health at the University of Haifa in Israel.