Changing Perspectives: Institutional Logics of Adoption and Use of Health Information Technology

In this study, we evaluate the adoption of IT resources within the U.S. healthcare system from the perspective of institutional logics. Our analysis focuses on the impact that increased use of electronic health records (EHR) systems and other health IT have on the interactions between diverse stakeholders and the values and objectives driving EHR adoption. Our findings suggest a broader range of institutional logics than has been highlighted in previous research within the healthcare field. We see evidence of both conflicting and complementary logics in the move to an IT-intensive healthcare system. We use our field study findings to support preliminary theorizing about the dynamic interplay of multiple institutional logics in the healthcare domain. The research underscores the value of analyzing institutional logics from a systems-oriented perspective.