探索埃塞俄比亚公共卫生部门卫生信息系统实施动态二元性的制度逻辑

IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY
Birkinesh Woldeyohannes, Mark Gaynor, Temtim Assefa
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引用次数: 0

摘要

信息系统(IS)的实施往往会导致固有的矛盾问题、标准化和进化能力,这需要不同的信息技术(IT)治理机制。最近的研究提倡双重灵活性机制,这种机制考虑了长期成功的矛盾逻辑,但很少关注资源受限的环境,这是缺乏技术和财政资源的矛盾根源。本研究采用基于制度逻辑和动态二元性概念的解释方法,揭示了集中、系统和IT逻辑如何将IT治理机制塑造为集中和基于特设的去中心化结构。此外,该研究描述了缺乏对信息系统实施的共同愿景如何阻碍定义角色、确定类似举措并与之合作,从而导致实施无法控制的发展能力。尽管在资源受限的环境中缺乏共同的愿景,但该研究确定了异质行为者之间追逐资源的合作对于实现标准化和在一定水平上发展能力的重要性,尽管这还不够。该研究通过结合动态二元性和制度逻辑概念,提出了一个二元性的实施框架,通过设计共同的愿景、战略和机制,使感知、捕捉、,以及重新配置突发的异构系统实施方案,以同时实现标准化和进化能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring institutional logics to dynamic ambidexterity in health information system implementation in the public health sector of Ethiopia

Information system (IS) implementation can often lead to inherently contradictory issues, standardization, and evolve-ability, which requires different, sets of information technology (IT) governance mechanisms. Recent research advocate ambidexterity mechanisms which consider the contradictory logic for long-term success yet it has paid little attention to resource-constrained settings which is a source of contradiction for the lack of technical and financial resource. Using an interpretative approach, based on institutional logic and dynamic ambidexterity concepts, this study revealed how centralized, systemic, and IT logics shaped IT governance mechanisms toward centralized and ad hoc-based decentralized structures. Furthermore, the study depicted how the lack of a common vision for IS implementation impeded defining roles, identifying and collaborating with similar initiatives that led the implementation to uncontrolled evolve-ability. Despite the absence of a common vision in resource-constrained settings, the study identified the importance of resource-chasing collaboration among heterogeneous actors to achieve standardization and evolve-ability at a certain level though not sufficient. The study proposed an ambidextrous implementation framework by combining dynamic ambidexterity and institutional logic concepts to complement the resource-chased collaboration with major HIS logics-based collaboration through devising common vision, strategy, and mechanisms which allows sensing, seizing, and reconfiguring the emergent heterogeneous system implementation initiatives to achieve standardization and evolve-ability simultaneously.

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来源期刊
CiteScore
3.60
自引率
15.40%
发文量
51
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