Rethinking Resistance to ‘Big IT’: A Sociological Study of Why and When Healthcare Staff Do Not See Nationally Mandated Information and Communication Technologies


 
Language:

English

Authors:

Greenhalgh T, Swinglehurst D, Stones R

Series/Journal Title:

Health Services and Delivery Research

Volume:

2

Issue:

39

Pages:

112

Description:

Our analysis focused mainly on the Choose and Book system for outpatient referrals, introduced in 2004, which remained unpopular and little used throughout the period of our research (i.e. 2007–13). We identified four foci of resistance: to the policy of choice that Choose and Book symbolised and purported to deliver; to accommodating the technology’s sociomaterial constraints; to interference with doctors’ contextual judgements; and to adjusting to the altered social relations consequent on its use. More generally, use of the mandated system tended to constrain practice towards a focus on (the efficiency of) means rather than (the moral value of) ends. [from abstract]

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