@ 31st EGOS Colloquium, July 2–4, 2015, Athens, Greece
Abstract:
In this paper, we explore field emergence, as it happens, aiming to enrich the theoretical understanding of this understudied phenomena and of institutional complexity. Our inductive case study is the nascent field of collaborative digital health technologies, which we follow from 2007 to present. We employ an institutional logics perspective, and drawing on existing theorization of field emergence, we point out the complex intertwine of logics and stakeholders as they reveal in time. Although preliminary, our findings present four distinct emergence phases: ingenuous age, legitimation, mobilization and stabilization, along with particular aspects like the role of legitimizing actors and the granularity of the field during mobilization. Additionally, we discuss digital technologies as enablers and material mediators of institutional change, and highlight the emerging role of the hybrid patient, with practical implications for the evolution of healthcare, as we know it.
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Plurality of institutional logics in digital healthcare: The rise of the hybrid patient
1. Sub-theme 55: Re-examining the organization of healthcare:
institutional, technological and clinical challenges
plurality of institutional
logics in digital healthcare:
the rise of the hybrid patient
lorena macnaughtan, gerardo patriotta,
lorraine pinnington & sujatha raman
12. ?
Macnaughtan, L. 2015. All Eyes on Digital Health. graphic design nuviun. retrieved
June 23, 2015
13. institutional logics all bind value,
practice, and object. Institutional
logics are, one might say, practical
forms of value rationality (Friedland,
2013, p. 36)
…brings theoretical
insights into this
process and institutional
complexity
practical implications of
researching how digital
technologies cause and
enable change across the
spectrum in…
“and if I had to start a company and fail a
thousand times and start it over again and fail,
I would do that. And so when I realized that,
then it was about doing whatever it takes to make
this a reality. Because it's a change that can
happen and has to happen in our world!” –
Elizabeth Holmes, Theranos (CS, 2014)
14. References
Aldrich, H. E., & Fiol, C. M. (1994). Fools Rush in? The Institutional Context of
Industry Creation. The Academy of Management Review, 19(4), 645–670.
Friedland, R. (2013). God, Love, and Other Good Reasons for Practice: Thinking
Through Institutional Logics. In Institutional Logics in Action, Part A (Vol. Part
A, pp. 25–50). Bingley, UK: Emerald Group Publishing Limited.
Macnaughtan, L. 2015. All Eyes on Digital Health. graphic design nuviun. retrieved
June 23, 2015
Scanadu [n.d.]. future of healthcare. [video]. retrieved June 23, 2015
CHM Revolutionaries (2014)Theranos Founder & CEO Elizabeth Holmes in Conversation
with Michael Krasny [video]. retrieved March 30, 2015
thank
you!