How Technology-Afforded Practices at the Micro-Level can Generate Change at the Field Level: Theorizing the Recursive Mechanism Actualized in Swedish Rheumatology 2000-2014

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Abstract
The information systems literature has paid a great deal of attention to how macro-level structures shape local technology enactments. Less research has focused on the mutual shaping of situated technology enactments and such extra-organizational structures. This study explores how technology-afforded human action at the micro-level may transform field-level social structures and thus generate institutional change. We use a critical realist approach and institutional logics lens and draw on empirical data about the development and implementation of an e-health service in Swedish rheumatology between 2000 and 2014. We identify a recursive mechanism consisting of three recursive practices—material reconstruction, discursive reconstruction, and emergent use—that fostered a shift in the field’s constellation of institutional logics, moving from a competitive to an additive relationship between logics. 0/21/19
Additional Details
Author Anna Essén and Sara Winterstorm Värlander
Year 2019
Volume 43
Issue 4
Keywords Recursive mechanism, micro-level enactments, technology affordances, healthcare, longitudinal case study, field-level change, institutional logics, critical realism
Page Numbers 1155-1176; DOI: 10.25300/MISQ/2019/12164
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