Welcome to the InfoSci Platform
Reference Hub1
Shifting Ground for Health Information Systems: Local Embeddedness, Global Fields, and Legitimation

Shifting Ground for Health Information Systems: Local Embeddedness, Global Fields, and Legitimation

Gianluca Miscione, Knut Staring
Copyright: © 2009 |Volume: 1 |Issue: 4 |Pages: 12
ISSN: 1941-6253|EISSN: 1941-6261|ISSN: 1941-6253|EISBN13: 9781616921156|EISSN: 1941-6261|DOI: 10.4018/jskd.2009062601
Cite Article Cite Article

MLA

Miscione, Gianluca, and Knut Staring. "Shifting Ground for Health Information Systems: Local Embeddedness, Global Fields, and Legitimation." IJSKD vol.1, no.4 2009: pp.1-12. http://doi.org/10.4018/jskd.2009062601

APA

Miscione, G. & Staring, K. (2009). Shifting Ground for Health Information Systems: Local Embeddedness, Global Fields, and Legitimation. International Journal of Sociotechnology and Knowledge Development (IJSKD), 1(4), 1-12. http://doi.org/10.4018/jskd.2009062601

Chicago

Miscione, Gianluca, and Knut Staring. "Shifting Ground for Health Information Systems: Local Embeddedness, Global Fields, and Legitimation," International Journal of Sociotechnology and Knowledge Development (IJSKD) 1, no.4: 1-12. http://doi.org/10.4018/jskd.2009062601

Export Reference

Mendeley
Favorite Full-Issue Download

Abstract

This article addresses the institutional scaling of information systems through the interplay of globally distributed free and open source software development with organizational processes. Through examining various phases of a long term project to implement information systems for the public health care sector in resource-poor countries, we highlight changing sources of acceptance and legitimation. The analysis centers on the balance between local and global levels, from pilot sites, through an emerging broader organizational field, to increasingly involving national level institutional settings. In parallel to the established view of the scaling of ICT implementations as relating to complexity and risk in the form of unintended side-effects of the growth of a system, the authors highlight the qualitative switch between regulatory contexts. Shifting relations to local institutions means that scalability requires actors to interact with quite different organizational cultures, accountabilities and communicative practices.

Request Access

You do not own this content. Please login to recommend this title to your institution's librarian or purchase it from the IGI Global bookstore.