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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/2081

Title: Exploring the duality of Information Technology in community health trusts
Authors: Doherty, Neil
Coombs, Crispin
Loan-Clarke, John
Keywords: empowerment
control
duality
systems development
NHS
community trusts
United Kingdom
Issue Date: 2004
Publisher: © Loughborough University
Citation: DOHERTY, COOMBS and LOAN-CLARKE, 2004. Exploring the Duality of Information Technology in Community Health Trusts. Occasional Paper 2004:4, Loughborough: Business School, Loughborough University
Abstract: There are two important areas of inquiry, within the information systems domain, that are often framed as dualities. The first relates to the nature of the relationship between technological artefacts and human practices: does technology shape human practice or is technology shaped by human agency? The second concerns the impact of information technologies: does IT empower the user or is the user controlled by IT? The aim of this study is to provide new insights into the nature of these dualities by exploring the development, implementation and use of a standard software application, within a homogenous organisational sector, namely NHS Community Trusts. A multiple case-study design incorporating five Community Healthcare Trusts was utilised. The study found that whilst the information system was perceived as facilitating empowerment in two Trusts, it was felt to be reinforcing management control in another Trust; there was no significant change to the distribution of power in the other two Trusts. Moreover, the differences in outcome could be explained by the degree of ‘interpretive flexibility’ associated with each of the information systems projects: the empowerment of users was found in Trusts where the users were actively engaged in the system’s social and physical constitution.
Description: THIS PAPER IS CIRCULATED FOR DISCUSSION PURPOSES AND ITS CONTENTS SHOULD BE CONSIDERED PRELIMINARY AND CONFIDENTIAL. NO REFERENCE TO MATERIAL CONTAINED HEREIN MAY BE MADE WITHOUT THE CONSENT OF THE AUTHORS.
URI: https://dspace.lboro.ac.uk/2134/2081
ISBN: 1859011918
Appears in Collections:Occasional Papers Series (Business School)

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