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Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine
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 Title & Authors
Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine
Chiasson, Mike; Kumar, Nanda;
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 Abstract
There is growing evidence that professional work is changing as a result of the application of information technology (IT). However, the impact of information technology on professional work has produced mixed results. Our paper considers the source of these mixed results through a greater analytical attention paid to the nature of professional work. Defined as work involving expertise expressed through abstract and formalized knowledge as well as extensive working knowledge, the professional work logic assumes the greatest autonomy and discretion for workers in collectively controlling work characteristics-division of labor and its permanence, control over education, and control over new entrants and the monitoring and disciplining of existing members. The impact of IT on professional work will be difficult to control and predict without considering the assumptions and tensions within and across the three major types of work logics (Professional, Market and Bureaucratic). Using healthcare as an example, the paper provides various propositions for researching the initiation and effects of ICT design through these three work logics. These propositions illustrate the active role that IS researchers can take in researching an important economic and work-related topic, professional work, and in understanding how ICT affects work-related expertise.
 Keywords
Professional Work;ICT Design and Implementation;Professional Logic;Market Logic;Bureaucratic Logic;Health Care;
 Language
English
 Cited by
 References
1.
Abbott, A., The System of Professions : An Essay on The Division of Expert Labor, University of Chicago Press, 1988.

2.
Allen, K., Max Weber : A Critical Introduction, Pluto Pr., 2004.

3.
Anderson, G.F., B.K. Frogner, R.A. Johns, and U.E. Reinhardt, "Health Care Spending and Use of Information Technology in OECD Countries", Health Affairs, Vol.25, No.3, 2006, 819-831. crossref(new window)

4.
BBC News, 'Danger of Mis-Representation' Over Surgeons' Tables. (n.d.), 2015. Available at http://www.bbc.co.uk/programmes/p01c0sj1 (Accessed February 19. 2016.)

5.
Beck, U. and P. Camiller, The Brave New World of Work, Cambridge Univ Press, 2000.

6.
Berg, M., Rationalizing Medical Work Decision-Support Techniques and Medical Practices, MIT Press, Cambridge, Mass, 1997.

7.
Broadbent, M., P. Weill, and D. Clair, "The Implications of Information Technology Infrastructure for Business Process Redesign", MIS Quarterly, 1999, 159-182.

8.
Chiasson, M. and E.J. Davidson, "Taking Industry Seriously in Information Systems Research", Management Information Systems Quarterly, Vol.29, No.4, 2005, 591-605.

9.
Christensen, C.M., R. Bohmerand, and J. Kenagy, "Will Disruptive Innovations Cure Health Care?", Harvard business review, Vol.78, No.5, 2000, 102-112.

10.
Crowley, M., D. Tope, L.J. Chamberlain, and R. Hodson, "Neo-Taylorism at Work : Occupational Change in The Post-Fordist Era", Social Problems, Vol.57, No.3, 2010, 421-447. crossref(new window)

11.
Davidson, E.J. and W.G. Chismar, "The Interaction of Institutionally Triggered and Technology-Triggered Social Structure Change : An Investigation of Computerized Physician Order Entry", MIS Quarterly, 2007, 739-758.

12.
Diamond, C.C. and C. Shirky, "Health Information Technology : A Few Years of Magical Thinking?", Health Affairs, Vol.27, No.5, 2008, 383-390. crossref(new window)

13.
Evans, R.G. and M. Brown, "Strained mercy : The Economics of Canadian Health Care; Strained mercy : The Economics of Canadian Health Care", Butterworths and Company, 1984.

14.
Evetts, J., The Concept of Professionalism : Professional Work, Professional Practice and Learning, in International Handbook of Research in Professional and Practice-based Learning (Eds : Editors : Stephen Billett, Christian Harteis, Hans Gruber), Springer Netherlands, 2014, 29-56.

15.
Exworthy, M., G. Smith, J. Gabe, and I.R. Jones, "Disclosing Clinical Performance : The Case of Cardiac Surgery", Journal of health organization and management, Vol.24, No.6, 2010, 571-583. crossref(new window)

16.
Freidson, E., Professional Dominance : The Social Structure of Medical Care, Transaction Books, 1970.

17.
Freidson, E., Professionalism, The Third Logic : on the Practice of Knowledge, University of Chicago Press, 2001.

18.
Galbraith, J.K., The New Industrial State, Princeton University Press, 2007.

19.
Gawande, A., Checklist Manifesto, Penguin Books India, 2010.

20.
Greenhalgh, T., "How to Read a Paper : The Basics of Evidence-Based Medicine", Wiley.com, 2010.

21.
Head, S., The New Ruthless Economy : Work and Power in the Digital Age, Oxford University Press Oxford, UK, 2003.

22.
Head, S., "Mindless : Why Smarter Machines are Making Dumber Humans", Basic Books, 2014.

23.
Heart, T., A. Zucker, Y. Parmet, J.S. Pliskin, and N. Pliskin, "Investigating Physicians Compliance with Drug Prescription Notifications", Journal of the Association for Information Systems, Vol.12, No.3, 2011.

24.
Kaganer, E., S.D. Pawlowski, and S. Wiley-Patton, "Building Legitimacy for IT Innovations : the Case of Computerized Physician Order Entry Systems", Journal of the Association for Information Systems Vol. 11, No.1, 2010, 1-33.

25.
Kerr, V.E., 'The Market Matters : Reforming the US Health Care System", Yale Journal of Health Policy, Law, and Ethics, Vol.4, No. 2, 2013, 14.

26.
Kohli, R. and W.J. Kettinger, "Informating the clan : Controlling Physicians' Costs and Outcomes", MIS quarterly, Vol.28, No.3, 2004, 363-394.

27.
Lapointe, L. and S. Rivard, "A Multilevel Model of Resistance to Information Technology Implementation", Management Information Systems, Quarterly, Vol.29, 2005, 461-491.

28.
Lenz, R., R. Blaser, M. Beyer, O. Heger, C. Biber, M. Baumlein, and M. Schnabel, "IT Support for Clinical Pathways-Lessons Learned", Studies in Health Tchnology and Informatics, Vol.124, 2006, 645-650.

29.
Levay, C. and C. Waks, "Professions and The Pursuit of Transparency in Healthcare : Two Cases of Soft Autonomy", Organization studies, Vol.30, No.5, 2009, 509-527. crossref(new window)

30.
Light, D.W., "Professionalism as a Countervailing Power", Journal of Health Politics, Policy and Law Vol.16, No.3, 1991, 499-506.

31.
Light, D., "The Medical Profession and Organizational Change : From Professional Dominance to Countervailing Power", The Handbook of Medical Sociology, C.E. Baird, P. Conrad, and A.M. Fremont (ed.), 2000, 201-217.

32.
Light, D., Countervailing Power : The Changing Character of The Medical Profession in The United States, The Sociology of Health and Illness, Conrad, Peter (ed.), 2004.

33.
Ludwick, D.A. and J. Doucette, "Primary Care Physicians' Experience With Electronic Medical Records : Barriers to Implementation in a Fee-for-Service Environment", International Journal of Telemedicine and Applications, No.2, 2009.

34.
Mayes, R., "The Origins, Development, and Passage of Medicare's Revolutionary Prospective Payment System", Journal of the History of Medicine and Allied Sciences, Vol.62, No.1, 2007, 21-55.

35.
Mechanic, D., The Truth about Health Care : Why Reform is Not Working in America, Rutgers University Press, New Brunswick, N.J. 2006.

36.
O'Connor, G.T., H.B. Quinton, N.D. Traven, L.D. Ramunno, T.A. Dodds, T.A. Marciniak, and J.E. Wennberg, "Geographic Variation in the Treatment of Acute Myocardial Infarction : the Cooperative Cardiovascular Project', JAMA : the journal of the American Medical Association, Vol.281, No.7, 1999, 627-633.

37.
OECD Health Data, "Frequently Requested Data", 2012.

38.
Orlikowski, W.J. and C.S. Iacono, "Research Commentary : Desperately Seeking the "IT" in IT research-A Call to Theorizing the IT Artifact", Information Systems Research Vol.12, No.2, 2001, 121-134. crossref(new window)

39.
Ouchi, W.G., "Markets, Bureaucracies, and Clans", Administrative Science Quarterly, 1980, 129-141.

40.
Pollock, A.M., NHS plc : The Privatisation of Our Health Care, Verso, 2006.

41.
Pongpirul, K., "Hospital Manipulations in The DRG System : a Systematic Scoping Review", Asian Biomed, Vol.7, No.3, 2013.

42.
Reed, R.R. and D. Evans, "The Deprofessionalization of Medicine", JAMA : The Journal of the American Medical Association, Vol.258, No.22, 1987, 3279-3282.

43.
Ritzer, G., The McDonaldization of Society 6, Pine Forge Press, 2010.

44.
Sahay, S., E. Monteiro, and M. Aanestad, "Configurable Politics and Asymmetric Integration : Health E-infrastructures in India", Journal of the Association for Information Systems, Vol.10, No.5, 2009, 399-414.

45.
Shaneyfelt, T.M. and R.M. Centor, "Reassessment of Clinical Practice Guidelines", JAMA : the journal of the American Medical Association, Vol.301, No.8, 2009, 868-869.

46.
Shaw, M.C. and B.C. Stahl, "On Quality and Communication : The Relevance of Critical Theory to Health Informatics", Journal of the Association for Information Systems, Vol.12, No.3, 2011, 255-273.

47.
Sittig, D.F., A. Wright, J.A. Osheroff, B. Middleton, J.M. Teich, J.S. Ash, E. Campbell, and D.W. Bates, "Grand Challenges in Clinical Decision Support", Journal of biomedical informatics Vol.41, No.2, 2008, 387-392. crossref(new window)

48.
Somers, M.J., "Using the Theory of the Professions to Understand the IS Identity Crisis", European Journal of Information Systems Vol.19, No.4, 2010, 382-388. crossref(new window)

49.
Starr, P., The Social Transformation of American Medicine, Basic Books, New York, 1982.

50.
Starr, P., The Social Transformation of American Medicine, 2006.

51.
Timmermans, S., "Professions and Their Work : Do Market Shelters Protect Professional Interests?", Work and Occupations, 2008.

52.
Timmermans, S. and B. Marc, The Gold Standard : the Challenge of Evidence-based Medicine and Standardization in Health Care, Temple University Press, Philadelphia, Pa, 2006.

53.
Timmermans, S. and S. Epstein, "A World of Standards but not a Standard World : Toward a Sociology of Standards and Standardization", Annual Review of Sociology, Vol.36, No.1, 2010, 69-89. crossref(new window)

54.
Tuohy, C.H., "Dynamics of a Changing Health Sphere : the United States, Britain, and Canada", Health Affairs, Vol.18, No.3, 1999, 114-134. crossref(new window)

55.
Vallas, S., Work : A Critique, Polity Press, Cambridge, England; Malden, MA, 2011.

56.
Venkatesh, V., X. Zhang, and T.A. Sykes, "Doctors do too Little Technology" : A Longitudinal Field Study of an Electronic Healthcare System Implementation", Information Systems Research, Vol.22, No.3, 2011, 523-546. crossref(new window)

57.
Volti, R., An Introduction to the Sociology of Work and Occupations, Pine Forge Press, 2011.

58.
Walker, J.M., "Electronic Medical Records and Health Care Transformation", Health Affairs, Vol.24, No.5, 2005, 1118-1120. crossref(new window)

59.
Weber, M., Economy and Society, Vol II, University of California Press, Berkeley, 1997.

60.
Welch, W.P., M.E. Miller, H.G. Welch, E.S. Fisher, and J.E. Wennberg, "Geographic Variation in Expenditures for Physicians' Services in the United States", The New England journal of medicine, Vol.328, No.9, 1993, 621-627. crossref(new window)

61.
Wennberg, J.E., "Dealing with Medical Practice Variations : a Proposal for Action", Health affairs (Project Hope), Vol.3, No.2, 1984, 6-32.

62.
Wennberg, J.E., E.S. Fisher, T.A. Stukel, and S.M. Sharp, "Use of Medicare Claims Data to Monitor Provider-specific Performance Among Patients with Severe Chronic Illness", Health affairs (Project Hope) Suppl Variation VAR, 2004, 5-18.

63.
Yeung, K. and M. Dixon-Woods, "Design-based Regulation and Patient Safety : A Regulatory Studies Perspective", Social Science and Medicine, Vol.71, No.3, 2010, 502-509. crossref(new window)

64.
Young, P.L. and L. Olsen, The healthcare Imperative : Lowering Costs and Improving Outcomes : Workshop Series Summary, National Academies Press, 2010.

65.
Zuboff, S., "Managing the Informated Organization", In the Age of the Smart Machine : The Future of Work and Power, 1988, 387-414.