Technological frames: making sense of information technology in organizations
ACM Transactions on Information Systems (TOIS) - Special issue on social science perspectives on IS
Framing implementation management
ICIS '00 Proceedings of the twenty first international conference on Information systems
Sorting things out: classification and its consequences
Sorting things out: classification and its consequences
Making a Case in Medical Work: Implications forthe Electronic Medical Record
Computer Supported Cooperative Work
Applications of context-aware computing in hospital work: examples and design principles
Proceedings of the 2004 ACM symposium on Applied computing
Participatory It Design: Designing for Business and Workplace Realities
Participatory It Design: Designing for Business and Workplace Realities
ICT and Integrated Care: Some Dilemmas of Standardising Inter-Organisational Communication
Computer Supported Cooperative Work
Seamless Integration: Standardisation across Multiple Local Settings
Computer Supported Cooperative Work
Time to rethink health care and ICT?
Communications of the ACM - Smart business networks
Permutations of cooperative work practices: a study of two oncology clinics
Proceedings of the 2007 international ACM conference on Supporting group work
Mapping actors and agendas: political frameworks of systems design and participation
Human-Computer Interaction
Everest: a framework for developing HL7v3 applications
ACM SIGHIT Record
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The aim of this paper is to provide a deeper understanding of the complexities of IT implementation processes in health care by studying the introduction of an electronic patient record (EPR) system at three oncology clinics belonging to an association of hospitals in Austria. It examines the larger political and organizational context, the role of different stakeholders, the impact of arenas of influence and participation, and gives an in-depth analysis of the case dynamics. It argues that in order to better understand large scale IT implementation in health care a profound understanding of the complexities and interdependencies of clinical work is needed as well as the inclusion of other involved social arenas and their agendas. Careful planning and a powerful agenda in all these arenas are essential for the alignment of the different perspectives and the resulting demands.