Adaptive Structuration Theory: A Health Information Exchange (HIE) Diffusion Study

Abstract

The diffusion of an innovation is often discussed as the outcome of social processes. An alternative IT viewpoint is Adaptive Structuration Theory where IT as “appropriated” by an organization as enabling and encoding the “spirit” of that organization–why and how and where it does what it does. Examining such a case with the diffusion of an existing Health Information Exchange (HIE) in a new set of hospitals, supports the inclusion of that AST aspect.