Infrastructuring Work: Building a State-Wide Hospital Information Infrastructure in India

Author List: Aanestad, Margunn; Jolliffe, Bob; Mukherjee, Arunima;
Information Systems Research, 2014, Volume 25, Issue 4, Page 834-845.
Information and communication technologies that strengthen knowledge-based governance in low and middle-income countries (LMIC) will affect work processes and organizations on a massive scale. This paper draws attention to demands on public sector organizations in resource-constrained contexts that face different challenges than in high-income societies. This paper from the Indian public healthcare sector reports on design, development, implementation, and scaling of a free and open-source software-based hospital information system for district hospitals. The paper focuses on the implications for work, competencies, and organization, building on and extending the concepts of “automate” and “informate.” The paper focuses on the emerging and recursive interplay between information infrastructure and work within the context of organizational realities of a district hospital in an LMIC context, captured by the concepts of “infrastructuring of work” and “work of infrastructuring.”
Keywords: information systems and organizational change;inter-organizational information systems;management of IS projects;action research;health;India;developing countries
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#77 0.194 information systems paper use design case important used context provide presented authors concepts order number various underlying implementation framework nature
#80 0.153 organizations new information technology develop environment challenges core competencies management environmental technologies development emerging opportunities levels based change business technical
#16 0.134 infrastructure information flexibility new paper technology building infrastructures flexible development human creating provide despite challenge possible resources specific advances developing
#146 0.112 work people workers environment monitoring performance organizations needs physical useful number personal balance perceptions create computer-based technological technologies investigation achievement
#196 0.095 health healthcare medical care patient patients hospital hospitals hit health-care telemedicine systems records clinical practices physician electronic physicians longitudinal outcomes
#79 0.084 public government private sector state policy political citizens governments contributors agencies issues forums mass development organizations issue differences economic study