Beckerman, Carina () (Dept. of Business Administration, Stockholm School of Economics)
Abstract
In this paper I theorize about how transforming the interpretative scheme for what a patient record is might restructure a health care setting. The observations presented here were obtained when I during three years followed implications of constructing and computerizing a patient record at three different hospitals. The results were then analyzed and interpreted within a framework combining theories about knowledge management with concepts from structuration theory and cognitive theories about schema-use, representations and sense-making. The findings indicate that thinking about the patient record as a knowledge management system might start a horizontal and vertical movement, a movement of coordination and enhancement. I propose that what the employees want to achieve with the knowledge management system depends on what strategy they have for it.
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Length: 19 pages Date of creation: 14 Mar 2007 Date of revision:
14 Apr 2007 Handle: RePEc:hhb:hastba:2007_005
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