How Can We Develop Contextualized Theories of Effective Use? A Demonstration in the Context of Community-Care Electronic Health Records

Andrew Burton-Jones () and Olga Volkoff ()
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Andrew Burton-Jones: University of Queensland Business School and Centre for the Business and Economics of Health, St. Lucia, QLD 4072, Australia
Olga Volkoff: Beedie School of Business, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada

Information Systems Research, 2017, vol. 28, issue 3, 468-489

Abstract: We contribute to the shifting discourse in the literature on information system use, towards context-specific (rather than general) theories and effective use (rather than just use). Organizations are under great pressure to use information systems effectively but they have few theories to turn to for insights. Motivated by this need, we propose an approach for developing context-specific theories of effective use. The approach suggests that effective use can be theorized by: (1) understanding how a network of affordances supports the achievement of organizational goals, (2) understanding how the affordances are actualized, and (3) using inductive theorizing to elaborate these principles in a given context. We demonstrate the approach in the context of a Canadian health authority’s use of a community-care electronic healthcare record (EHR). We discovered that effective use in this context can be viewed at a high level as the accuracy and consistency with which users work with the EHR, and how they engage in reflection-in-action across a network of nine affordances. The key, however, is understanding how those elements interact with the multiple levels of data needed to achieve the organization’s various goals. Overall, we contribute by offering an approach for developing context-specific theories of effective use, demonstrating its usefulness in an important context, and discovering the importance of understanding in a new way the multilevel nature of information systems.

Keywords: effective use; electronic health record; grounded theory; affordances; multilevel; EHR (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (17)

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