Information systems, power, and organizational relations: a case study
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CONTRIBUTORS:
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PROCEEDINGS TITLE:
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YEAR:
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1999
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PUB TYPE:
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Conference Paper in Proceedings
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PAGES:
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286 -
290
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SUBJECT(S):
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organizational power relations; hospital information systems; clinical activity; control mechanisms
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DISCIPLINE:
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Computer Science
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HTTP:
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http://portal.acm.org/citation.cfm?id=352952
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LANGUAGE:
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English
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PUB ID:
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103-397-131
(Last edited on
2003/11/24 06:26:56 US/Mountain)
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SPONSOR(S):
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ABSTRACT:
This paper presents a critical analysis of the initial outcome of implementing a “casemix” information system within a newly incorporated New Zealand hospital. A casemix information system links detailed information on patient treatment and clinical activity with associated costs as a basis for contracting and for revealing the relative efficiency of clinical resource usage. The attempted use of these systems as a management control mechanism has become of increasing importance in New Zealand hospitals. The analytical focus of the paper is based on the following underlying research questions: (1) How was the casemix information system implicated in mobilising particular representations or understandings of organizational reality? (2) How were organizational power relations affected by the introduction of this major new information system?
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