C. & Rice, R.E. (1992). Bringing social worlds together: Computers
as catalysts for new interactions in health care organizations. Journal
of Health and Social Behavior, 33(2), 168-185.
In this case study, computer systems are explored as catalysts for
new interactions between departments in health care organizations.
investigated changes in the extent to which members of different
(1) exchange information and (2) understand each other’s work following
implementation of an integrated medical information system. Analyses
that communication-based forms of involvement in implementation
with systems personnel and trainers, communicating about new ways to
the system, and receiving support from supervisors for doing so) were
more important than either general participation or computer use in
increases in interdepartmental interaction. Changes in tasks and roles
also led to new, informal, face-to-face contacts to support computer
use, as well as greater administrative control over the organization as
a whole. In addition, results of interviews and observations over the
study period illustrate the importance of work group identification in
predicting changes accompanying computerization.
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