On Being Specific about Power: Institutional Dualism in Information Systems Integration

Authors

  • Yahya Hamad Sheikh The University of Oslo ; Boks 1072 Blindern; NO-0316 OSLO; Norway State University of Zanzibar; Vuga Rd, Zanzibar Town; Tanzania

Keywords:

Health information systems, integration, institutional dualism, institutional logics, power, developing countries

Abstract

Why is information systems integration in the public healthcare sector complicated? This paper unpacks the causes of such intricacy using the concept of institutional dualism. The empirical materials are derived from the Zanzibar healthcare sector, where data were collected using qualitative methods such as interviews, focus group discussions, document analysis, and participant observation. Cases from selected health programmes are examined in essence in order to shed light to which we can understand the HIS integration process as a straddling task of institutional matching or mixing where multiple institutions meet. Findings suggest that the resulting trajectories are the results of power interplay between actors involved, where power highly shapes reality and consequently affecting the prospects of the HIS integration.

Published

2016-11-29

How to Cite

Sheikh, Y. H. (2016). On Being Specific about Power: Institutional Dualism in Information Systems Integration. Journal of Health Informatics in Developing Countries, 10(1). Retrieved from https://jhidc.org/index.php/jhidc/article/view/146

Issue

Section

Research Articles