Stakeholder management in IOS projects: analysis of an attempt to implement an electronic patient file

Stakeholder management in IOS projects: analysis of an attempt to implement an electronic patient file
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DOI:
10.1057/ejis.2008.2
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发表时间:
2008-04-01
影响因子:
9.5
通讯作者:
Bell, Sheena
Bell, Sheena
中科院分区:
管理学3区
文献类型:
--
作者:
Boonstra, Albert;Boddy, David;Bell, Sheena

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实施组织间系统需要进行重大的组织和技术变革。这些将影响到利益相关者(推动者所依赖的),他们在系统中具有不同程度的权力和不同程度的利益。确定利益攸关方并了解其态度的来源将使促进者能够更充分地满足其期望,从而鼓励接受。我们通过对荷兰引入电子患者档案系统的尝试进行基于理论的研究来审视这些问题。所有人都看到了这个系统对病人的好处,但强大的玩家却反对它的实施,担心它会影响他们的利益。本文开发并测试了一个利益相关者管理模型,结果表明,对该制度兴趣高的人缺乏实施该制度的权力,而兴趣低的人则有权力阻止该制度的实施。这些消极态度的形成并非出于对制度本身的担忧,而是出于对工作惯例、权力、文化和财务可能产生的影响的担忧。这份文件意味着,(在任何部门)促进内部监督办公室的人都应该从项目一开始就确定他们的权力来源,并寻求协调利益相关者的利益。
Implementing an inter-organizational system (IOS) requires significant organizational as well as technical changes. These will affect stakeholders (upon whom promoters depend) with varying degrees of power and with varying degrees of interest in the system. Identifying stakeholders and understanding the sources of their attitudes will enable promoters to meet their expectations more fully, and hence encourage acceptance. We examine these issues through a theoretically based study of an attempt to introduce an Electronic Patient File system in The Netherlands. All saw that the system would benefit patients, yet powerful players resisted its implementation, fearing it would affect their interests. This paper develops and tests a model of stakeholder management, showing that those with high interest in the system lacked the power to implement it, while those with low interest had the power to block it. These negative attitudes were shaped by concerns not about the system itself, but about the likely effects on working routines, power, culture and finance. This paper implies that those promoting an IOS (in any sector) should, from the outset of a project, identify their power sources and seek to reconcile stakeholder interests.