Various industries are developing information infrastructures to improve the efficiency and quality of work. Little research attention has been paid to how workers might resist the development of a new infrastructure beyond the point of technology use. In industries in which government agencies have taken a top-down, policy-driven approach to developing infrastructures, though, coordinated, distributed resistance—or organized resistance—is likely to play a role in implementation outcomes because policies limit the flexibility of organizations and workers in adopting and using infrastructure technologies. This paper presents the results of a qualitative study of the United States government’s multi-billion dollar electronic medical record (EMR) infrastructure program aimed to support data collection and sharing within and between healthcare organizations. It describes how healthcare professionals manifested their resistance through professional organizations at the political level via organized resistance.

中文翻译：

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基础设施作为抵抗的机会：美国医疗保健行业对政策驱动的信息基础设施发展的有组织抵抗

各个行业都在开发信息基础结构，以提高工作效率和质量。很少有人关注工人如何抵制超出技术使用范围的新基础设施的开发。但是，在政府机构采用自上而下，由政策驱动的方法来开发基础结构的行业中，由于政策限制了组织和员工的灵活性，因此，协调一致的分布式抵制（或有组织的抵制）可能会在实施结果中发挥作用在采用和使用基础架构技术方面。本文介绍了对美国政府数十亿美元的电子病历（EMR）基础设施计划的定性研究结果，该计划旨在支持医疗机构内部和之间的数据收集和共享。它描述了医疗保健专业人员如何通过有组织的抵抗在政治层面上通过专业组织表现出他们的抵抗。