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Locating resistance to healthcare information technology: A Bourdieusian analysis of doctors' symbolic capital conservation
Information Systems Journal ( IF 7.767 ) Pub Date : 2021-07-12 , DOI: 10.1111/isj.12357
Mayank Kumar 1 , Jang Bahadur Singh 2 , Rajesh Chandwani 3 , Agam Gupta 4
Affiliation  

This research examines the socially significant issue of doctors' resistance to healthcare information technology (HIT) from the radical power perspective. It adopts Bourdieu's social practice theory to examine the interaction of HIT with the reproduction of doctors' historically rooted social standing through the doctor-patient-interaction (D-P-I) practice. Findings from our ethnographic enquiry at a large corporate healthcare organisation in India link doctors' historically rooted social standing to the symbolic recognition of their embodied emotional capital existing in tandem with their habitus. The symbolic recognition of emotional capital provided a better valorisation of clinical capital and allowed the accumulation of other forms of capital—institutionalised capital, social capital and economic capital—that formed doctors' capital structure and contributed to their social status. Doctors produced emotional capital by putting their habitus into practice and, in the process, reproduced its symbolic status and their social status linked to it. HIT challenged doctors to put their habitus into practice, thereby creating a perception of threat to emotional capital. Doctors' HIT resistance was a conservation strategy to reproduce their historically rooted higher social status. Findings from this study contribute to the literature on Power and IT resistance.

中文翻译:

定位对医疗信息技术的阻力:医生符号资本守恒的布迪厄分析

本研究从激进的权力角度审视了医生对医疗信息技术 (HIT) 的抵制这一具有社会意义的问题。它采用布迪厄的社会实践理论,通过医患互动(DPI)实践检验了HIT与医生历史根深蒂固的社会地位再生产的互动。我们对印度一家大型企业医疗保健组织的民族志调查结果将医生历史上根深蒂固的社会地位与对与他们的习惯同时存在的具体情感资本的象征性认识联系起来。对情感资本的象征性认可为临床资本提供了更好的价值,并允许其他形式的资本积累——制度化资本,社会资本和经济资本——形成了医生的资本结构并促成了他们的社会地位。医生通过将他们的习惯付诸实践来产生情感资本,并在此过程中再现其象征地位和与之相关的社会地位。HIT 要求医生将他们的习惯付诸实践,从而对情绪资本造成威胁。医生对 HIT 的抵抗是一种保护策略,以重现他们历史上根深蒂固的较高社会地位。这项研究的结果有助于有关电源和 IT 阻力的文献。HIT 要求医生将他们的习惯付诸实践,从而对情绪资本造成威胁。医生对 HIT 的抵抗是一种保护策略,以重现他们历史上根深蒂固的较高社会地位。这项研究的结果有助于有关电源和 IT 阻力的文献。HIT 要求医生将他们的习惯付诸实践,从而对情绪资本造成威胁。医生对 HIT 的抵抗是一种保护策略,以重现他们历史上根深蒂固的较高社会地位。这项研究的结果有助于有关电源和 IT 阻力的文献。
更新日期:2021-07-12
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