Persistent institutional breaches: Technology use in healthcare work

Daskalopoulou, Athanasia ORCID: 0000-0003-0859-1143 and Palmer, Mark (2021) Persistent institutional breaches: Technology use in healthcare work. Social Science & Medicine, 289. p. 114399.

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Abstract

Various mobile phone applications (hereafter apps) challenge instituted ways of working in healthcare. This study explores the institutional breaches arising from the use of apps in doctor-patient interactions. This paper argues that institutional breaches, however small, are important occasions for observing the contextual intersections between healthcare, regulation and technology in a hospital setting. Based on healthcare professionals' normative judgements, the paper offers an empirically grounded understanding of institutional legitimacy-claiming; safeguarding responses deployed by the instituted regime, and the case-building responses deployed by the instituting persuaders. Institutional breach persistence arises from the moral dimension of legitimacy and is grounded in asymmetrical dynamics between two virtuous healthcare narratives. The paper concludes with a discussion of the contextual intersections between healthcare, regulation and technology, paying particular attention to institutional breaches as experimentation, the contestation of normativity and patterns of technology indulgency in healthcare work.

Item Type:	Article
Uncontrolled Keywords:	Institutional breaches, Technology, Legitimacy, Healthcare, Institutions
Divisions:	Faculty of Humanities and Social Sciences > School of Management
Depositing User:	Symplectic Admin
Date Deposited:	28 Sep 2021 07:26
Last Modified:	18 Jan 2023 21:28
DOI:	10.1016/j.socscimed.2021.114399
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3138461