IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v360y2024ics027795362400755x.html
   My bibliography  Save this article

Perceptions of impure innovation: Health professionals’ experiences and management of stigmatization when working as digital innovators

Author

Listed:
  • Gill, Michael J.
  • Naughton, Bernard D.
  • Field, Megan
  • Shaw, Sara E.

Abstract

The healthcare sector has increasingly adopted digital innovations. Nonetheless, medical professionals have also resisted a variety of digital innovations. While the range of factors driving such resistance to innovation are well documented, less clear is how such resistance is experienced and managed by professionals attempting to innovate. We conducted a qualitative study of English and German ‘dual-role’ professionals, who worked both as clinical practitioners and digital innovators. Inductively theorizing from our interview data, we explain how individual professionals experience different intensities of stigmatization from colleagues when working with digital innovations. We theorize that the more central a dual-role professional is within an organization and the more their innovation deviates from standard professional duties, the more likely the innovation is to be viewed as impure within a professional group and be the target of stigmatization. We identify a range of professional, social, and personal strategies employed by dual-role innovators to manage their experiences of stigmatization and consider the implications for healthcare innovation.

Suggested Citation

  • Gill, Michael J. & Naughton, Bernard D. & Field, Megan & Shaw, Sara E., 2024. "Perceptions of impure innovation: Health professionals’ experiences and management of stigmatization when working as digital innovators," Social Science & Medicine, Elsevier, vol. 360(C).
  • Handle: RePEc:eee:socmed:v:360:y:2024:i:c:s027795362400755x
    DOI: 10.1016/j.socscimed.2024.117301
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795362400755X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2024.117301?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Exworthy, M. & Wilkinson, E. K. & McColl, A. & Moore, M. & Roderick, P. & Smith, H. & Gabbay, J., 2003. "The role of performance indicators in changing the autonomy of the general practice profession in the UK," Social Science & Medicine, Elsevier, vol. 56(7), pages 1493-1504, April.
    2. Wood, Martin & Ferlie, Ewan & Fitzgerald, Louise, 1998. "Achieving clinical behaviour change: a case of becoming indeterminate," Social Science & Medicine, Elsevier, vol. 47(11), pages 1729-1738, December.
    3. Ziebland, Sue & Hyde, Emma & Powell, John, 2021. "Power, paradox and pessimism: On the unintended consequences of digital health technologies in primary care," Social Science & Medicine, Elsevier, vol. 289(C).
    4. Wendy Currie, 2012. "Institutional isomorphism and change: the national programme for IT - 10 years on," Post-Print hal-00956939, HAL.
    5. Giorgio Giacomelli, 2020. "The role of hybrid professionals in the public sector: a review and research synthesis," Public Management Review, Taylor & Francis Journals, vol. 22(11), pages 1624-1651, November.
    6. Petrakaki, Dimitra & Klecun, Ela & Cornford, Tony, 2016. "Changes in healthcare professional work afforded by technology: the introduction of a national electronic patient record in an English hospital," LSE Research Online Documents on Economics 59475, London School of Economics and Political Science, LSE Library.
    7. Bernardi, Roberta & Wu, Philip F., 2022. "Online health communities and the patient-doctor relationship: An institutional logics perspective," Social Science & Medicine, Elsevier, vol. 314(C).
    8. Roman V. Galperin, 2020. "Organizational Powers: Contested Innovation and Loss of Professional Jurisdiction in the Case of Retail Medicine," Organization Science, INFORMS, vol. 31(2), pages 508-534, March.
    9. Ruthanne Huising, 2019. "Moving off the Map : How Knowledge of Organizational Operations Empowers and Alienates," Post-Print hal-02311926, HAL.
    10. Cascón-Pereira, Rosalía & Chillas, Shiona & Hallier, Jerry, 2016. "Role-meanings as a critical factor in understanding doctor managers' identity work and different role identities," Social Science & Medicine, Elsevier, vol. 170(C), pages 18-25.
    11. Hoff, Timothy J., 2000. "Professional commitment among US physician executives in managed care," Social Science & Medicine, Elsevier, vol. 50(10), pages 1433-1444, May.
    12. Martin, Graham P. & Leslie, Myles & Minion, Joel & Willars, Janet & Dixon-Woods, Mary, 2013. "Between surveillance and subjectification: Professionals and the governance of quality and patient safety in English hospitals," Social Science & Medicine, Elsevier, vol. 99(C), pages 80-88.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rhodes, Tim, 2018. "The becoming of methadone in Kenya: How an intervention's implementation constitutes recovery potential," Social Science & Medicine, Elsevier, vol. 201(C), pages 71-79.
    2. Borozdina, Ekaterina, 2024. "Instant messengers and health professionals’ agency in Russian clinical settings," Social Science & Medicine, Elsevier, vol. 359(C).
    3. Kitchener, Martin & Caronna, Carol A. & Shortell, Stephen M., 2005. "From the doctor's workshop to the iron cage? Evolving modes of physician control in US health systems," Social Science & Medicine, Elsevier, vol. 60(6), pages 1311-1322, March.
    4. Masashi Goto, 2020. "Theorization of Institutional Change in the Rise of Artificial Intelligence," Discussion Paper Series DP2020-12, Research Institute for Economics & Business Administration, Kobe University.
    5. Lauri Wessel & Martin Gersch & Erik Harloff, 2017. "Talking Past Each Other," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 59(1), pages 23-40, February.
    6. Michiel Bal & Jos Benders & Lander Vermeerbergen, 2022. "‘Bringing the Covert into the Open’: A Case Study on Technology Appropriation and Continuous Improvement," IJERPH, MDPI, vol. 19(10), pages 1-17, May.
    7. Nigam, Amit, 2012. "Changing health care quality paradigms: The rise of clinical guidelines and quality measures in American medicine," Social Science & Medicine, Elsevier, vol. 75(11), pages 1933-1937.
    8. Khalid Alzadjali & Amany Elbanna, 0. "Smart Institutional Intervention in the Adoption of Digital Infrastructure: The Case of Government Cloud Computing in Oman," Information Systems Frontiers, Springer, vol. 0, pages 1-16.
    9. Mathilde A Berghout & Isabelle N Fabbricotti & Martina Buljac-Samardžić & Carina G J M Hilders, 2017. "Medical leaders or masters?—A systematic review of medical leadership in hospital settings," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-24, September.
    10. Wei, Shuang & Mao, Yansheng, 2023. "Small talk is a big deal: A discursive analysis of online off-topic doctor-patient interaction in Traditional Chinese Medicine," Social Science & Medicine, Elsevier, vol. 317(C).
    11. Thomas Grisold & Steven Groß & Katharina Stelzl & Jan Brocke & Jan Mendling & Maximilian Röglinger & Michael Rosemann, 2022. "The Five Diamond Method for Explorative Business Process Management," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 64(2), pages 149-166, April.
    12. Issa, Helmi & Jaber, Jad & Lakkis, Hussein, 2024. "Navigating AI unpredictability: Exploring technostress in AI-powered healthcare systems," Technological Forecasting and Social Change, Elsevier, vol. 202(C).
    13. Cristiana Cattaneo & Chiara Oppi, 2023. "Multidimensionalit? e multidisciplinariet? nell?Hospital-Based Health Technology Assessment: quale ruolo per il controller?," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2023(2), pages 187-211.
    14. Daniel Erku & Resham Khatri & Aklilu Endalamaw & Eskinder Wolka & Frehiwot Nigatu & Anteneh Zewdie & Yibeltal Assefa, 2023. "Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review," IJERPH, MDPI, vol. 20(19), pages 1-15, September.
    15. McGivern, Gerry & Nzinga, Jacinta & English, Mike, 2017. "‘Pastoral practices’ for quality improvement in a Kenyan clinical network," Social Science & Medicine, Elsevier, vol. 195(C), pages 115-122.
    16. Lambert, Helen, 2006. "Accounting for EBM: Notions of evidence in medicine," Social Science & Medicine, Elsevier, vol. 62(11), pages 2633-2645, June.
    17. Mykhalovskiy, Eric & Armstrong, Pat & Armstrong, Hugh & Bourgeault, Ivy & Choiniere, Jackie & Lexchin, Joel & Peters, Suzanne & White, Jerry, 2008. "Qualitative research and the politics of knowledge in an age of evidence: Developing a research-based practice of immanent critique," Social Science & Medicine, Elsevier, vol. 67(1), pages 195-203, July.
    18. Ferry, Laurence & Wegorowski, Piotr & Andrews, Rhys, 2024. "Hybridity, institutional logics and value creation mechanisms in the corporatisation of social care," The British Accounting Review, Elsevier, vol. 56(1).
    19. van der Geer, Eric & van Tuijl, Harrie F.J.M. & Rutte, Christel G., 2009. "Performance management in healthcare: Performance indicator development, task uncertainty, and types of performance indicators," Social Science & Medicine, Elsevier, vol. 69(10), pages 1523-1530, November.
    20. Rhodes, Tim & Lancaster, Kari, 2019. "Evidence-making interventions in health: A conceptual framing," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:360:y:2024:i:c:s027795362400755x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.