Seeing EMR Emergence through a Practice Lens: Implications for Smaller Healthcare Practices

Kai Reimers, Stefan Klein, Robert Bruce Johnston, Susanna Steiner van der Kruk

Research output: Chapter in Book/Report/Conference proceedingConference PaperResearch


The development of national healthcare information infrastructures, specifically of shared electronic medical records, has received considerable attention by academics and practitioners for some time now. In reviewing information infrastructure development cases, a project management lens is typically applied which evaluates such cases in terms of success and failure and derives prescriptive conclusions accordingly. In this paper, we propose practice theory as an alternative lens and ask: How does evolution and design of information infrastructures look differently when the unit of analysis is broadened in both the scale and scope dimension? We apply this lens to interpret the cases of healthcare information infrastructure development in Finland and England and find that significantly different new action possibilities arise when seen from a practice theory perspective. We conclude that these possibilities are especially promising in the quest to involve smaller healthcare practices in the development of shared electronic medical record systems.
Original languageEnglish
Title of host publicationAMCIS 2013 Proceedings
EditorsJ P Shim, Yujong Hwang, Stacie Petter
PublisherAssociation for Information Systems
Number of pages10
ISBN (Electronic)9780615559070
Publication statusPublished - 2013
Externally publishedYes
EventAmericas Conference on Information Systems 2013: Hyperconnected World: Anything, Anywhere, Anytime - Chicago, United States of America
Duration: 15 Aug 201317 Aug 2013
Conference number: 19th (Proceedings)


ConferenceAmericas Conference on Information Systems 2013
Abbreviated titleAMCIS 2013
Country/TerritoryUnited States of America
Internet address


  • Information infrastructures
  • practice theory
  • evolution
  • healthcare IT
  • inter-organizational information systems

Cite this