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Drivers And Barriers In Health It Adoption: A Proposed Framework, Ariel Avgar, Adam Seth Litwin, Peter Pronovost Jan 2016

Drivers And Barriers In Health It Adoption: A Proposed Framework, Ariel Avgar, Adam Seth Litwin, Peter Pronovost

Adam Seth Litwin

Despite near (and rare) consensus that the adoption and diffusion of health information technology (health IT) will bolster outcomes for organizations, individuals, and the healthcare system as a whole, there has been surprisingly little consideration of the structures and processes within organizations that might drive the adoption and effective use of the technology. Management research provides a useful lens through which to analyze both the determinants of investment and the benefits that can ultimately be derived from these investments. This paper provides a conceptual framework for understanding health IT adoption. In doing so, this paper highlights specific organizational barriers or …


The Company They Keep: Founders' Models For Organizing New Firms, M. Diane Burton Oct 2009

The Company They Keep: Founders' Models For Organizing New Firms, M. Diane Burton

M. Diane Burton

[Excerpt] This chapter examines the employment models founders use as they begin to construct new firms. The empirical setting is a sample of emerging technology firms in Silicon Valley. This chapter focuses on two questions: (1) Why are new firms founded under different conceptual models? and (2) What are the factors that lead a founding team to espouse a particular employment model?


Labor Pains: Change In Organizational Models And Employee Turnover In Young, High-Tech Firms, James N. Baron, Michael T. Hannan, M. Diane Burton Oct 2009

Labor Pains: Change In Organizational Models And Employee Turnover In Young, High-Tech Firms, James N. Baron, Michael T. Hannan, M. Diane Burton

M. Diane Burton

[Excerpt] Organizational theories, especially ecological perspectives, emphasize the disruptive effects of change. However, the mechanisms producing these effects are seldom examined explicitly. This article ex-amines one such mechanism-employee turnover. Analyzing a sample of high-technology start-ups, we show that changes in the employment models or blueprints embraced by organizational leaders increase turnover, which in turn adversely affects subsequent organizational performance. Turnover associated with organizational change appears to be concentrated among the most senior employees, suggesting "old guard disenchantment" as the primary cause. The results are consistent with the claim of neoinstitutionalist scholars that founders impose cultural blueprints on nascent organizations and …