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Full-Text Articles in Organizational Behavior and Theory

Physicians’ Work, Alice A. Oberfield, Pamela S. Tolbert Jun 2011

Physicians’ Work, Alice A. Oberfield, Pamela S. Tolbert

Pamela S Tolbert

[Excerpt] In order to evaluate the full impact of such changes on physicians' work and the health care system, it is necessary to understand the forces bringing change about. Thus, we begin by providing a brief history of the contemporary medical care system, then turn to an assessment of current trends and their consequences for the practice of medicine.


Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri Dec 2010

Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri

Patrick Albert Palmieri

The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational–technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern. Recognizing the technology–organizational misalignments that result from HIT adoption is …