The Social and Political Significance of Technology-Driven Organisational Change: Discursive Battles to Frame, Define and Decide in ‘a Space of Points of View’

Abstract

Struggles over new organisational technology are, almost without exception, studied inside organisations. This paper aims to advance our understanding of how technology is embedded in social forces and relations of power that reach beyond individual organisations. It examines the ongoing discursive struggles in public media outlets between consultant doctors and regional actors concerning a controversial electronic health record (EHR) system, called the Health Platform, which was implemented in 20 Danish hospitals. A theoretical framework inspired by Bourdieu’s understanding of discursive activity in a field subsumed in a multi-level and cultural understanding of framing is used to examine the interests connected to platform design and its organisational future states. It is demonstrated that winning the support of the public is pivotal in the construction of frames by both groups of actors in their efforts to define problems and solutions and, ultimately, influence a political decision concerning the platform’s future.