Institutional Logics of IT-enabled Organizational Performance in Resource Constrained EMS Organizations

Previous research in information systems (IS) have used institutional theory to explain how various institutional forces influence the use of information technology (IT) to support organizational performance in healthcare organizations. In this study, we use the institutional logics lens to theorize the institutional logics of IT-enabled organizational performance in the context of resource constrained emergency medical services (EMS) organizations. Our study is informed by the critical realist (CR) philosophy and uses interviews, participant observation and organizational data collected from a single case study to develop explanations of the institutional logics of IT-enabled organizational performance. From a CR perspective, institutional logics correspond to the structures situated in the domain of real. To identify and explain the institutional logics embedded in the EMS case, the study adapts the Berente and Yoo framework for characterizing institutional logics. The study contributes to literature on the mechanisms that influence organizational performance in resource constrained healthcare organizations.