Espoused, Enacted, and Ascribed Values in Innovation Diffusion

How are values inscribed in documents that are of

consequence in innovation adoption?

What values are inscribed in documents that are of

consequence in innovation adoption?

2015

What’s the hold-up?

What’s the hold-up?• cost issues, • return on investment, • integration issues, • logistics and regulatory issues, • concerns over customization, • herd mentality/social influence, • need for control, • reimbursement issues, • concerns over adopting new technology• role of individual user

What’s the hold-up?

• cost issues, • return on investment, • integration issues, • logistics and regulatory issues, • concerns over customization, • herd mentality/social influence, • need for control, • reimbursement issues, • concerns over adopting new technology• role of individual user

Delbanco et al. (2010)DesRoches et al. (2012)Gunter & Terry (2005)Goldzweig et al. (2009) Rice & Aydin (1991)Stokes, C. (2012)

…and more

Katz, Rice, and Acord (2005) contend, “[…] that further research on e-health applications needs to take into account and be predicated upon the needs of all stakeholders involved in the medical sphere” (p. 185).

Van Nostrand (1994)

Procurement documents

Knowledge production

Van Nostrand (1994, see also 1997)

Procurement documents

Knowledge production

Purchase orderRFPProposalsScoring GuidesContracts

Need for techRules of procurementTerms & conditions in contract

Health Care Agency (HCA)

Health Care Agency (HCA)

“[The vendors] did not understand our values”

~HCA Administrator

textual analysis (Huckin, 2004)

“[The vendors] did not understand our values~HCA Administrator

interviews (Spradley, 1979)

Some values were triggered by documents and intersecting social/organizational/activity systems.

Others seemed invisible.

As the first unit of communication between HCA & vendors, the Request for Proposals is too rigid a genre in too rigid a procurement process to communicate organizational values effectively.

As the first unit of communication between HCA & vendors, the Request for Proposals is too rigid a genre in too rigid a procurement process to communicate organizational values effectively.

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