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Sensemaking through a storytelling lens: Physician perspectives of health information exchange

Michele Heath (Department of Management, Cleveland State University, Cleveland, Ohio, USA)
Tracy Porter (Department of Management, Cleveland State University, Cleveland, Ohio, USA)

Qualitative Research in Organizations and Management

ISSN: 1746-5648

Article publication date: 6 February 2019

Issue publication date: 21 November 2019

Abstract

Purpose

Drawing from the extant literature on sensemaking theory, the purpose of this paper is to understand how physicians view health information exchange (HIE) implementation and how their stories frame the situation.

Design/methodology/approach

This paper utilizes content analysis with sensemaking theory as a theoretical lens to analyze physicians’ interviews.

Findings

The stories within this study draw attention to how sensemaking might impact the HIE implementation process. The findings demonstrated four well-defined manifest themes specific to sensemaking: bracketing, enactment, social and identity construction. There were sub-themes that cut across major themes: financial implications, practice changes and impact on professional reputation. The data demonstrated that each participant singled out items or events specific to the HIE change process in order to make sense of the change as an entirety.

Originality/value

No other study has applied sensemaking in an effort to gain insight into the ways physicians view the HIE process. Therefore, this study offers a unique perspective which might provide a framework through which to understand the possible barriers to successful implementation of HIE from a physician.

Keywords

Citation

Heath, M. and Porter, T. (2019), "Sensemaking through a storytelling lens: Physician perspectives of health information exchange", Qualitative Research in Organizations and Management, Vol. 14 No. 4, pp. 428-443. https://doi.org/10.1108/QROM-05-2018-1648

Publisher

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Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited