Abstract not available

This thesis investigates success factors, risks and trade offs in Information Technology (IT) outsourcing arrangements, and also examines the impact of certain recommended practices on outsourcing success. / Four research components contribute to the investigation: 1) a critical review of ten years' literature on IT outsourcing, paying particular attention to the evidence for success rates and the impact of practices on IT outsourcing success; 2) statistical analysis of a survey of government and non-government organisations (n = 240) taken from the largest 1000 organisations in Australia; 3) a detailed case study into the Australian Federal Government's "Whole of Government IT Infrastructure Outsourcing Initiative" and 4) qualitative analysis of 16 focus groups involving vendor and purchaser informants. / Using confirmatory factor analysis on the survey data, the study validated seven dimensions of IT outsourcing success proposed in the literature. Only two of these factors had been rated positively by most survey respondents, and only a minority of respondents had rated the other five success dimensions positively. Further statistical investigations looked at the relationship between various recommended practices in IT outsourcing and certain success measures, and at relationships between success measures. Particular attention was paid to the notion of selective outsourcing, a notion that has received much attention in the literature and that is explored further in the case study of the Federal Government initiative. The focus group analysis enabled the teasing out of other factors, not easily identified in the other research. / Drawing on all four research components, the thesis proposes that "information impactedness" associated with post-Internet technologies and skills shortages, and unacknowledged inherent trade-offs, contribute to generally poor risks and returns for IT outsourcing. The thesis concludes with recommendations for decision-makers.

Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.

Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.