The framework developed by Mason et al allows for an in-depth understanding of the organization’ s current practices, how cultural and environmental conditions impacted the decisions, how the need and the problems were identified, shedding light on the resistance, the process of change, and the actors that led the change. It is about the connections and roles that impact how the technology is implemented and eventually used. It is important to outline that studying IT through the historical method is not about understanding the technology. History allows for understanding and acknowledging what has worked and what has not worked previously. Mason et al pioneered a framework to describe how a solution and its identified need may be adopted when it encounters the organizational context, including the connections and roles of change agents working to mitigate resistance. Organizations may associate IT solutions with awesome potential and lose track of concerns and problems, resulting in repetitive regurgitation of ideas and being victims of IT fads and fashions. Historical research includes the methodical collection and appraisal of data to recognize, understand, explain, illuminate, and accurately reconstruct past events, actions, and decisions. Alberta Health Services (AHS) introduced a patient portal called M圜hart through a proof of concept (PoC). Understanding the events and actors involved in each stage of the cycle provides for better future planning for the successful implementation of IT investments such as patient portals. There is a need to understand the implementation and adoption of such technologies through a life cycle approach for the technology rather than as a decision at a single point in time. Furthermore, these technologies tend to run over budget because of inadequate preparation for the complexities of implementation. The literature shows that the majority of health IT investments are struggling to achieve the hoped-for improvements in quality of care and economic benefits. There is a high rate of failure and a tendency to downplay the complexity of implementation progression. Understanding how health organizations decide on IT investments is imperative to ensure successful implementation and adoption. One proposed solution to these challenges has been health information technologies (ITs) that empower patients to be partners in their care, support evidence-based, individualized care, and monitor population health. Aging populations, increased prevalence of chronic conditions, and consequent rising costs significantly challenge health care systems worldwide.
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