Conflicting logics in IT Governance: Achieving ambidexterity in healthcare organisations

Three institutional logics in healthcare organizations have been identified in literature, and these are managerial, IT professionalism and medical professionalism. IT governance among stakeholders with diverse backgrounds comes along with different perspectives on IT governance dilemmas. In this study interviews of health IT managers, clinician managers and Västra Götaland Region managers was done and the analysis was done using a resource orchestration lens to examine how the conflicting logics get connected in IT governance practices through the key stakeholders’ views. It is clear that the logics are coupled to the health IT (HIT) managers, doctors and managers at the top. Findings reveal that amidst the conflicting logics, there are compromises that arise amid the circumstances. The managerial logic was seen to compromise in order to support IT professional logic. As a result, IT professionalism seeks to find out the needs of the medical professions and offer the much needed solutions