Challenging Dominant Frames in Policies for IS Innovation in Healthcare through Rhetorical Strategies

Roberta Bernardi, Panos Constantinides, Joe Nandhakumar

Research output: Contribution to journalArticle (Academic Journal)peer-review

22 Citations (Scopus)
226 Downloads (Pure)


Information Systems (IS) innovation in healthcare is a contested area often characterized by complex and conflicted relationships among different stakeholders. This paper aims to provide a systematic understanding of the mechanisms through which competing visions about health sector reforms are translated into policy and action generating contradictions in IS innovation. The paper argues that we can learn more about the source of such contradictions by examining how competing frames can affect IS innovation in healthcare. We adopt frame theory and rhetorical strategies analysis in the case of health sector reforms in Kenya, with a specific focus on the deployment of health information systems. We make the following contributions. First, we demonstrate that policy actors’ adherence to the interests and values represented in a frame is important in determining the choice of a rhetorical strategy and its influence on policy transformation and IS innovation. Second, we develop an understanding of how technology mediates the rhetorical strategies of different actors. In particular, we demonstrate the role of technology in giving continuity to frames, thus affecting policy change and IS innovation.
Original languageEnglish
Article number3
Pages (from-to)81-112
Number of pages32
JournalJournal of the Association for Information Systems
Issue number2
Publication statusPublished - 28 Feb 2017

Structured keywords

  • Health and Wellbeing
  • Health, Science & Technology
  • International Development
  • MGMT Public Management
  • MGMT theme Innovation and Digitalisation
  • MGMT Innovation Studies and Technology


  • IS innovation
  • Healthcare
  • Policy
  • Discourse analysis
  • Frame theory
  • Developing countries


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