This action research article by Kohli & Kettinger has been a welcome relief for me. In contrast to some of our other articles, this piece of research interested me on a couple different levels. First, there was a purpose that could provide valuable information to both the practice and educational realms of IT. Second, there is the affect of change on a organization that allows this type of research to make an immediate impact, as apposed to just being an outside observer. Lastly, this topic has a topic staying power that people will want to revisit and develop further. I can't say the same about some of the other research we have read.
Their analysis of how a DSS can play a role in the very difficult environment of clinical physicians was excellent. The authors gave an honest assessment of their results, including the first, failed attempt to implement their action research model. They also pointed out the fact that the DSS system was not going to completely solve their questions on controlling expenses (no silver bullet). I am going to sound like Karen here, but I would have liked to have seen more of their data and the models used to develop their conclusions. I would have also appreciated more graphical representations of their data and findings. Overall, this was a very good article though.
Robson writes of how action research takes effort from the subjects being observed and this was certainly the case in this study. I believe this research was very helpful for the physicians in a couple of ways: 1.) it gave them an opportunity to understand how their peers treated similar cases to theirs (best practices). 2.) it empowered them to have a affect on the expenses of the healthcare group they were partnering with (to some extent corporate citizenry). These two influences play an interesting role together when you think about peer pressure and partner evaluation. This DSS gave SJHS a lever to hold their physician partners accountable for their decisions. It also provided valuable information to the clan that they might not have surmised on their own.
Keywords: action research, IS 360, Kohli & Kettinger