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Using field theory and institutional theory, we situate field as a multi-level concept which extends institutional and organizational levels of analysis. Empirical data is gathered from European policymakers, health professionals and patient advocacy groups on the diffusion of supra-national health information technology across European Member States. Findings reveal four scenarios depicting field tensions, as ideological and practical imperatives of supra-national health information technology policy mis-align with Member State health systems. This study has implications for policy-makers and other stakeholders, who seek to narrow the digital divide across health fields and sub-fields. <\/jats:p>","DOI":"10.1177\/02683962211040513","type":"journal-article","created":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T08:45:46Z","timestamp":1639644346000},"page":"165-187","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Stakes, positions and logics: An institutional field analysis of cross-border health IT policy"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9198-6933","authenticated-orcid":false,"given":"Wendy L","family":"Currie","sequence":"first","affiliation":[{"name":"Audencia Business School, Nantes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan JJM","family":"Seddon","sequence":"additional","affiliation":[{"name":"Audencia Business School, Nantes, 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