When big visions meet the pragmatic practice: Follow the institutional logic or personal benefits?

In recent years Building information modelling (BIM) has been considered as a means for transforming the building and construction industry by introducing significant changes in the industry for all stages of the construction process. However, when new technologies are promoted they are almost considered as a magic bullet that should transform an industry, or an organization to the better. By drawing on the concepts of institutional logics and sense making, and a case study over 12 years of telemedicine use in a Swedish county, the objective of the paper is to analyse what actors in the building and construction industry can learn from other societal sectors implementing and using new ICT. It is concluded that the use of technology is heavily shaped by significant actor groups' sense making of the technology, that is grounded both an institutional logic and what benefits or disadvantages the group perceive from technology use. What can be learnt from the telemedicine case is the importance of analysing underlying reasons to why an application is accepted or not.