How Healthcare Professionals “Make Sense” of an Electronic Patient Record Adoption

This article examines how healthcare professionals experience an Electronic Patient Record (EPR) adoption process. Based on a case study from two surgical wards in Danish hospitals, we analyze the healthcare professionals' conceptions of the technology, how it relates to their professional roles, and aspects of the implementation process from a “sensemaking” perspective.     

An Iterative Assessment Approach to Improve Technology Adoption and Implementation Decisions by Healthcare Managers

The User-in-Context Iterative Assessment (UCIA) approach allows decision makers to acquire rich knowledge about their users and the way technology is used in the context of their work. A case study involving the introduction of a handheld medication administration device for nurses on a medical-surgical ward is used to illustrate how a UCIA approach can help provide healthcare IT professionals and hospital administrators with the data that they need to choose and implement IT applications that have the potential to maximize cost savings, while improving the delivery of patient care.     

Bridging the IT Adoption Gap for Small Physician Practices: An Action Research Study on Electronic Health Records

This article reports on an action research project to investigate the barriers to adoption and assimilation of electronic health records (EHRs) in small physician practices. The project draws on theories of technology-use mediation and communities of practice to develop interventions to promote adoption and integration of EHRs into chronic care management processes in these practice settings. The field results suggest that developing community-based knowledge and resources to assist physician organizations one-on-one may be essential for their effective utilization of EHRs.     

Performance and Management Independence in the ERP Implementations in Spain: A Dynamic View

The present article aims to assess, from a dynamic viewpoint, the influence on the decision to implement an ERP system in Spanish companies of two key characteristics of adopters: prior performance and managers' independence. The main results indicate that the importance of those factors greatly depended on the moment of the implementation. Moreover, the article gives support to the necessity of a proper consideration of national culture when studying the process of diffusion of innovations.     

A meta-analysis of relationships between organizational characteristics and IT innovation adoption in organizations

Adoption of IT in organizations is influenced by a wide range of factors in technology, organization, environment, and individuals. Researchers have identified several factors that either facilitate or hinder innovation adoption. Studies have produced inconsistent and contradictory outcomes. We performed a meta-analysis of ten organizational factors to determine their relative impact and strength. We aggregated their findings to determine the magnitude and direction of the relationship between organizational factors and IT innovation adoption. We found organizational readiness to be the most significant attribute and also found a moderately significant relationship between IT adoption and IS department size. Our study found weak significance of IS infrastructure, top management support, IT expertise, resources, and organizational size on IT adoption of technology while formalization, centralization, and product champion were found to be insignificant attributes. We also examined stage of innovation, type of innovation, type of organization, and size of organization as moderator conditions affecting the relationship between the organizational variables and IT adoption.     

Technology Solutions for Improving Accuracy and Availability of Healthcare Records

Providers need access to the data in patient healthcare records to make decisions that provide the type of high-quality services, which lead to successful medical treatments. This article summarizes the data accuracy and data availability problems that exist in managing healthcare records, and then describes various technology solutions that could be designed to address specific data problems.     

Business–IT fit in e-procurement systems: evidence from high-technology firms in China

Abstract.  Because of the influence of globalization and updated information technologies (IT), firms in China face an urgent need to adopt e-procurement systems (EP) to deal with their daily procurement activities. However, implementing EP in China encounters various uncertainties from internal and external business environments. To address this issue, this research aims to examine the fit between business and the IT environment and to study its impact on system performance. The literature review allows the proposal of two internal business environmental uncertainties and two external business environmental uncertainties covering the perspectives of process, knowledge, partnership and environment. Based on a multiple-case study performed in four Chinese firms that supply various personal computer components to a Taiwanese original equipment manufacturer via an EP, it was found that the firms' external and internal uncertainty factors affected the performance of EP. In addition, an EP with a low level of integration – the EP type used most frequently in China – can only achieve great performance when the adopting firms faced a low uncertainty of environment, partnership and process, and had low levels of IT knowledge. It was also observed that lack of fit between the business environment and EP produced extra burdens and costs in the buyer–supplier relationship. This significantly reduced the system performance of the Chinese firms. Hence, the contribution of this research can be twofold. First, practitioners in China can use this framework to diagnose their environmental conditions and then choose the appropriate type of EP to implement. Second, researchers can build upon this model to further examine the impact of fit on EP performance and generalize the results.     

Developing a B2B E-Commerce Implementation Framework: A Study of EDI Implementation for Procurement

A case study was performed examining the electronic data interchange (EDI) implementation projects of four divisions of an aerospace company. By interviewing both partners in the relationship, a business-to-business (B2B) electronic commerce (e-commerce) implementation framework was developed. The framework provides guidelines for the type of e-business partnership to be pursued based on the volume of transactions (low vs. high) and complexity of transactions (simple vs. complex). Machine-to-machine B2B solutions should be pursued when the there is a high transaction volume of simple transactions. In other situations, potential B2B solutions include: e-business pull, partner access-extranet/push, or manual e-transmission.     

Developing a B2B E-Commerce Implementation Framework: A Study of EDI Implementation for Procurement

ABSTRACT

A case study was performed examining the electronic data interchange (EDI) implementation projects of four divisions of an aerospace company. By interviewing both partners in the relationship, a business-to-business (B2B) electronic commerce (e-commerce) implementation framework was developed. The framework provides guidelines for the type of e-business partnership to be pursued based on the volume of transactions (low vs. high) and complexity of transactions (simple vs. complex). Machine-to-machine B2B solutions should be pursued when the there is a high transaction volume of simple transactions. In other situations, potential B2B solutions include: e-business pull, partner access-extranet/push, or manual e-transmission.     

The intention–behaviour gap in technology usage: the moderating role of attitude strength

Extant theories of information technology (IT) usage present users' behavioural intention as the primary predictor of their IT usage behaviour. However, empirical evidence reveals only a low-to-medium effect size for this association. We call this inconsistency the ‘intention–behaviour gap’, and argue that a clearer understanding of this gap requires a deeper theoretical examination of the conditions under which intentions may or may not influence behaviour. Drawing on recent attitude theoretic research in social psychology, we distinguish between two types of attitudes – strong versus weak – and suggest that the intention–behaviour association may hold for users with strong attitudes but is likely to be weaker for those with weak attitudes. Using the elaboration-likelihood model, we propose two dimensions of attitude strength relevant to the IT usage context – personal relevance and related expertise – and theorise them to moderate the intention–behaviour association in a positive manner. Results from a longitudinal field survey of document management system usage among governmental employees at L'viv City Hall, Ukraine support our theoretical hypotheses. Theoretical and practical implications of our findings are discussed.     

The Differential Performance Effects of Healthcare Information Technology Adoption

This article examines the relationship between the adoption of healthcare information technology (HIT) and a hospital's operational performance. Combining primary survey data from Florida hospitals and secondary data from two government agencies responsible for hospital certification and licensing, the authors find differential performance effects for different clusters of HIT: administrative, clinical, and strategic. Only clinical HIT investments were found to have a statistically significant positive effect on operational performance.     

Building Management Commitment through Security Councils

Continuous Monitoring (CM) is an evolving use of technology to improve operations integrity and information and transaction quality. This article pleads for internal auditors to promote the expanded use of continuous monitoring by operations, as well as, internal audit.     

Citizen Adoption of E-Government Services: Exploring Citizen Perceptions of Online Services in the United States and United Kingdom

This study presents a cross-national examination of e-government adoption in the United Kingdom and the United States. The results of partial least squares analysis indicate that disposition to trust is positively related to internet trust and government trust. Perceived ease of use and perceived usefulness have a significant impact on intention to use. Internet trust has a positive effect on intention to use. We conclude by highlighting cultural differences in e-government adoption.     

Exploring managerial factors affecting ERP implementation: an investigation of the Klein‐Sorra model using regression splines

Abstract. Predicting successful implementation of enterprise resource planning (ERP) systems is still an elusive problem. The cost of ERP implementation failures is exceedingly high in terms of quantifiable financial resources and organizational disruption. The lack of good explanatory and predictive models makes it difficult for managers to develop and plan ERP implementation projects with any assurance of success. In this paper we investigate the Klein & Sorra theoretical model of implementation effectiveness. To test this model we develop and validate a data collection instrument to capture the appropriate data, and then use multivariate adaptive regression splines to examine the assertions of the model and suggest additional significant relationships among the factors of their model. Our research offers new dimensions for studying managerial interventions in IT implementation and insights into factors that can be managed to improve the effectiveness of ERP implementation projects.     

The relationship between usage intention and adoption of electronic health records at primary care clinics

Objective

Despite of emerging evidence that electronic health records (EHRs) can improve the clinical quality, enhances patient safety and efficiency. Most physicians in primary health care clinics in the Taiwan do not currently adopt EHR at their clinic practices. We aim to measure the relationship between usage intention and adoption behavior.

Study design and methods

We used structured questionnaires distributed both EHRs adopter and non-adopter group to the primary health care physicians which participated in the DOH project to establish the information exchange environment across Taiwan. The response rate of adopter and non-adopter is 54.7% and 55.0% respectively.

Measurements

EHRs adoption behavior.

Results

The EHRs adopter group has higher intention than non-adopter (p = 0.003). From the result of logistic regression analyses, we found the key factors affecting physicians’ adoption pattern were intention to use (OR: 2.85; 95% CI: 2.30–3.54). In addition, higher perceived usefulness (OR: 1.29; 95% CI: 1.06–1.56) and perceived ease to use (OR: 1.48; 95% CI: 1.22–1.79) increase adoption of EHR found.

Conclusion

The intention to use EHR, perceived usefulness and ease to use of primary care physicians were found as key factors influencing EHRs adoption. Thus, we suggest that government should promote the potential benefits of EHR and enhance physicians’ willingness to adopt the EHRs at their clinic practices.     

The acceptance of information technology innovations in hospitals: differences between early and late adopters

The increasing maturity of information technologies (IT) in hospitals and their infrastructure development is improving the quality and efficiency of healthcare services. In these circumstances, an investigation of the diffusion of IT in this context would provide some insight into adopters’ behaviours and further the diffusion of IT in the near future. The purpose of this paper is to conduct an investigation of the diffusion of IT’s innovations in hospitals. Technology acceptance model and innovation diffusion theory have been applied in this research trying to find factors that permit an effective discrimination between early and late adopters. The differences in characteristics between these two categories are assessed and implications based on the research findings are discussed.     

基于居民健康档案常德区域卫生信息平台研究与设计

针对居民健康档案区域卫生信息平台的构建,从区域卫生信息化与电子健康档案建设、区域卫生信息平台系统构建、系统主要模块的实现以及建设以居民电子健康档案为中心的区域卫生信息平台等4个方面进行论述。     

Assessing the importance of industry in the adoption and assimilation of IT: Evidence from Italian enterprises

We analysed the role of industry in determining the diffusion and business value created by IT. Data was collected for this purpose by surveying 192 large enterprises in Italy. Our research revealed three findings. First, in the material services and non-hi-tech manufacturing industries, firms had a relatively limited adoption of IT, resulting in little business impact. Second, firms’ IT spending behaviour depended on their industry type and not on their IT capabilities. However their capabilities were more important than industry in explaining why firms achieved benefits from IT adoption that depended on the previous accumulation of IT resources and other capabilities. Third, industry type determined the degree to which IT affected profitability and its effectiveness in helping firms to defend their competitive advantage. Specifically, the slower the adoption of IT in an industry, the greater its impact on the firm's profitability.The implications of these findings for managers and policy-makers are discussed.     

Gonokendra model: a response to “information poverty” in rural areas of Bangladesh

We argue that there is a need to understand impacts of information and communication technologies (ICT) projects in their local context, considering the participants' perspectives at the micro (community) level. Hence, this paper reports on the development and refinement of an extended framework to investigate ICT impact on development in three village areas in the developing country, Bangladesh. Through an interpretive study, we argue that previous studies failed to encapsulate many aspects such as mobility restriction, negative attitude towards female group and religious influences of ICT impact, especially at the micro level. Our extended framework demonstrates that ICT projects can lead to development, but only when social constraints are addressed.