Toward optimal implementation of cancer prevention and control programs in public health: A study protocol on mis-implementation

Abstract Background Much of the cancer burden in the USA is preventable, through application of existing knowledge. State-level funders and public health practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Greater attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of resources, which in the long term, will lead to more positive cancer outcomes. Methods This is a three-phase study that takes a comprehensive approach, leading to the elucidation of tactics for addressing mis-implementation. Phase 1: We assess the extent to which mis-implementation is occurring among state cancer control programs in public health. This initial phase will involve a survey of 800 practitioners representing all states. The programs represented will span the full continuum of cancer control, from primary prevention to survivorship. Phase 2: Using data from phase 1 to identify organizations in which mis-implementation is particularly high or low, the team will conduct eight comparative case studies to get a richer understanding of mis-implementation and to understand contextual differences. These case studies will highlight lessons learned about mis-implementation and identify hypothesized drivers. Phase 3: Agent-based modeling will be used to identify dynamic interactions between individual capacity, organizational capacity, use of evidence, funding, and external factors driving mis-implementation. The team will then translate and disseminate findings from phases 1 to 3 to practitioners and practice-related stakeholders to support the reduction of mis-implementation. Discussion This study is innovative and significant because it will (1) be the first to refine and further develop reliable and valid measures of mis-implementation of public health programs; (2) bring together a strong, transdisciplinary team with significant expertise in practice-based research; (3) use agent-based modeling to address cancer control implementation; and (4) use a participatory, evidence-based, stakeholder-driven approach that will identify key leverage points for addressing mis-implementation among state public health programs. This research is expected to provide replicable computational simulation models that can identify leverage points and public health system dynamics to reduce mis-implementation in cancer control and may be of interest to other health areas

A Process Modelling Success Model: Insights from a Case Study

Contemporary concepts such as Business Pro cess Re-engineering and Process Innovation emphasize the importance of process-oriented management concepts as a businesses paradigm. Large scaled multimillion-dollar implementations of Enterpri se Systems explicitly and implicitly state the importance of process modeling and its contribution to the success of these project. While there has been much research and publications on alterna tive process modeling techniques and tools, little attention has focused on post-hoc evaluation of actual process modeling activities or on deriving comprehensive guidelines on ‘how-to’ conduct process modeling effectively. This study aims at addressing this gap. A comprehensive a priori pro cess modeling success model has been derived and this paper reports on the results obtained from a detailed case study at a leading Australian logistics service provider, which was conducted with the aim of testing and re-specifying the model

Going beyond the individual: How state-level characteristics relate to HPV vaccine rates in the United States

Abstract Background The human papillomavirus (HPV) vaccine is an underutilized cancer control practice in the United States. Although individual contextual factors are known to impact HPV vaccine coverage rates, the impact of macro-level elements are still unclear. The aim of this analysis was to use HPV vaccination rates to explore the underuse of an evidence-based cancer control intervention and explore broader-level correlates influencing completion rates. Methods A comprehensive database was developed using individual-level date from the National Immunization Survey (NIS)-Teen (2016) and state-level data collected from publically available sources to analyze HPV vaccine completion. Multi-level logistic models were fit to identify significant correlates. Level-1 (individual) and level-2 (state) correlates were fitted to a random intercept model. Deviance and AIC assessed model fit and sampling weights were applied. Results The analysis included 20,495 adolescents from 50 U.S. states and the District of Columbia. Teen age, gender, race/ethnicity, and maternal education were significant individual predictors of HPV completion rates. Significant state-level predictors included sex education policy, religiosity, and HPV vaccine mandate. States with the lowest HPV coverage rates were found to be conservative and highly religious. Little variation in vaccine exemptions and enacted sex and abstinence education polices were observed between states with high and low HPV vaccine coverage suggesting various contextual and situational factors impact HPV vaccine completion rates. Conclusions Given that gender, religiosity, political ideology, and education policies are predictors of HPV vaccine completion, the interaction and underlying mechanism of these factors can be used to address the underutilization of the HPV vaccine

Diffusion of social cognitive theory in information systems research: A bibliometric study

Recently, Social Cognitive theory (SCT) has been widely adapted across various disciplines in business and management as well as Information Systems (IS) research. In IS, the use of SCT remains in its early stages. Few bibliometric analyses have been published on mapping theories across previous literature. However, to date factors related to literature review mapping in relation to SCT in IS have not been much examined. This paper aims to investigate the expliotiation of SCT in IS research based on bibliometric analysis. In this study a biblimetric analysis is conducted on previous literature reviews/abstracts based on Association of Business Schools (ABS) journal rankings from Information Management field perspective. 62 articles in Information Management field have utilised SCT were published in 17 (out of 53 journals) between 1995 and 2010. The study findings has identified that the organisation/firm and actors as a unit of analysis, positivist paradigm, empirical and quantitative research as well as survey method were used significantly in combination with SCT in IS studies. This bibliometric study will provide the needed platform for a better understanding of high quality research activities. Consequently, this can be used as an indicator to measure research quality and the impact of future direction and exploitation of SCT in IS research

The impact of knowledge management processes on organisational performance

Copyright @ 2012 ISEing.In today's increasingly competitive business environment, the use of knowledge to gain a competitive advantage has become a serious concern for all organisations. However, despite the increasing number of studies relating to Knowledge Management (KM) in developed countries, few studies have explored this issue within the context of developing countries. Moreover, some industries have been affected more acutely than others in the transition to a knowledge-based economy. Towards covering this gap, this study aims at investigating the impact of Knowledge Management processes on Organisational Performance (OP). In this paper, the authors propose a conceptual model through an in-depth investigation of the previous and current studies in the area of Knowledge Management and Organisational Performance. Through an extensive classification of Knowledge Management processes, the proposed model explores the impact of each Knowledge Management process on improving the level of Organisational Performance. It is envisaged that this model can play a role in guiding the process of Knowledge Management implementation in order to maximise the beneficial effects of Knowledge Management processes on Organisational Performance

Classification of information systems research revisited: A keyword analysis approach

A number of studies have previously been conducted on keyword analysis in order to provide a comprehensive scheme to classify information systems (IS) research. However, these studies appeared prior to 1994, and IS research has clearly developed substantially since then with the emergence of areas such as electronic commerce, electronic government, electronic health and numerous others. Furthermore, the majority of European IS outlets - such as the European Journal of Information Systems and Information Systems Journal - were founded in the early 1990s, and keywords from these journals were not included in any previous work. Given that a number of studies have raised the issue of differences in European and North American IS research topics and approaches, it is arguable that any such analysis must consider sources from both locations to provide a representative and balanced view of IS classification. Moreover, it has also been argued that there is a need for further work in order to create a comprehensive keyword classification scheme reflecting the current state of the art. Consequently, the aim of this paper is to present the results of a keyword analysis utilizing keywords appearing in major peer-reviewed IS publications after the year 1990 through to 2007. This aim is realized by means of the two following objectives: (1) collect all keywords appearing in 24 peer reviewed IS journals after 1990; and (2) identify keywords not included in the previous IS keyword classification scheme. This paper also describes further research required in order to place new keywords in appropriate IS research categories. The paper makes an incremental contribution toward a contemporary means of classifying IS research. This work is important and useful for researchers in understanding the area and evolution of the IS field and also has implications for improving information search and retrieval activities

Systemic capabilities: the source of IT business value

Purpose – The purpose of this paper is to develop, and explicate the significance of the need for a systemic conceptual framework for understanding IT business value. Design/methodology/approach – Embracing a systems perspective, this paper examines the interrelationship between IT and other organisational factors at the organisational level and its impact on the business value of IT. As a result, a systemic conceptual framework for understanding IT business value is developed. An example of enhancing IT business value through developing systemic capabilities is then used to test and demonstrate the value of this framework. Findings – The findings suggest that IT business value would be significantly enhanced when systemic capabilities are generated from the synergistic interrelations among IT and other organisational factors at the systems level, while the system’s human agents play a critical role in developing systemic capabilities by purposely configuring and reconfiguring organisational factors. Practical implications – The conceptual framework advanced provides the means to recognise the significance of the need for understanding IT business value systemically and dynamically. It encourages an organisation to focus on developing systemic capabilities by ensuring that IT and other organisational factors work together as a synergistic whole, better managing the role its human agents play in shaping the systems interrelations, and developing and redeveloping systemic capabilities by configuring its subsystems purposely with the changing business environment. Originality/value – This paper reveals the nature of systemic capabilities underpinned by a systems perspective. The resultant systemic conceptual framework for understanding IT business value can help us move away from pairwise resource complementarity to focusing on the whole system and its interrelations while responding to the changing business environment. It is hoped that the framework can help organisations delineate important IT investment considerations and the priorities that they must adopt to create superior IT business value

Costs, Benefits and Value Distribution – Ingredients for Successful Cross-Organizational ES Business Cases

This paper introduces my PhD research project on developing guidelines for creating successful business cases for Enterprise System implementations in network settings. Three important aspects that were found to be important in such business cases are: the costs, benefits and the value distribution within a network. Each of the three aspects is addressed in this paper and the relationships between them are pointed out. A research model is presented showing how all three aspects contribute to the main goal of defining successful business case guidelines