15,503 research outputs found

    Why e-government projects fail: main antecedents of the non-adoption of electronic health records in Germany according to stakeholder perceptions

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    The Electronic Health Record in Germany was introduced in January 2021 and offers the integrated use of the application across sectors and institutions. However, two years after this introduction, less than 1% of the German population has applied for such a record with their health insurance provider. This is despite evident support of medical professionals as well as the society at large. To explain this non-adoption in particular and e-government non-adoption in general, the main goal of this thesis is the synthesis of the main antecedents of e-government non-adoption by investigating the perceptions of its main stakeholders: political stakeholders, medical professionals and citizens. Building on the assumption that non-adoption is not simply the opposite of adoption, and that perceptions of stakeholders play a crucial role in the engagement with e-government, this study is set in an interpretive, single case study. Moreover, the research conducted in this thesis employs Q-methodology, a mixed-methods approach that allows for the study of subjective experiences, and therefore perceptions. Analyzing the data from 29 participants (4 political stakeholders, 9 medical professionals and 16 citizens), this study found four main antecedents of non-adoption: communication, trust, design and attitude. These can be considered a starting point for more research focused explicitly on non-adoption and give valuable insights for practitioners

    ELECTRONIC MEDICAL RECORD - SUCCESS OR FAILURE IN THE MEDICAL DECISION FROM THE ROMANIAN HEALTH SYSTEM ?

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    The investments in informational and communicational technologies in the health field represent a for of investing in human capital because health and medical services will exceed the physician – patient relationship and the improvement of the physical and emotional condition of the individuals of a society will become a prioritary problem of the community. In Romania is noticed a high degree of data fragmenting, with a negligible communication, often inexistent, within and outside the system, and the decision makers of the health system hold exclusivity on their own data, fact that makes them unavailable to the other participants to the system. The software-s, the formats and supports used differ both inside the system and outside it. And because a patient is given a diagnosis without complete and safe medical data, the medical error is one of the causes for the incorrect diagnosis of the patient. The decision makers from the health system must take on responsibilities for the efficient and safe management of these data, to represent a desired issue for all medical institutions. Only the interconnected and standardized electronic medical files will be able to improve the medical decision and the care given to patients. The care will be safer, more efficient, the medical information will be also useful to other clinic physicians in time and space by using the informational and communicational technologies. The complete electronic medical record must include all types of information connected to the patient`s health (medical, family history, health file, hereditary-collateral antecedents, treatments, prescriptions, allergies) and they must be protected, shared by physicians, patients and those interested in a safe and extended environment. It is necessary to computerize the medical information specific to patient and the clinical processes, and performance in the health system will depend on the transformation of the medical services system by bringing the benefits of the medical science and technology to all individuals.critical; inefficient medical service; electronic medical record; medical information computerization, interconnected electronic medical files, medical error, health electronic file, clinical decision, protected and shared medical information, interoperability, standard.

    The Role of Internet Self-Efficacy in Accepting Web-based Medical Records

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    Predicting Threats on Electric Health Record Systems

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    Security is a key concern in the development of electronic health record (EHR) systems. This paper considers Neutralization Theory and the Fear Appeals Model in proposing a conceptual model for use in predicting breach behaviors within EHR systems. The goal of the model is to determine which factors influence security breach intent on the part of the offender. Specifically, perceived penalty, perceived evasiveness, awareness of opportunity, enforcement, and user participation are proposed to act as antecedents to security breach intent, a surrogate for actual breach behavior

    An overview of patient acceptance of Health Information Technology in developing countries: a review and conceptual model

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    The potential to improve the quality, efficiency, outcomes, patient safety and reduce cost of healthcare by Health Information Technology (HIT) has been established by researchers. But unfortunately HIT systems are not properly utilized or are not widely available. This problem is even more glaring in developing countries. This article presents a review of some available HIT systems in order to assess the level of their presence and the technology used in developing them. Works related to acceptance of HIT systems were also reviewed so as to study the gaps in this area and propose a solution in order to fill the gaps identified. The problems discovered from this review include lack of availability of these systems especially in developing countries, low rate of HIT systems acceptance and insufficient works on patient acceptance of HIT systems. Studying the factors that affect the acceptance of HIT systems by patients and considering the factors while developing the systems will play a significant role in getting over the aforementioned limitations. As Technology Acceptance Model (TAM) is one of the most popular models for studying users\u27 perception and acceptance of Information System (IS)/Information Technology (IT), we proposed a conceptual model of HIT acceptance in developing countries based on TAM

    Personality, top management support, continuance intention to use electronic health record system among nurses in Jordan

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    Electronic health record system (EHRs) is preferred as standard documentation to track patient information and office visits. It is acclaimed as technological breakthrough capable to improve the healthcare industry’s service delivery and system quality. Accordingly, Jordanian government initiated EHRs implementation in all public hospitals. However, only eleven out of 35 public hospitals have fully implemented EHRs and their usage remains low. Moreover, empirical research associated to the particular concern of EHRs is insufficient and the effort to appraise it is low considering its extensive ongoing implementation. Besides, comprehending and explaining nurses’ continuous intention (CI) to use EHRs are crucial to gauge EHRs usage in Jordan. Considering the problem, this study highlighted on continuous intention (CI) of nurses to use EHRs model by incorporating the following theories; the Unified Theory of Acceptance and Use of Technology (UTAUT), Expectation-Confirmation Theory (ECT) and Five Factor Model (FFM). The model is insinuated to investigate whether UTAUT factors namely effort expectancy, performance expectancy, social influence, facilitating conditions, FFM domains (conscientiousness, extraversion, neuroticism, openness to experience, and agreeableness) and Top Management Support (TMS) predict nurses’ CI to use EHRs. Total responses are 497 nurses. Partial Least Squares technique used for analysis. Results revealed significant positive relationship between UTAUT factors and CI. However, there is no significant evidence of relationship between TMS and CI. The study also disclosed significant mediating influence of performance expectancy on two separate hypotheses concerning two predictors namely agreeableness and openness to experience on CI. Additionally, the study revealed significant moderation impact of conscientiousness on the relationship between both performance expectancy and social influence with CI. The study has illustrated important attention to substantive differences between acceptance and continuance to use behaviors

    Switching to Electronic Health Record Systems: A Replication of the User Resistance Model

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    The purpose of this conceptual replication study is to understand the resistance construct of the User Resistance Model (URM) in the context of Health Information Technology (HIT) at an international healthcare organization. Specifically, we studied resistance towards Electronic Health Record systems (EHR). For this, the original scale items were adapted to the new context, and the model was tested with the data collected from 226 employees who work with an EHR system at a large public hospital in Amman, Jordan. Overall, the results support six of the eleven posited hypotheses. One hypothesis was contradicted, and the remaining four hypotheses were not supported. Moreover, the model fit statistics suggested that the current URM does not have a good fit. This indicates that the URM in the new context needs further investigation. We first discuss the hypotheses that are not supported or contradicted and then begin to suggest refinements to the model in an effort to improve its fit
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