The Trajectory of IT in Healthcare at HICSS: A Literature Review, Analysis, and Future Directions

Research has extensively demonstrated that healthcare industry has rapidly implemented and adopted information technology in recent years. Research in health information technology (HIT), which represents a major component of the Hawaii International Conference on System Sciences, demonstrates similar findings. In this paper, review the literature to better understand the work on HIT that researchers have conducted in HICSS from 2008 to 2017. In doing so, we identify themes, methods, technology types, research populations, context, and emerged research gaps from the reviewed literature. With much change and development in the HIT field and varying levels of adoption, this review uncovers, catalogs, and analyzes the research in HIT at HICSS in this ten-year period and provides future directions for research in the field

Introduction to User Experience (UX) in Information Systems (IS) for Health and Wellness Minitrack

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Adaptations of electronic health records to activate physicians’ knowledge: how can patient centered care be improved through technology?

The United States of America is known for the rising costs of its healthcare and declining quality of care. While the push towards the integration of the healthcare information infrastructure is seen to be an important step towards addressing problem of the rising costs of healthcare and falling quality of care, the integration of EHR (Electronic Health Records), the central component of this infrastructure, remains a challenge. It appears that physicians are at the center of this bottleneck. The literature suggests that the reasons for the limited use relate to policy, financial and usability considerations, but it does not provide an understanding of reasons for physicians’ limited interaction and adaptation of EHR. In this paper, we argue that in order to be able to use the technology to provide better healthcare, physicians need to be able to activate their knowledge through it. We investigate process of adaptations that physicians go through when trying to use electronic health records. Our findings indicate that physician’s knowledge identities need to align with the functionalities made available through the technology. We draw upon the framework of knowledge activation in order to understand how physicians use their knowledge to provide better healthcare. Following an analysis of qualitative data, collected in a case study at a hospital using interviews, this research shows how physician’s adaptations of EHR activate their knowledge for the purpose of improving healthcare provision. The key contribution of this research is in discovering the ways in which physicians’ adaptation of technology can enable knowledge activation

Meaningful Use of Electronic Health Records for Physician Collaboration: A Patient Centered Health Care Perspective

EHRs (Electronic Health Records), can contribute greatly to improving care and managing the rising costs of healthcare. The use and the integration of EHRs (Electronic Health Records) in supporting collaboration to increase the efficiency and effectiveness of healthcare remains a challenge. It appears that the physicians are at the center of this bottleneck. As healthcare is provided by interdisciplinary teams of clinicians and collaboration and coordination are key to success. Literature suggests reasons for the limited use relate to policy, financial and usability considerations, but it does not provide an understanding of reasons for physicians\u27 limited interaction and adaptation of EHR. This paper investigates how meaningful use of EHRs by physicians enable patient centered healthcare to be achieved. Following an analysis of qualitative data, collected in a case study at a hospital using interviews, this research shows how a collaborative technology architecture can enable the reduction in the costs of healthcare and improvements in the quality of care by enabling more patient centered health care

How Can Physicians’ Knowledge Be Activated To Provide Better Healthcare? Explaining Electronic Health Record Adaptation by Physicians.

Despite the rising costs of healthcare and falling quality of care, the integration of EHR (Electronic Health Records) in supporting collaboration to increase the efficiency and effectiveness of healthcare remains a challenge. It appears that the physicians are at the center of this bottleneck. The literature suggests that the reasons for the limited use relate to policy, financial and usability considerations, but it does not provide an understanding of reasons for physicians\u27 limited interaction and adaptation of EHR. Following an analysis of qualitative data, collected in a case study at a hospital using interviews, this research shows how a collaborative technology architecture can enable the physicians to better interact with their partners using the E.H.R technology for the purpose of improving healthcare provision

Data-Driven Understanding of Smart Service Systems Through Text Mining

Smart service systems are everywhere, in homes and in the transportation, energy, and healthcare sectors. However, such systems have yet to be fully understood in the literature. Given the widespread applications of and research on smart service systems, we used text mining to develop a unified understanding of such systems in a data-driven way. Specifically, we used a combination of metrics and machine learning algorithms to preprocess and analyze text data related to smart service systems, including text from the scientific literature and news articles. By analyzing 5,378 scientific articles and 1,234 news articles, we identify important keywords, 16 research topics, 4 technology factors, and 13 application areas. We define ???smart service system??? based on the analytics results. Furthermore, we discuss the theoretical and methodological implications of our work, such as the 5Cs (connection, collection, computation, and communications for co-creation) of smart service systems and the text mining approach to understand service research topics. We believe this work, which aims to establish common ground for understanding these systems across multiple disciplinary perspectives, will encourage further research and development of modern service systems

Patient and physician characteristics as predictors for consent to participate in an electronic medical record study

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal

Decentralized autonomous organization as a disruptive innovation in insurance industry

Blockchain technology has raised a lot of discussions within academia as well as in financial industry. The founder of Ethereum, Vitalik Buterin, was first to introduce the idea of decentralized autonomous organization (DAO), in which blockchain and smart contracts are used to form a new kind of organization. This concept is at the center of this study: could DAO disrupt the insurance industry? DAO in this thesis is referred to as a system which utilizes transparent blockchain technology and smart contracts while being both governed and owned in a decentralized manner. This qualitative research focuses on providing a comprehensive view on DAO’s potential in insurance industry on a conceptual level. The findings combine expertise gathered from 17 informants in semi-structured interviews. This research describes the changes in insurance value chain. Additionally, several possibilities for DAO utilization in insurance industry were identified. The DAO potential is also reviewed from the perspective of a disruptive innovation, as the main research question of this study aims to understand the disruptive potential (if there is such) of DAO in insurance industry. The main finding of this research is that DAO’s disruptive potential in insurance industry cannot be completely denied. However, there are still many open questions which stem from mindset change, regulation, governance, social construction, consumer perspective, quality of information, and technological maturity. The study did not find challenges that would have been seen as unsolvable barriers for DAO adoption. Furthermore, markets where DAO would not have any potential could not be identified. Another key finding concerns how DAO could affect insurance value chain — in essence, DAO has potential to affect all parts of the insurance value chain, depending on the chosen implementation strategy. Based on this research, DAO seems to have manifold potential in insurance industry. Three main categories arose from the expert interviews regarding opportunities to exploit DAO in insurance: (1) peer-to-peer insurance models, (2) new markets, and, most notably, (3) existing companies could also act as DAO exploiters. Specifically, it seems that existing companies may utilize DAOs in three different ways: (1) as internal startup for certain products, (2) as an entity to which a particular part of the value chain is outsourced to, and (3) in a way, we don't know yet