Critical Issues in Assimilation of Healthcare Information Systems

The implementation of information systems throughout the healthcare industry has increased dramatically over the past decade since it is now generally believed that IS/IT will be able to bring about immense benefit to medical personnel in delivering better services. However, the enthusiasm of having new information systems implemented usually deteriorates dramatically once the system is acquired. This causes a major issue in the assimilation of the newly implemented technology which could provide a negative impact on the successful ongoing use of the information system. This paper describes a research in progress that explores key technology innovation assimilation issues in a healthcare setting with the aim of developing a technology innovation assimilation model for hospitals to successfully implement and sustain the use of the healthcare information system

Adopción e implementación del comercio electrónico por empresas medianas en el Perú: un estudio de casos

This paper examines the factors associated with the adoption of electronic commerce and the relationship between these factors and the degree of implementation of this technology in medium-sized companies in Peru. It does so base on the empirical evidence provided by companies that represent successful experiences in the use of electronic commerce. Also, in response to the need to use a unit of measurement different from the binary one adopts/does not adopt to establish the degree of implementation of the technology of electronic commerce, this research presents a measurement proposal that considers four dimensions: volume, diversity, amplitude, and depth. The framework of analysis comes from the theory of the diffusion of innovations.Este trabajo examina los factores asociados con la adopción del comercio electrónico y la relación entre estos factores y el grado de implementación de esta tecnología en empresas medianas en el Perú. Lo hace a partir de la evidencia empírica proporcionada por empresas que representan experiencias exitosas de uso del comercio electrónico. Asimismo como respuesta a la necesidad de emplear una unidad de medida diferente de la binaria adopta/no adopta para establecer el grado de implementación de la tecnología de comercio electrónico esta investigación presenta una propuesta de medición que considera cuatro dimensiones: vol.n diversidad amplitud y profundidad. El marco de análisis proviene de la teoría de la difusión de innovacione

Modeling Citizen Satisfaction with Mandatory Adoption of an E-Government Technology

While technology adoption is a major stream of research in information systems, few studies have examined the antecedents and consequences of mandatory adoption of technologies. To address this gap, we develop and test a model of mandatory citizen adoption of an e-government technology. Based on a framework that outlines the key stages associated with the launch of technology products, we identify various external factors as antecedents of four key technology adoption variables from the unified theory of acceptance and use of technology (UTAUT), i.e., performance expectancy, effort expectancy, social influence, and facilitating conditions, which ultimately impact citizen satisfaction. The four stages of technology launch and the salient antecedents in each stage are: (1) market preparation stage awareness; (2) targeting stage compatibility and self-efficacy; (3) positioning stage flexibility and avoidance of personal interaction; and (4) execution stage trust, convenience, and assistance. We test our model in a two-stage survey of 1,179 Hong Kong citizens, before and after they were issued a mandatory smart card to access e-government services. We find that the various factors tied to the different stages in launching the technology predict key technology adoption variables that, in turn, predict citizen satisfaction with e-government technology. We discuss the theoretical and practical implications for governments implementing technologies whose use by citizens is mandated

Assimilating Healthcare Information Systems in a Malaysian Hospital

The importance of information systems/information technology (IS/IT) to healthcare organisations is being recognised today as paramount and critical in order to realise superior healthcare delivery. Successful assimilation of IS/IT, which is the central focus of this study, then becomes a key consideration in ensuring that IS/IT is appropriately and systematically deployed into a healthcare organisation. The key findings from this research indicate that there are people, process, technology and environment elements that should be considered as facilitators to the healthcare information systems (HIS) assimilation process, as well as barriers that the healthcare organisation should overcome throughout the entire assimilation process or at specific stages. This research, therefore, is not only topical but especially beneficial to management and administrators in the web of healthcare players as they grapple with trying to successfully assimilate HIS into their respective organisations

Determinats of purchase decision of client-server hardware system (C-SHS) in Malaysian SME businesses

Information and communications technologies (ICT) is regarded as an essential tool in enhancing competitiveness of small and medium enterprises (SMEs) in global marketplaces. Consequently, client-server hardware system (C-SHS) has gained its popularity in SM enterprises. However, there is no specific research done about determinants of purchase decision of C-SHS in SMEs particularly in Malaysia. Thus, this research filled this gap and developed a research problem on why and how to establish the determinants of purchase decision of C-SHS in Malaysian SME businesses. A preliminary theoretical framework based on literature and also the integration of Technology Acceptance Model, Diffusion of Innovation theory, and Technology, Organization, and Environment framework was developed. This research employed qualitative methodology using convergent interview and thematic data analysis techniques to explore and confirm the preliminary theoretical framework. Convergent interview is opted since it allows a greater depth of data collection than other types of interviews as it attempts to gain insight into the informant’s understanding of a situation or process. The identification of respondents in this research was based on a snowballing technique. The findings from this research confirmed 16 determinants of purchase decision of C-SHS in SMEs, that are, relative advantage, compatibility system, complexity system, existing IT infrastructure, trialability, cost of purchase, top management support, end user IT skill, owner characteristics, resources availability/constraint, perceived usefulness, perceived ease of use, competitive pressure, government support, customer pressure, vendors competency & support. In addition, five (5) newly determinants had been discovered, that are, scalability system, security system, new initiative, brand loyalty, and green IT environment. These newly discovered determinants represent new contributions to the body of knowledge. As a consequent, a revised theoretical framework is derived to capture these new discoveries. The finding of this research has implications on policy, practice, and methodological aspects

Toward a comprehensive conceptualization of the digital divide and its impact on e-government system success: evidence from local governments in Indonesia

Purpose - This research aimed to investigate the digital divide and its impact on egovernment system success in Indonesia. Design/methodology - This study applies two-stage sequential mixed method research approach. Findings - The results supported direct influences of digital divide on e-government system success, the mediating effects of trust in e-government and the moderating effects of demographic variables. Research implications/contributions - It contributes to the developments of literature on digital divide and e-government, and to the implementation of egovernment

The nature and extent of internet-enabled e-business adoption by Australian wineries, and factors affecting this adoption

This research investigates the nature and extent of e-business adoption by Australian wineries in order to describe the activity and increase understanding of the factors influencing the behaviour. Pilot study interviews grounded the research and provided industry-based direction for the survey. A census survey of the 2003 population of Australian wineries, excluding micro-wineries, used a self-administered mail questionnaire. Response rate varied by winery size, from 15% of small wineries up to 46% of very large wineries. Data was collected in five e-business process domains: e-mail, external web sites, and winery B2C web sites, extranets, and intranets; on perceptions of influence of four factors in each process domain: 1) relative advantage, 2) resource capacity, 3) supply chain activity, and 4) government activity; and on barriers to further adoption. Analysis of the survey responses supported the proposition that the nature and extent of adoption varies significantly by winery size. In general, small wineries find less benefit than larger wineries. Customer type and level of customer power also vary by winery size with winery B2C web strategies differing as a result. The proposition that the factors influencing e-business adoption vary between different types of e-business was also supported. This finding indicates that customised frameworks for particular e-business process domains will have increased relevance, and generalisations regarding the level of influence individual factors have on e-business adoption per se are inappropriate. Influence from the activities of supply chain and government organisations, the subject of the third and fourth propositions, was also found. The impact level of these external environment factors increased with winery size. In particular it is the powerful business customers and the Australian Government that drive some of the e-business adoption by wineries. Criticism of low levels of adoption by Australian small and medium sized enterprises in government funded reports appears harsh when applied to small and medium wineries after findings demonstrate that they derive less benefit from e-business than larger wineries. Reduction of the most common barriers to increasing adoption - the high cost and low quality of network connections in regional locations – remains the responsibility of government

Electronic commerce adoption:a study of business-to-business practice in Saudi Arabia

Electronic commerce (e-commerce) has become an increasingly important initiative among organisations. The factors affecting adoption decisions have been well-documented, but there is a paucity of empirical studies that examine the adoption of e-commerce in developing economies in the Arab world. The aim of this study is to provide insights into the salient e-commerce adoption issues by focusing on Saudi Arabian businesses. Based on the Technology-Organisational-Environmental framework, an integrated research model was developed that explains the relative influence of 19 known determinants. A measurement scale was developed from prior empirical studies and revised based on feedback from the pilot study. Non-interactive adoption, interactive adoption and stabilisation of e-commerce adoption were empirically investigated using survey data collected from Saudi manufacturing and service companies. Multiple discriminant function analysis (MDFA) was used to analyse the data and research hypotheses. The analysis demonstrates that (1) regarding the non-interactive adoption of e-commerce, IT readiness, management team support, learning orientation, strategic orientation, pressure from business partner, regulatory and legal environment, technology consultants‘ participation and economic downturn are the most important factors, (2) when e-commerce interactive adoption is investigated, IT readiness, management team support, regulatory environment and technology consultants‘ participation emerge as the strongest drivers, (3) pressure from customers may not have much effect on the non-interactive adoption of e-commerce by companies, but does significantly influence the stabilisation of e-commerce use by firms, and (4) Saudi Arabia has a strong ICT infrastructure for supporting e-commerce practices. Taken together, these findings on the multi-dimensionality of e-commerce adoption show that non-interactive adoption, interactive adoption and stabilisation of e-commerce are not only different measures of e-commerce adoption, but also have different determinants. Findings from this study may be valuable for both policy and practice as it can offer a substantial understanding of the factors that enhance the widespread use of B2B e-commerce. Also, the integrated model provides a more comprehensive explanation of e-commerce adoption in organisations and could serve as a foundation for future research on information systems