Patients’ Characteristics Effecting the Use of a MyChart Patient Portal

In this study, we have studied the effects of patients’ characteristics on the use of an online patient portal. We have created an explanatory model to illustrate the relationship between the patient-portal use and the patients’ demographic and health characteristics. The study is conducted on a large dataset of 1 million patient records, provided by a leading national healthcare provider. Our results indicate, that a unit increase in health problems increases the odds of using the patient portal by 31.1%. Moreover, a single visit to an emergency department decreases the odds of using a patient portal by 7.1%, while a visit to an urgent care center decreases the odds of portal use by 9.2%. We also found that female patients are 58% more likely to use the patient portal as compared to the male patients. The study has practical implications for health care providers, patients and portal developers

Why Primary Care Practices Should Become Digital Health Information Hubs for their Patients

Background: Two interesting health care trends are currently occurring: 1) patient-facing technologies, such as personal health records, patient portals, and mobile health apps, are being adopted at rapid rates, and 2) primary care, which includes family practice, is being promoted as essential to reducing health care costs and improving health care outcomes. While these trends are notable and commendable, both remain subject to significant fragmentation and incentive misalignments, which has resulted in significant data coordination and value generation challenges. In particular, patient-facing technologies designed to increase care coordination, often fall prey to the very digital fragmentation issues they are supposed to overcome. Additionally, primary care providers are treating patients that may have considerable health information histories, but generating a single view of such multi-source data is nearly impossible. Discussion: We contribute to this debate by proposing that primary care practices become digital health information hubs for their patients. Such hubs would offer health data coordination in a medically professional setting with the benefits of expert, trustworthy advice coupled with active patient engagement. We acknowledge challenges including: costs, information quality and provenance, willingness-to-share information and records, willingness-to-use (by both providers and patients), primary care scope creep, and determinations of technical and process effectiveness. Even with such potential challenges, we strongly believe that more debate is needed on this topic prior to full implementation of various health information technology incentives and reform programs currently being designed and enacted throughout the world. Ultimately, if we do not provide a meaningful way for the full spectrum of health information to be used by both providers and patients, especially early in the health care continuum, effectively improving health outcomes may remain elusive. Summary: We view the primary care practice as a central component of digital information coordination, especially when considering the current challenges of digital health information fragmentation. Given these fragmentation issues and the emphasis on primary care as central to improving health and lower overall health care costs, we suggest that primary care practices should embrace their evolving role and should seek to become digital health information hubs for their patients

Making the Case for Leveraging the Patient-Centered E-Health (PCEH) Context to Expand Information Systems Theory

Patient-centered e-health (PCEH) represents a fascinating area of digitized stakeholder interactions characterized by complex information flows, shared decision making, co-created value, and mutual interest in improving health outcomes. Such a context lies in contrast to often contentious firm-consumer relationships characterized by self-interest, surplus maximization (from both producer and consumer sides), and consumer segmentation. This article suggests that PCEH is an ideal context in which to study the emerging class of information systems that include consumers as empowered influencers, stakeholders, and decision makers, rather than only “purchasers” on the other side of the exchange relationship or “mandated” users in the enterprise context. The PCEH context is proposed as an enormous research opportunity that may significantly contribute to expanding information systems research and theory

Why do some sustainable urban logistics innovations fail? The case of collection and delivery points

Combined with current trends in e-commerce, demand for urban logistic services are putting significant pressure on the environment. While some European examples show that collection-and-delivery points (CDPs) offer a sustainable solution, this is not always the case. This paper explores the mechanisms that support CDPs as sustainable urban logistics innovations while providing viable market offerings. To do so, it analyses a failure case using multiple data sources, such as a consumer survey, interviews and secondary data. Using diffusion of innovations (DoI) theory, the study explains how CDP failed in a developing market setting. Sustainable logistics innovations fail due to both supply chain-related and market-related factors. Significant factors on the supply chain side include network structures, IT integration and diverse value propositions while the market side includes consumer market characteristics, regulations, security issues and convenience of existing alternatives. Important factors for success include looking for horizontal collaboration opportunities, building strong network partnerships with customers and distribution channel actors. CDPs should be positioned as sustainable solutions and complemented with other urban logistics services to diversify the value proposition

It’s Cool! Analysis of Factors That Influence Smart Thermostat Adoption Intention

Smart thermostats represent an innovative smart home technology and a growing commercial opportunity, yet little is known about the salient factors that affect the adoption of such devices. To address this gap in research, we conduct a three-stage study that progresses through belief elicitation, exploratory factor analysis and confirmatory factory analysis within a nomological network. We leverage the mixed methods approach to explore the factorial structure of salient perceived benefits and concerns associated with smart thermostats, and we examine the effects of the emergent factors on the adoption intention. We discover that a novel factor, which we term techno-coolness, is the key predictor of the smart thermostat adoption intention. Techno-coolness encompasses the perceptions that a smart thermostat can make a home look modern and futuristic, be fun to use, and make the user feel technologically advanced. We also find that compatibility concerns as well as privacy concerns are significant impediments to the smart thermostat adoption intention

Unlocking the Smart Home: An Examination of Factors Influencing Smart Lock Adoption Intention

Smart home technologies are a growing trend, yet little is known about factors that drive their adoption, given the spectrum of potential functional, experiential and esthetic benefits they offer. To address this gap in research, we explore the factorial structure of salient perceived benefits and concerns associated with smart locks, and we examine the effects of the emergent factors on the adoption intention. We find that while potential adopters express a broad range of perceived benefits and concerns associated with smart locks, only the perceived relative advantage of smart locks vis-a-vis conventional locks in providing safety and security is significantly correlated with adoption intention. Our results indicate that this perceived relative advantage is a critical consideration in the adoption of smart home technologies that replace existing solutions

People in the E-Business: New Challenges, New Solutions

[Excerpt] Human Resource Planning Society’s (HRPS) annual State of the Art/Practice (SOTA/P) study has become an integral contributor to HRPS’s mission of providing leading edge thinking to its members. Past efforts conducted in 1995, 1996, 1997, 1998, and 1999 have focused on identifying the issues on the horizon that will have a significant impact on the field of Human Resources (HR). This year, in a divergence from past practice, the SOTA/P effort aimed at developing a deeper understanding of one critical issue having a profound impact on organizations and HR, the rise of e-business. The rise of e-business has been both rapid and dramatic. One estimate puts the rate of adoption of the internet at 4,000 new users each hour (eMarketer, 1999) resulting in the expectation of 250 million people on line by the end of 2000, and 350 million by 2005 (Nua, 1999). E-commerce is expected to reach $1.3 trillion by 2003, and of that, 87 percent will go to the business to business (B2B) and 13 percent to the business to consumer (B2C) segments, respectively (Plumely, 2000)

Managing Social Business Hybrids in Global Contexts: The Case of Impact Sourcing Service Providers

This dissertation consists of three related essays that seek to understand the core contingencies and strategies of managing social-business hybrids (SBHs) in global contexts. SBHs are also known as hybrid organizations that run commercial operations with the goal of addressing a social (or environmental) problem. I focus on the empirical case of Impact Sourcing Service Providers (ISSPs) which are SBHs that operate in the global business services industry. These organizations hire and train staff from disadvantaged communities to provide services to regional and international business clients. The first essay contributes to the growing interest in how hybrid organizations manage paradoxical social-business tensions. This study identifies two major growth orientations - ‘community-focused’ and ‘client-focused’ growth - their inherent tensions and ways that hybrids manage them. The former favors slow growth and manages tensions through highly-integrated client and community relations; the latter promotes faster growth and manages client and community relations separately. Both growth orientations address social-business tensions in particular ways, but also create latent constraints that manifest when entrepreneurial aspirations conflict with the current growth path. The second essay examines the strategic potential of hybrid business models in the face of Africa’s persistent difficulties with catching up in established markets. Focusing on the global business services industry in Kenya and South Africa and the practice of impact sourcing, this study argues that while regular providers struggle to compete with global peers, hybrid model adopters manage to access underutilized labor pools through community organizations, and target less competitive niche client markets. In this context, critical industry, institutional and firm-level factors affecting hybrid model adoption are identified further. The third essay investigates the variation in business model configurations of SBHs as a function of the background and aspirations of the social entrepreneur, and the level of domestic competition and global client expectations. This study further introduces the concept of liability of embeddedness, which relates to risks and costs facing hybrids targeting business clients outside of the geographic context within which their social mission is highly valued. This study contributes to research on international social ventures and international business, in specifying antecedents and contingencies of targeting international vs. domestic business clients as a social venture