Online Health Consultations: Demand and Channel Management

The digitalization of health care services is a growing phenomenon that health care systems across the world are increasingly supporting to reduce public expenditure, provide better services, and increase patient satisfaction. This paper presents a study on the impact measurement of online consultations and the use of online health fora in Denmark. Four ideal types of consultations and digital health fora are presented and discussed, and data on citizen use of physical and online consultations is analysed. Findings show that no substitution between physical and online consultations has taken place so far, as citizens increasingly use both physical consultation, and online consultations. Online consultation provides complementary services, hence leading to increases in total costs, not reductions. The results also call for further research on adoption of user-centered platforms, such as Web 2.0 applications, in the health care area

Information Systems and Healthcare XXXVIII: Virus Outbreak─Online GP Consultations Escalating Healthcare Costs

This article presents a study on the impacts of the uptake of online doctor consultations in Denmark. Drawing on a typology of e-consultations and online patient fora, we provide and discuss a number of scenarios of the financial and managerial impacts of the uptake of e-consultations for the period 2009–2013. The study is based on quantitative data from the national statistics database for the period 2003–2008, and qualitative data from interviews with key actors in the Danish national healthcare system. Findings indicate that the digitalization of consultations and the lack of substitution between e-consultations and physical and phone doctor consultations leads to increases in total costs, not reductions. The results call for further research on the emerging adoption of user-centered platforms, such as Web 2.0 applications, in the healthcare area

LEARNING FROM E-GOVERNMENT: AN AGENDA FOR SOCIAL MEDIA RESEARCH IN IS

As the body of Information Systems (IS) research on social media grows, it faces increasing challenges of staying relevant to real world contexts. In this research-in-progress paper, we analyze and contrast research on social media in the e-government field and in IS research, by reviewing and categorizing 63 studies published in key journal outlets, in order to identify and complement research foci and gaps. We find that in comparison with e-government social media research, IS studies tend to adopt an abstract view of the individual user, focus on a monetary view of value added by social media, and overlook the role of contextual factors. We thus propose an extended framework for mapping social media research, by including a focus on the role of context and environment, and identify a research agenda for future studies on social media-related phenomena relevant to real world contexts

Public-Private Collaboration in the Emergence of a National Electronic Identification Policy: The Case of NemID in Denmark

Governments envisioning large-scale national e-government policies increasingly draw on collaboration with private actors, yet the relationship between dynamics and outcomes of public-private partnership (PPP) is still unclear. The involvement of the banking sector in the emergence of a national electronic identification (e-ID) in Denmark is a case in point. Drawing on an analysis of primary and secondary data, we adopt the theoretical lens of collective action to investigate how transformations over time in the convergence of interests, the interdependence of resources, and the alignment of governance models between government and the banking sector shaped the emergence of the Danish national e-ID. We propose a process model to conceptualize paths towards the emergence of public-private collaboration for digital information infrastructure – a common good.

Introduction to Social Media and Government Minitrack

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Characteristics Of Social Networking Services

Social networking services (SNSs) have recently emerged as a research topic of interest, in line with their commercial success and popularity. They are internet (sometimes mobile) services that have, as a primary purpose, the building and sustaining of users’ social networks. In this article we conduct two analyses. We review the existing literature on social networking software, and we examine the functionality of four leading social networking services: Facebook, MySpace, Second Life, and Twitter. The two analyses are iteratively matched to provide an initial account of six characteristics evident both the in services themselves, and the literature which discusses them. The characteristics help shape the area of study, and can be tested and developed by more rigorous forms of research

E-konsultationer og policy udfordringer

Næsten hver anden dansker anvender internettet til, at søge efter sundhedsrelateret information, mens det for EU-15 landene kun er godt hver tredje gennemsnit. Hvor det i 2004 var 27 procent, var det i 2009 46 procent der søgte information på nettet, svarende til en vækst på 70%. Brug af nettet til at søge efter sundhedsrelateret information er ikke et ungdomsfænomen eller en krusning i vandoverfladen. Denne rapport peger på at brugen af internettet herunder brugen af sociale netværksteknologier som Facebook, etc. kan lede til yderligere vækst i e-mail konsultationerne, der i 2009 nåede nye højder.....

Effekter og styringsmæssige udfordringer

Denne forskningsrapport er udarbejdet som led i et forstudie af effektmåling og ledelse af sundhedsit. Studiet er gennemført 2008-09 som led i faggruppen ledelse og effektmåling under Sundhedsitnet. Sundhedsitnet er et højteknologisk netværk med deltagere fra private firmaer, vidensinstitutioner og offentlige institutioner. Sundhedsitnet er placeret ved Alexandra Institutet. Mere information om netværkets aktiviteter kan indhentes via http://www.sundhedsitnet.dk/ Effektmåling af sundhedsydelser er et af de mest omdiskuterede og kontroversielle evalueringsfelter. Klinikernes og de sundhedsprofessionelles fokus på sundhedsfaglige vurderinger, menneskelige og langsigtede hensyn står hyppigt i direkte modsætning til administrative og økonomiske prioriteringshensyn. I denne rapport har vi sammenfattet og søgt at finde vej i den jungle af sundhedsfora og konsultationstyper der vokser frem i disse år. Dermed er den et input til den videre afklaring af forskningsagenda indenfor sundhedsit og et direkte input til den styrings- og effektmålingsdiskussion som trænger sig på indenfor dette felt. Rapporten er i tråd med Van de Ven’s nyligt udkomne bog om at foretage engageret forskning, hvor samspillet mellem teori, praksis udfordringer, løsninger og modelopstilling er målestokken for forskningsprocessen og for outputtet af denne (Van de Ven, 2007). Hensigten er ikke at stoppe digitaliseringen af konsultationen, tværtimod. Hensigten er at fremme digitaliseringen så den får endnu mere fart på og bliver en del af den ressourceprioriteringsopgave der er så påtrængende indenfor sundhedssektoren

Strategies, Business Models, and Management Model

European Commission funded research is driven by the objective of integrating excellent research in Europe by using public funding to gain momentum and sustainability. This paper presents the results of an analysis of the management patterns of 20 Networks of Excellence. Our analysis indicates an absence of business management competences in the project consortia and unclear criteria for sustainability. Sustainability strategies appear to be ad hoc driven and orchestrated by the project monitoring events, rather than built in the consortia management structure. The paper advocates for bringing onboard conventional management models along with strategic positioning, business models, and business plans

Folkeskolernes brug af internettet

De danske folkeskolers indsats med anvendelse af internettet til at levere data om karakterer og trivselsmål halter ikke blot bagefter, men er endog meget langt fra målsætninger om åbenhed og gennemsigtighed. Det var ellers et meget klart formuleret krav i Lov om gennemsigtighed og åbenhed i uddannelserne m.v. (vedtaget tilbage i 2002) samt i 360 graders eftersynet af skolerne, der i den netop udkomne rapport bl.a. anbefalede langt stærkere fokus på resultater. En kortlægning af 200 folkeskoler jævnt fordelt på de fem regioner viser, at det stadig i langt overvejende er generel information om skolerne, der dominerer hjemmesiderne, og at folkeskolerne ikke har integreret eksempelvis karaktergennemsnit og andre forbrugerdata på hjemmesiderne. I stedet skal forældre og børn gå via andre informationskanaler for at få data om karakterer for den enkelte skole. Det kan eksempelvis ske via UNI-C eller CEPOS. Ud af de undersøgte 200 folkeskoler er det kun 15% af skolerne, der kommer op på et niveau, hvor de er på omdrejningshøjde med målsætninger om gennemsigtighed og sammenlignelighed via internettet. De øvrige 85% halter så meget bagefter, at undersøgelsen konkluderer, at det er vanskeligt at se loven er internaliseret i den digitale ledelse og kommunikation til brugerne. Der kan være to mulige årsager til dette. Enten er skolerne uvidende om hvordan man lægger informationer op på nettet eller de forsøger bevidst at undgå sammenlignelighed og tilgængelighed. Uanset om det skyldes manglende viden eller modvilje, er resultatet, at danske børn og forældre i praksis er ladt i stikken af skolerne. Der findes flere portaler og online databaser, hvor data for karaktergennemsnit fordelt på fag og klassetrin kan findes. Det er imidlertid kun en lille del af folkeskolerne, der benytter denne mulighed. Mange af de skoler, der linker til data, tager så betydelige forbehold for disse data, at det langt fra stimulerer brugerne til at hente, anvende og vurdere oplysninger om karakterer