IS-Driven Process Reengineering: China\u27s Public Health Emergency Response to the SARS Crisis

A process reengineering perspective suggests that public health emergency response requires a low degree of mediation and a high degree of collaboration. Employing a functional coupling framework, this paper analyzes China’s former public health processes and describes the ongoing development of the public health emergency information system (PHEIS) in China. Five problems of the former public health processes are identified, which have largely limited China’s ability to respond to public health emergencies efficiently and effectively. The structure and functions of PHEIS are described, and the facilitation of PHEIS as part of China’s public health process reengineering is explained. In addition, this paper discusses implications for future public health emergency information system development

Face Loss and Resistance to Clinical Decision Support Systems

From the face saving perspective, this paper attempts to investigate the factors influencing physicians’ resistance of clinical decision support systems (CDSS) in outpatient settings. We develop a research model which posits that physician resistance of CDSS is determined not only by their rational perceptions of CDSS’ usefulness, but also by their sociocultural perceptions of face loss. To contextualize theory development, we include a moderator – time pressure, which is unique for physicians’ decision context. By proposing that time pressure can strengthen both the negative impact of perceived usefulness and the positive impact of face loss on CDSS resistance, we attempt to demonstrate that time pressure’s effects are paradoxical: it plays dual roles in both facilitating and reducing resistance. This paper takes a unique perspective to understand physician resistance behavior, and we expect it to make an important contribution to HCI research and practice

INVESTIGATING FACTORS INFLUENCING STUDENTS’ LEARNING IN A TEAM TEACHING SETTING

Team teaching factors, including mission clarity, affiliation, innovativeness, and fairness, are examined to determine how they influence student learning in a team-taught course. The study involved 184 college students enrolled in an Introduction to Computers course delivered in a team-taught format in a large university located in the United States. The collaborative teaching design followed a traditional team teaching approach with an instructor team teaching the same course collaboratively. Students enrolled in the team-taught course filled out an online survey targeted at identifying key factors that influence student-based outcomes (satisfaction and competency) in the course. Results showed that instructor team mission clarity, affiliation, and fairness are significantly related to students’ satisfaction while instructor team mission clarity and fairness are significantly related to students’ competency

Understanding Online Health Information Use: The Case of People with Physical Disabilities

In this paper, we study the online health information use behavior of people with physical disabilities. Drawing on rational choice theory and IS success model, we develop a contextualized research model to explain how individuals’ level of physical disability moderates the effects of object- and outcome-based beliefs. We empirically tested the model with survey data from 243 online users with physical disabilities. The results show that perceived benefit enhances, whereas perceived risk reduces, online health information use. Information quality and system quality increase perceived benefit and mitigate perceived risk. In addition, we found that accuracy, completeness, currency, and transparency of online health information predict information quality, whereas accessibility, navigability, and readability of online health information predict system quality. More importantly, we found that physical disability weakens the effect of information quality on perceived risk, strengthens the effect of system quality on perceived risk, and strengthens the effect of perceived benefits on information use. This research contributes to the IS literature by focusing on the minority group of people with physical disabilities and providing an in-depth understanding of their online health information use behavior

AI Aversion: A Task Dependent Multigroup Analysis

Artificial Intelligence (AI) has been a subject of great interest for its potential to enhance human intelligence. However, existing findings suggest that user opinions about AI are mixed, with some embracing it while others express deep concern and try to avoid it. Here, we conducted a comprehensive review of relevant research to identify potential antecedents to AI aversion. Based on the theory of effective use and the adaptive structuration theory, we collapsed the precursors into four dimensions to develop a concise research model that holistically explains users’ AI aversion. We then conducted online experiments to test the hypotheses empirically. The results indicate that perceived AI bias and perceived social influence are strong predictors of AI aversion. Additionally, a significant difference was found between the simple and complex task groups. These findings provide insights into the factors that contribute to AI aversion and have implications for designing and developing AI systems

The Road to Business-IT Alignment: A Case Study of Two Chinese Companies

Business information technology alignment (BITA) has been found to improve firm performance. Yet little is known about the process through which firms achieve BITA. Less is known about this process in China, the fastest-growing economy in the world. We conducted case studies with two Chinese firms. We first used the Strategic Alignment Maturity assessment model to evaluate these two firms’ BITA degree. Then we applied punctuated equilibrium Theory to study the firms’ dynamic BITA changing process. The results reveal BITA revolutions and identify their external and internal antecedents. Consistent with prior research, we find that the competitive environment, macro environment, performance deterioration, leadership change, and perception transformation contribute to revolutionary changes of BITA. More important, we find some unique impetuses of revolutionary changes of BITA in China, which include government support, organizational inertia, and social culture preferences. Theoretical and managerial implications of these findings are discussed

Organization Structural and Cultural Influences in Hospital Information Systems Integration

Information systems (IS) integration has long been regarded as the result of various information technology (IT) related problems within the IS architecture and IT infrastructure. This study takes a new approach to examining the origins of IS integration problems from an organizational context perspective. Based on a 30-month longitudinal study at a 1,050 registered bed large teaching hospital, this paper shows that the complexity of organizational structural and cultural influence is a main factor that gives rise to hospital IS integration challenges. Theoretical and practical implications of this study are also discussed

Trust in Online Prescription Filling

This paper examines the impact of trust and uncertainty on online prescription filling. Drawing on prior research in consumer trust and theory of transaction cost economics, this paper proposes a research model to investigate the precedents of trust, the sources of uncertainty, and their relationships with the consumer’s intention to adopt online prescription filling. The model was empirically tested using a large sample. It is found that (1) calculative, knowledge-based, and institutional antecedents of trust significantly affect trust, (2) information asymmetry and online drug retailers’ opportunistic behavior contribute to perceived uncertainty of online prescription filling, (3) trust reduces uncertainty and positively affects intention, and (4) uncertainty has a negative influence on intention. A major contribution of this paper is that the understanding of trust on consumer intention is augmented by including uncertainty and its sources explicitly in the research model

Investigating Factors Influencing Telemedicine Usage in Developing Countries

Telemedicine has a strategic role in providing timely medical care and containing the spread of infectious diseases. Despite its importance, telemedicine is largely underdeveloped in developing countries. This paper attempts to explore the factors influencing telemedicine usage by conducting case studies in two Chinese hospitals. Based on a research model we proposed, factors are identified that are likely to affect the use of telemedicine