Post-Acceptance of Electronic Medical Records: Evidence from a Longitudinal Field Study

Many studies investigating post-acceptance of electronic medical records (EMR) assume that healthcare professionals exclusively base their continuance behavior on reasoned actions. While rational considerations certainly affect the intention to use an EMR, it does not fully explain the definitive user continuance behavior. Evidence exists that also subliminal effects such as habits and emotions play an important role. Consequently, we propose to investigate post-acceptance of EMR applying three different, but complementary views: (i) continuance behavior as result of reasoned actions, (ii) continuance behavior as result of emotional responses, and (iii) continuance behavior as result of habitual responses. The results from a longitudinal field study showed that automatic behavior, enabled by sufficient facilitating conditions and a good task-technology-fit, as well as positive emotions considerably affected healthcare professionals EMR continuance behavior. It also showed that a user’s computer literacy level didn’t play a significant role regarding the post-acceptance behavior

Supplier Relationship Management im Krankenhaus

Zusammenfassung: Strukturelle Veränderungen des Gesundheitswesens und eine zunehmende Marktdynamik führen dazu, dass sich Krankenhäuser verstärkt um Prozessoptimierung und Kosteneinsparungen bemühen müssen. Eine aktive und differenzierte Gestaltung der Beziehungen zu Lieferanten gewinnt dabei immer mehr an Bedeutung. Die Fallstudie aus dem Universitätsspital Zürich zeigt, dass durch Einführung verschiedener Instrumente des Supplier Relationship Management (SRM) erhebliche Vorteile entstehen können. Aus organisatorischer Sicht kann durch Gründung eines Einkaufsverbunds Markttransparenz geschaffen werden, was später bei Verhandlungen über Preise und Konditionen genutzt werden kann. Aus technischer Sicht kann durch Einführung verschiedener E-Procurement-Tools nicht nur die Effizienz gesteigert, sondern auch die Qualität der Informationen erhöht werden. Dabei profitiert sowohl die Einkaufsabteilung als auch das Pflegepersona

Satisfaction with Open Government Data Portals: A User-Centric Configurational Perspective

Open Government Data (OGD) has become an important theme of digital transformation strategies as it promises data-driven innovation and greater transparency in government. Many governments have chosen to implement national data portals to grant access to large amounts of public sector datasets. However, the expected uptake by the economy and society has been slow, and criticism towards the basic idea of open government is growing. In this paper, we take an in-depth look at how the perceptions of the features of the portal lead to users’ satisfaction with the OGD portal. Taking a user- centred perspective, we apply a fuzzy-set Qualitative Comparative Analysis methodology to identify different configurations which lead users to be satisfied with the OGD portal. Based on our empirical analysis, we formulate concrete recommendations on how the results can be used to define tailor-based strategies targeting the features of the OGD portals

ON THE UTILITY OF E-HEALTH BUSINESS MODEL DESIGN PATTERNS

New information technologies are not only enabling new health services, but also innovative business models. As the business model defines how value is created, delivered, as well as captured by an e-health service, it is key to the service’s economic success. However, business professionals responsible for developing e-health services often feel overwhelmed when it comes to the design of a correspond-ing business model because they lack the respective knowledge and experience. In this situation, de-sign patterns can be of help as they document instantiated business model logics for reuse. Since exist-ing business model design patterns are not specific to the e-health domain, they are not easily trans-ferred to an e-health business model. In this paper, we introduce the concept of e-health business model design patterns by creating a corresponding template and by identifying as well as documenting 37 of them. The utility of these design patterns is evaluated in focus groups with business professionals from the e-health domain. We show that e-health design patterns are useful as they provide insights into business model logics, enhance the understanding regarding relevant actors and the respective value flows, foster discussions, support creativity in the design itself, and offer guidance in design de-cisions

Health promotion with physiolytics: What is driving people to subscribe in a data-driven health plan?

Data-driven health promotion programs and health plans try to harness the new possibilities of ubiquitous and pervasive physiolytics devices. In this paper we seek to explore what drives people to subscribe to such a data-driven health plan. Our study reveals that the decision to subscribe to a data-driven health plan is strongly influenced by the beliefs of seeing physiolytics as enabler for positive health behavior change and of perceiving health insurances as trustworthy organizations that are capable of securely and righteously manage the data collected by physiolytics

Beyond Panoptic Surveillance: On the Ethical Dilemmas of the Connected Workplace

Technological advances such as the Internet-of-Things, big data, and artificial intelligence have enabled new ways of managerial oversight moving away from panoptic surveillance to what we call “connected surveillance”. The COVID-19 pandemic has accelerated the adoption of connected surveillance which purpose is not only scruitizing employees’ work performance but also health, personal beliefs, and other private matters. With the implementation of connected workplaces, therefore, various ethical dilemmas arise. We highlight four emerging dilemmas, namely: (1) the good of the individual versus the good of the community, (2) ownership versus information disclosure, (3) justice versus mercy, and (4) truth versus loyalty. We discuss those ethical dilemmas for the case of corporate wellness programs which is frequently used as guise to introduce connected surveillance. Following a socio-technical perspective, we discuss ethical responses that focus on people involvement and technology assessment. We also highlight practical responses that can aim at mitigating the dilemmas