Barriers to the adoption of health information technology

Information Technology (IT) is successfully applied in a diverse range of fields. Though, the field of Medical Informatics is more than three decades old, it shows a very slow progress compared to many other fields in which the application of IT is growing rapidly. The spending on IT in health care is shooting up but the road to successful use of IT in health care has not been easy. This paper discusses about the barriers to the successful adoption of information technology in clinical environments and outlines the different approaches used by various countries and organisations to tackle the issues successfully. Investing financial and other resources to overcome the barriers for successful adoption of HIT is highly important to realise the dream of a future healthcare system with each customer having secure, private Electronic Health Record (EHR) that is available whenever and wherever needed, enabling the highest degree of coordinated medical care based on the latest medical knowledge and evidence. Arguably, the paper reviews barriers to HIT from organisations’ alignment in respect to the leadership; with their stated values when accepting or willingness to consider the HIT as a determinant factor on their decision-making processes. However, the review concludes that there are many aspects of the organisational accountability and readiness to agree to the technology implementation

Status Quo Bias in Users’ Information Systems (IS) Adoption and Continuance Intentions: A Literature Review and Framework

Information systems (IS) adoption and continuance intentions of users have a dominant effect on digital transformation in organisations. However, organisations undergoing digital transformation face substantial barriers due to user resistance to IS implementations. Status quo bias (SQB) plays a vital role in users’ decision-making regarding adopting new IS or continuing to use existing IS. Despite recent research to validate the effects of SQB on user resistance to IS implementations, how SQB affects the IS adoption and continuance intentions of users remain poorly understood, making it harder to develop ways of successfully dealing with it. To address the gap, we performed a systematic literature review on SQB in IS research. Our proposed framework incorporates the psychological phenomena promoting the status quo, SQB theory constructs, levels of SQB influence, and factors reducing the user resistance to IS implementations to enhance the understanding of IS adoption and continuance intentions

Internet usage trends in medical informatics

Technological growth in the 21st century is exponential. Simultaneously, development of the associated risk, uncertainty and user acceptance are scattered. This required appropriate study to establish people accepting controversial technology (PACT). The Internet and services around it, such as World Wide Web, e-mail, instant messaging and social networking are increasingly becoming important in many aspects of our lives. Information related to medical and personal health sharing using the Internet is controversial and demand validity, usability and acceptance. Whilst literature suggest, Internet enhances patients and physicians’ positive interactions some studies establish opposite of such interaction in particular the associated risk. In recent years Internet has attracted considerable attention as a means to improve health and health care delivery. However, it is not clear how widespread the use of Internet for health care really is or what impact it has on health care utilisation. Estimated impact of Internet usage varies widely from the locations locally and globally. As a result, an estimate (or predication) of Internet use and their effects in Medical Informatics related decision-making is impractical. This open up research issues on validating and accepting Internet usage when designing and developing appropriate policy and processes activities for Medical Informatics, Health Informatics and/or e-Health related protocols. Access and/or availability of data on Internet usage for Medical Informatics related activities are unfeasible. This paper presents a trend analysis of the growth of Internet usage in medical informatics related activities. In order to perform the analysis, data was extracted from ERA (Excellence Research in Australia) ranked “A” and “A*” Journal publications and reports from the authenticated public domain. The study is limited to the analyses of Internet usage trends in United States, Italy, France and Japan. Projected trends and their influence to the field of medical informatics is reviewed and discussed. The study clearly indicates a trend of patients becoming active consumers of health information rather than passive recipients

Data warehousing model for integrating fragmented electronic health records from disparate and heterogeneous clinical data stores

This research was a step forward in developing a data integration framework for Electronic Health Records. The outcome of the research is a conceptual and logical Data Warehousing model for integrating Cardiac Surgery electronic data records. This thesis investigated the main obstacles for the healthcare data integration and proposes a data warehousing model suitable for integrating fragmented data in a Cardiac Surgery Unit

Analysis of Farm Management Information Systems: Opportunities and Pathways for Future Value

Managing and operating an agribusiness involves numerous complex processes, which facilitates activities from the farm fields to selling the harvest. The desire to support core farm processes using information systems is growing among the farmers. This paper evaluates 184 software systems from 130 vendors to make a comprehensive assessment of the availability and opportunities of the core farm business processes. The paper provides nine clusters of business processes and analyses how commercial farm management information systems (FMIS) support those processes. Using an archival analysis to identify the farm processes, we systematically analyzed a wealth of both crop and livestock FMIS to discover the breadth and depth of software features and their relevance in facilitating core agribusiness processes

How Status Quo Bias Affects Digitalization of Agriculture: A Mixed-Method Study of Agri-Business CEOs

This research investigates the chief executive offers’ (CEO) commitment to the status quo and its effects on adopting new technologies in agri-businesses. The study employed a mixed method approach, gathering data from two exploratory case studies and quantitative survey data from 128 agri-business CEOs. The findings identified that despite a myriad of advantages of modern technologies and the growing emphasis for global food security, there is still a strong element of resistance to adopt new technologies associated with status quo bias. The study also identified two new constructs of status quo bias that are unique to agri-businesses. Through the confirmatory survey data, the study established the relative importance of the constructs and how status quo influences the decision to adopt new technologies. Moreover, a series of multi-group analyses identified nuanced views of CEO status quo bias, in relation to firm size, years of experience, age and the gender

Clinical data integration approach using SAS clinical data integration server (CDI) tools

The decisions people make about medical treatments have a great impact on their lives. Health care practitioners, providers and patients often make decisions about medical treatments without complete understanding of the circumstances. The main reason for this is that medical data are available in fragmented, disparate and heterogeneous data silos. Without a centralised data warehouse structure to integrate these data silos, it is highly unlikely and impractical for the users to get all the information required on time to make a correct decision. In this research paper, a clinical data integration approach using SAS Clinical Data Integration Server tools is presented

How Status Quo Bias Affects Digitalization of Agriculture: A Mixed-Method Study of Agri-Business CEOs

This research investigates the chief executive offers’ (CEO) commitment to the status quo and its effects on adopting new technologies in agri-businesses. The study employed a mixed method approach, gathering data from two exploratory case studies and quantitative survey data from 128 agri-business CEOs. The findings identified that despite a myriad of advantages of modern technologies and the growing emphasis for global food security, there is still a strong element of resistance to adopt new technologies associated with status quo bias. The study also identified two new constructs of status quo bias that are unique to agri-businesses. Through the confirmatory survey data, the study established the relative importance of the constructs and how status quo influences the decision to adopt new technologies. Moreover, a series of multi-group analyses identified nuanced views of CEO status quo bias, in relation to firm size, years of experience, age and the gender