Anastasia Papazafeiropoulou

An evaluation framework for Health Information Systems: human, organization and technology-fit factors (HOT-fit).

BACKGROUND AND PURPOSE The realization of Health Information Systems (HIS) requires rigorous evaluation that addresses technology, human and organization issues. Our review indicates that current evaluation methods evaluate different aspects of HIS and they can be improved upon. A new evaluation framework, human, organization and technology-fit (HOT-fit) was developed after having conducted a critical appraisal of the findings of existing HIS evaluation studies. HOT-fit builds on previous models of IS evaluation--in particular, the IS Success Model and the IT-Organization Fit Model. This paper introduces the new framework for HIS evaluation that incorporates comprehensive dimensions and measures of HIS and provides a technological, human and organizational fit. METHODS Literature review on HIS and IS evaluation studies and pilot testing of developed framework. The framework was used to evaluate a Fundus Imaging System (FIS) of a primary care organization in the UK. The case study was conducted through observation, interview and document analysis. RESULTS The main findings show that having the right user attitude and skills base together with good leadership, IT-friendly environment and good communication can have positive influence on the system adoption. CONCLUSIONS Comprehensive, specific evaluation factors, dimensions and measures in the new framework (HOT-fit) are applicable in HIS evaluation. The use of such a framework is argued to be useful not only for comprehensive evaluation of the particular FIS system under investigation, but potentially also for any Health Information System in general.

Investigating evaluation frameworks for health information systems

BACKGROUND AND PURPOSE Evaluation of health information systems (HIS) enables the assessment of the extent to which HIS are fulfilling their objectives in supporting the services of healthcare delivery. This paper presents an overview of evaluation in health informatics and information systems. METHODS Literature review on discourses, dimensions and methods of HIS and IS evaluation. A critical appraisal of selected HIS and IS evaluation frameworks is undertaken in order to identify HIS evaluation dimensions and measures. The frameworks are compared based on their inclusion of human, organizational and technological factors. RESULTS We found that an increasing number of evaluation studies deal with two distinct trends of HIS: one considers human and organizational issues and the other is concerned with the employment of a subjectivist approach. Our review indicates that current evaluation methods complement each other in that they evaluate different aspects of HIS and they can be improved upon. CONCLUSIONS Evaluation is complex; it is easy to measure many things but not necessarily the right ones. Nevertheless, it is possible to consider, a HIS evaluation framework with more comprehensive and specific measures that would incorporate technological, human and organizational issues to facilitate HIS evaluation.

A web of stakeholders and strategies: a case of broadband diffusion in South Korea

When a new technology is launched, its diffusion becomes an issue of importance. There are various stakeholders that influence diffusion. The question that remains to be determined is their identification and roles. This paper outlines how the strategies pursued by a government acting as the key stakeholder affected the diffusion of a new technology. The analysis is based on a theoretical framework derived from innovation diffusion and stakeholder theories. The empirical evidence comes from a study of broadband development in South Korea. A web of stakeholders and strategies is drawn in order to identify the major stakeholders involved and highlight their relations. The case of South Korea offers implications for other countries that are pursuing broadband diffusion strategies.

Consumer adoption and usage of broadband in Bangladesh

This study examines empirically the factors affecting the adoption of broadband in Bangladesh. This study is part of a wider research looking to explore consumer adoption of broadband services in various geographical and national settings. Thus, attitudinal, normative and control factors to provide insights into broadband adopters and non-adopters as identified in the literature are examined together with usage of broadband. The findings of this paper suggest that attitude, primary influence, secondary influence and facilitating conditions resources are important factors for explaining behavioural intentions to adopt broadband. The paper also outlines the contributions, implications and limitations of this research.

Handbook of Research on Global Diffusion of Broadband Data Transmission

Large investments have been made by various governments for the deployment of broadband within their respective nations; however, the citizens of such countries have demonstrated a slow adoption of this technology. The Handbook of Research on Global Diffusion of Broadband Data Transmission explores broadband adoption and the digital divide through a global perspective, providing up-to-date research on constructs such as relative advantage, utilitarian outcomes, hedonic outcomes, and service quality. Compiling cutting-edge research from over 100 noted experts in nearly 30 countries, this invaluable reference source allows policy makers, internet service providers, and others to gain multicultural insight into what factors actively influence consumers decisions to adopt broadband.

Examining the influence of service quality and secondary influence on the behavioural intention to change internet service provider

Although the broadband market has considerably matured, follow-up research on the continued adoption of broadband is yet to be conducted. The aim of this research was therefore to investigate empirically the influence of service quality and secondary influence on consumers’ behavioural intention to change from their existing internet service provider (ISP) to an alternative service provider. The investigation focuses upon broadband household consumers within the UK. The study was conducted using a postal survey; a self-administered questionnaire was sent to 1600 households and a total of 358 completed replies were obtained. The results suggest that both service quality and secondary influence were significantly correlated to consumers’ behavioural intentions to change ISP. The implications of these findings are presented, followed by a discussion of the limitations of this research and future research directions.

Exploring the commercial value of social networks: Enhancing consumers’ brand experience through Facebook pages

Purpose – The purpose of this paper is to understand the factors which impact upon the consumers’ willingness to utilise company Facebook pages and e-word-of mouth by proposing and testing a conceptual framework which is inspired by theories in marketing and information systems fields. The authors believe that only by applying both theories will provide a more complete understanding of the relationship between brand experience and Facebook. The research model attempts to illustrate the factors according to customers’ intrinsic and extrinsic motivations and their impact on brand experience, brand Facebook page loyalty and e-word-of-mouth (E-WOM). Design/methodology/approach – The authors adopted an online survey method for data collection. The subjects the authors used were Facebook users. The data were collected in Taiwan over spring 2011. The authors then used the structural equation model to analyse the data collected. Findings – The findings suggest that users are influenced by the technical characteri...

Applying the stakeholder concept to electronic commerce: extending previous research to guide government policy makers

Stakeholder analysis has become popular in the management literature, since the 1980s but is usually accompanied by debate about its use and scope. Later on, the view that the consideration of various types of stakeholders is beneficiary for organisations has been borrowed by the information systems literature where it was realised that successful implementation of information systems does not depend only on technical aspects. In this paper we examine how the use of stakeholder concept can be expanded outside the boundaries of a company or a group of companies, helping at the implementation of a successful electronic commerce policy from national governments.

A framework for best practices in electronic commerce awareness creation

The rapid growth of electronic commerce technologies and practices has created a tremendous need for awareness creation for organisations such as small and medium‐sized enterprises which seem to lack the necessary information about technology, business practices, investment cost and human capital. Often, the professional organisers of awareness activities are also uncertain about best practice in electronic commerce awareness creation. Thus, although a number of initiatives have taken place in Europe, they have failed to produce the expected results. This paper describes how a project funded by the European Commission (WeCAN) defined and evaluated a number of awareness models in electronic commerce in order to support organisations involved in awareness creation such as chambers of commerce, consulting companies and higher educational institutions.

Inter-Organisational Collaboration towards Process Integration in the Public Sector. E-Government Collaboration in Egypt

This paper demonstrates the importance of collaboration between government departments as a backbone for inter-organizational integration between agencies such as ministries. We argue that the challenges related to e-government adoption can be partially attributed to the lack of standard collaboration practices between government agencies. We use the case of the foreign financing decision making process in Egypt as an example of a government process where close collaboration between government agencies such as ministries and the central bank of Egypt is essential. Our research identified a number of organizational and interorganizational problems such as difficulties in tracking and documenting the decision making process across different departments within and across government agencies. Based on our empirical findings, this paper proposes a framework for effective inter-governmental collaboration in the case of the Egyptian government in particular and e-government adoption in general.