Elizabeth A. Regan

Factors Influencing e‐commerce Adoption and Use by Small and Medium Businesses

The literature provides an extensive list of incentives and barriers to adoption and use of e‐business and e‐commerce information technology (EEIT) by small and medium businesses (SMEs). The objective of this current research was to consolidate these factors and determine their level of influence, either positively or negatively from the adopters perspective, on the adoption decision. A set of 26 factors, used as variables in various adoption models from the literature, were presented in a neutral manner, without pre‐classifying them as barriers or incentives, through a survey sent to SMEs. Respondents were asked to rate the effect of these factors on their EEIT adoption decisions. In addition to examining all respondents, the analysis compares perceived differences among factors for SMEs that have adopted a business website, those that intend to adopt and those that will not adopt. Sixteen of the factors were found significant, ten as incentives and six as barriers. The only consistent factor across all...

Realizing the Value of EHR Systems Critical Success Factors

Now that a majority of hospitals and primary care physicians have made the transition to electronic health record EHR systems, realizing value from this investment has become a major issue. The issue raises two key questions: Why do so many EHR implementations continue to fall short of achieving intended healthcare outcome goals? What differentiates those that succeed from those that fall short? This article builds on prior research using a systems framework to analyze the EHR implementation process. It focuses on ten common themes CSFs that appear to differentiate institutions which achieve positive healthcare outcomes from those that do not. Results are highly relevant for healthcare institutions now seeking to focus on realizing the value of their EHR systems.