Pradeep Ray

Trustworthiness in mHealth information services: An assessment of a hierarchical model with mediating and moderating effects using partial least squares (PLS)

The aim of this research is to advance both the theoretical conceptualization and the empirical validation of trustworthiness in mHealth (mobile health) information services research. Conceptually, it extends this line of research by reframing trustworthiness as a hierarchical, reflective construct, incorporating ability, benevolence, integrity, and predictability. Empirically, it confirms that partial least squares path modeling can be used to estimate the parameters of a hierarchical, reflective model with moderating and mediating effects in a nomological network. The model shows that trustworthiness is a second‐order, reflective construct that has a significant direct and indirect impact on continuance intentions in the context of mHealth information services. It also confirms that consumer trust plays the key, mediating role between trustworthiness and continuance intentions, while trustworthiness does not have any moderating influence in the relationship between consumer trust and continuance intentions. Overall, the authors conclude by discussing conceptual contributions, methodological implications, limitations, and future research directions of the study.

Ontology mapping for the interoperability problem in network management

Interoperability between different network management domains, heterogeneous devices, and various management systems is one of the main requirements for managing complex enterprise services. While substantial advances have been made in low-level device and data interoperability using common data formats and specifications such as simple network management protocols (SNMPs) SMI and TMFs SID, various interoperability issues including semantic interoperability offer interesting research challenges. While semantic interoperability is a difficult problem in its own right, the semantic web that incorporates intelligent agents necessitates an interoperability solution requiring agents to communicate unambiguously and reason intelligently to perform cooperative management tasks. Agents need a formal representation of knowledge; an ontology is capable of modeling the rich semantics of the managed environment (and especially, relationships between managed entities) so that agents can act on them. This paper presents an ontology-driven approach for solving the semantic interoperability problem in the management of enterprise services, illustrated here with a router configuration management application.

Development and validation of an instrument to measure user perceived service quality of mHealth

The role of service quality in fostering the growth of mHealth services has gained much attention in the academic and practitioner communities. However, empirical research in this area has been beset by inadequate conceptualization and the lack of a validated scale. This study addresses these limitations by theoretically conceptualizing and empirically validating a multidimensional service quality scale in the mHealth context. The findings show that mHealth service quality is a hierarchical, multidimensional, and reflective construct, which consists of three primary dimensions and eight subdimensions. The results also confirm that the mHealth service quality scale is more effective at predicting satisfaction and continuance in a nomological network.

Designing an evaluation framework for IT service management

Applying IT Service Management (ITSM) is a key issue in the management of an organisations IT function. The IT Infrastructure Library (ITIL) is the most popular and influential framework for applying ITSM. With adoption growing globally it is important to understand the benefits that ITIL processes can bring to an organisation. To date the benefits of implementing and using ITIL processes have been predicted or assumed with very little research and minimal anecdotal evidence. We present a design of a holistic evaluation framework for ITSM improvement efforts with particular focus on ITIL.

Service quality of mHealth platforms: development and validation of a hierarchical model using PLS

Advancing research on service quality requires clarifying the theoretical conceptualizations and validating an integrated service quality model. The purpose of this study is to facilitate and elucidate practical issues and decisions related to the development of a hierarchical service quality model in mobile health (mHealth) services research. Conceptually, it extends theory by reframing service quality as a reflective, hierarchical construct and modeling its impact on satisfaction, intention to continue using and quality of life. Empirically, it confirms that PLS path modeling can be used to estimate the parameters of a higher order construct and its association with subsequent consequential latent variables in a nomological network. The findings of the study show that service quality is the third-order, reflective construct model with strong positive effects on satisfaction, continuance intentions and quality of life in the context of mHealth services. Finally, the study discusses the implications of hierarchical service quality modeling in electronic markets and highlights future research directions.

Health Care Provider Adoption of eHealth: Systematic Literature Review

Background eHealth is an application of information and communication technologies across the whole range of functions that affect health. The benefits of eHealth (eg, improvement of health care operational efficiency and quality of patient care) have previously been documented in the literature. Health care providers (eg, medical doctors) are the key driving force in pushing eHealth initiatives. Without their acceptance and actual use, those eHealth benefits would be unlikely to be reaped. Objective To identify and synthesize influential factors to health care providers’ acceptance of various eHealth systems. Methods This systematic literature review was conducted in four steps. The first two steps facilitated the location and identification of relevant articles. The third step extracted key information from those articles including the studies’ characteristics and results. In the last step, identified factors were analyzed and grouped in accordance with the Unified Theory of Acceptance and Use of Technology (UTAUT). Results This study included 93 papers that have studied health care providers’ acceptance of eHealth. From these papers, 40 factors were identified and grouped into 7 clusters: (1) health care provider characteristics, (2) medical practice characteristics, (3) voluntariness of use, (4) performance expectancy, (5) effort expectancy, (6) social influence, and (7) facilitating or inhibiting conditions. Conclusions The grouping results demonstrated that the UTAUT model is useful for organizing the literature but has its limitations. Due to the complex contextual dynamics of health care settings, our work suggested that there would be potential to extend theories on information technology adoption, which is of great benefit to readers interested in learning more on the topic. Practically, these findings may help health care decision makers proactively introduce interventions to encourage acceptance of eHealth and may also assist health policy makers refine relevant policies to promote the eHealth innovation.

Towards an ontology for data quality in integrated chronic disease management: A realist review of the literature

PURPOSE Effective use of routine data to support integrated chronic disease management (CDM) and population health is dependent on underlying data quality (DQ) and, for cross system use of data, semantic interoperability. An ontological approach to DQ is a potential solution but research in this area is limited and fragmented. OBJECTIVE Identify mechanisms, including ontologies, to manage DQ in integrated CDM and whether improved DQ will better measure health outcomes. METHODS A realist review of English language studies (January 2001-March 2011) which addressed data quality, used ontology-based approaches and is relevant to CDM. RESULTS We screened 245 papers, excluded 26 duplicates, 135 on abstract review and 31 on full-text review; leaving 61 papers for critical appraisal. Of the 33 papers that examined ontologies in chronic disease management, 13 defined data quality and 15 used ontologies for DQ. Most saw DQ as a multidimensional construct, the most used dimensions being completeness, accuracy, correctness, consistency and timeliness. The majority of studies reported tool design and development (80%), implementation (23%), and descriptive evaluations (15%). Ontological approaches were used to address semantic interoperability, decision support, flexibility of information management and integration/linkage, and complexity of information models. CONCLUSION DQ lacks a consensus conceptual framework and definition. DQ and ontological research is relatively immature with little rigorous evaluation studies published. Ontology-based applications could support automated processes to address DQ and semantic interoperability in repositories of routinely collected data to deliver integrated CDM. We advocate moving to ontology-based design of information systems to enable more reliable use of routine data to measure health mechanisms and impacts.

mHealth Technologies for Chronic Diseases and Elders: A Systematic Review

mHealth (healthcare using mobile wireless technologies) has the potential to improve healthcare and the quality of life for elderly and chronic patients. Many studies from all over the world have addressed this issue in view of the aging population in many countries. However, there has been a lack of any consolidated evidence-based study to classify mHealth from the dual perspectives of healthcare and technology. This paper reports the results of an evidence-based study of mHealth solutions for chronic care amongst the elderly population and proposes a taxonomy of a broad range of mHealth solutions from the perspective of technological complexity. A systematic literature review was conducted over 10 online databases and the findings were classified into four categories of predominant mHealth solutions, that is, self-healthcare, assisted healthcare, supervised healthcare and continuous monitoring. The findings of the study have major implications for information management and policy development in the context of the Millennium Development Goals (MDGs) related to healthcare in the world.

Electronic Medical Records: A Review Comparing the Challenges in Developed and Developing Countries

Studies on the adaptation of electronic medical and personal health records in developing countries are scarce. There are sharp differences between barriers to adaptation and implementation in developing countries to that of developed countries. This paper examines the challenges faced by developing countries toward the development, progression and sustainability of electronic medical records. The paper also provides a review of implementation of varying types of electronic medical data management systems in developing countries.

The Need for Technical Solutions for Maintaining the Privacy of EHR

Electronic Health Records (EHR)/Electronic Patient Records (EPR)/Electronic Medical Records (EMR) provide the basis for e-Health services. Since information in these records (containing patient healthcare information) need to be shared amongst multiple healthcare providers and healthcare professionals, privacy issues of EHR have been a major inhibitor in the implementation of EHR/EMR/EPR systems. This paper presents EHR privacy requirements in the context of two major e-Health frameworks, namely HealthLink in Australia and HIPAA in USA. The paper concludes with a discussion of some evolving Web-based solutions