IT Adoption, Diffusion, and Evaluation in Healthcare

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    Why do Visitors intend to use Indoor Navigation and Indoor Localization Systems in Hospitals? A Quantitative Survey from Germany
    ( 2021-01-05) Wichmann, Johannes ; Leyer, Michael
    Hygiene is a very important topic in hospitals. Indoor Navigation/Indoor Localization (IN/IL) approaches are an effective way to minimize unplanned interactions and thus infections in hospitals. As hospitals are a relatively new area for the implementation of IN/IL systems, this research contributes to the field as it investigates the reasons for its acceptance by hospital visitors as an important target group. We surveyed 323 visitors in Germany concerning their reasons and intention to use an IN/IL system in a hospital. The results show that intention to use is quite high with attitude being the main predictor, perceived norms having some influence and behavioral control not being relevant at all. Thus, we highlight that the reasoned action approach is suitable for the analysis and crystallize the relevant factors influencing usage intention. The results contribute to our understanding how to convince visitors in hospitals to use IN/IL systems.
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    Towards a theoretical model of dashboard acceptance and use in healthcare domain
    ( 2021-01-05) Isazad Mashinchi, Mona ; Ojo, Adegboyega ; Sullivan, Francis J.
    The objective of this paper is to investigate existing factors related to the decision to adopt and use of dashboards in the healthcare domain using a systematic literature review approach. The study is part of a larger initiative on how analytics dashboards can support decisions in value-based prostate cancer treatment and care. Although many studies have been undertaken to evaluate the implementation of health information technologies in the healthcare sector, as far as we know, none of these studies provides a framework for dashboards use in the healthcare context. We believe that the resulting model from our study provides the necessary first step in developing empirical evidence for the acceptance and use of the dashboards in the healthcare domain.
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    Supporting Seniors in Independent and Healthy Ageing through ICT: Insights from a Value-Focused Thinking Study in Latvia, Poland and Sweden
    ( 2021-01-05) Soja, Ewa ; Soja, Piotr ; Kolkowska, Ella ; Kirikova, Marite ; Muceniece, Agneta
    The 2019 WHO symposium on the future of digital health systems emphasized the importance of putting the individuals at the center of their own health and well-being. Consequently, strategies for active and healthy ageing should comply with older people’s needs and requirements. In this paper, we applied the value-focused thinking approach to investigate the values held by seniors in Latvia, Poland and Sweden in the context of implementation of ICT for active and healthy ageing. Based on interviews with seniors, thirteen value-based objectives were identified and compared with domains of Active Ageing Index (AAI), a country-level measure of healthy and active ageing. The main findings imply that ICT is an important means of attaining the higher level of the AAI. To this end, taking into consideration value-based objectives held by seniors appears a necessary condition. Further, the results suggest that AAI index should be adjusted to the needs of seniors.
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    Revenue Cycle Management in the Wake of EMR Implementation: A Competing Logics Perspective
    ( 2021-01-05) Singh, Rajendra ; Durcikova, Alexandra ; Mathiassen, Lars
    The health information technology (HIT) literature has focused on how healthcare organizations use electronic medical record (EMR) systems and other clinical IT for care delivery and coordination. However, few studies have examined how implementation of these technologies impact the organizations’ revenue cycle management (RCM) and consequent financial sustainability. Against that backdrop, we draw on institutional logics perspective to analyze experiences from two action research engagements that leveraged EMR implementations in medical clinics to improve RCM. As a result, we identify four coexisting yet competing logics—logic of care, logic of business, logic of management, and logic of technology—that shaped how the clinics addressed challenges in their revenue cycle. While IT transformed practices and information exchanges, the competing logics shaped the clinics’ RCM in the wake of their EMR implementation. We conclude with contributions to research and practice.
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    Overcoming Diffusion Barriers of Digital Health Innovations Conception of an Assessment Method
    ( 2021-01-05) Hobeck, Richard ; Schlieter, Hannes ; Scheplitz, Tim
    Digital health innovations (DHI) contribute to improving the health sector by revitalizing availability and continuity of care as well as mitigating rising costs. DHI getting increasing support from health insurance companies and governmental institutions, but still struggle on their way to standard care in national healthcare systems. One of the central challenges is the multitude of barriers, which are either little known or difficult to handle in complexity and therefore pose a high risk for the translation into the healthcare reality. This paper steps into this discourse with a design-oriented research approach. A systematic literature review identified DHI barriers that are further translated to a concept for assessing barrier resilience. On that basis, a framework to systematically administer diffusion barriers to DHI in Germany was developed. Innovators may use the proposed framework to assess the likelihood of a successful implementation and to ensure smooth scaling up process of their DHI.