IT Adoption, Diffusion, and Evaluation in Healthcare
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ItemWhy do Visitors intend to use Indoor Navigation and Indoor Localization Systems in Hospitals? A Quantitative Survey from Germany( 2021-01-05)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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ItemTowards a theoretical model of dashboard acceptance and use in healthcare domain( 2021-01-05)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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ItemSupporting Seniors in Independent and Healthy Ageing through ICT: Insights from a Value-Focused Thinking Study in Latvia, Poland and Sweden( 2021-01-05)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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ItemRevenue Cycle Management in the Wake of EMR Implementation: A Competing Logics Perspective( 2021-01-05)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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ItemOvercoming Diffusion Barriers of Digital Health Innovations Conception of an Assessment Method( 2021-01-05)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.
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ItemNetwork Contagion vs. Spatial Contagion: The Diffusion of EHR Incentive Programs in Physician Networks( 2021-01-05)The present study supported the network contagion theory that healthcare providers are more likely to adopt the Medicare and Medicaid Electronic Health Record (EHR) incentive program when their direct relations have more prior adopters. Spatial contagion, however, exhibits an opposite finding that healthcare providers geographically surrounded by more prior adopters are less likely to adopt the EHR incentive program. When taking both network contagion and spatial contagion into account, healthcare providers connected with more prior adopters within 30 miles are more likely to adopt the EHR incentive program. The findings enrich our understanding of how network contagion influences the diffusion of EHR incentive programs and how spatial contagion moderates the effects of network contagion on the diffusion of the EHR incentive programs.
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ItemIT, Situation Awareness, and Non-Technical Skills in Cardiac Arrest Teams( 2021-01-05)Technical skills are important for providing efficient treatment of in-hospital cardiac arrests. Nevertheless, research shows that non-technical skills and situation awareness are central to improving quality of care. This study reveals that IT plays a large role in establishing and maintaining situation awareness in cardiac arrest teams. On the one hand, IT allows team members to establish situation awareness. On the other hand, IT draws attention away from the situation, thus negatively impacting situation awareness. Furthermore, this study reveals that non-technical skills are important as they enable effective use of IT and mitigate the negative impact of IT on situation awareness. The impact of IT represents a significant contribution to situation awareness theory, which is discussed along with implications for practice.
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ItemIs First Impression Relevant in Online Health Support Communities? Preliminary Investigation of the Effects of Social Presence( 2021-01-05)Patients’ initial impression can influence the kind of reactions they receive and their subsequent participation. Prior studies use inference models to examine participation as a continuum phenomenon. In the online health supporting communities (OHSCs), distinguishing giving participation from receiving participation provide interesting insights at the granular level. Using social presence theory, this study identifies and uses social presence cues in the initial post of 168 patients to predict patients’ giving and receiving participation in a prominent OHSC. Findings reveal that the social presence cues affected the two participation dimensions differently. Specifically, while intimacy is the most important predictor of giving participation, nonverbal communication is the most important predictor for receiving participation. The study offers important contributions to research and practice.
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ItemFraming Research Questions Intersecting Information Systems and Health: A New Research Perspective at Micro- and Macro-Level( 2021-01-05)Digital health is an established research area in information systems (IS) research. The domain involves individual human behavior, the broader social, healthcare providers, and other organizations. The rapid spread and use of health technologies have opened up considerable opportunities for research to evaluate and test existing theories. To generate an overview of the status quo, we apply the believe-action-outcome (BAO) framework as a lens to understand how current research has addressed the various aspects of digital health. Overall, we analyzed 46 studies from well-regarded IS outlets. Therefore, we aim at providing a comprehensive review and synthesis of the literature. Our results indicate a focus on behavioral research and action formation, but also a void regarding design-oriented studies, as well as multi-level studies. In summary, this study develops a research agenda for digital health, which includes six research questions that address research focus, health phenomena, at the macro- and micro-level.
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ItemContent Validity and Telemedicine Satisfaction Measures( 2021-01-05)Confirming the relevance of measures through content validity can be among the most important but often over-looked aspects of measurement design. With the growing need to evaluate telemedicine satisfaction it is important that researchers pay more consideration to the relevance of measures used to represent studied constructs. This research discusses a content-validity effort using a formative approach for designing measures. By presenting insights gained during this process this research contributes to the knowledge by demonstrating both the importance and challenges of content validity and measure development in practice. Results identify several issues with differences in non-expert views, measurement modifications, participant matching strategies and form usability.