The Electronic Journal of Information Systems Evaluation provides critical perspectives on topics relevant to Information Systems Evaluation, with an emphasis on the organisational and management implications
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Journal Article

Medical Records System Adoption in European Hospitals  pp89-99

Ana Marques, Tiago Oliveira, Sara Simoes Dias, Maria Fraga O. Martins

© Jan 2011 Volume 14 Issue 1, ECIME 2010 Special Issue, Editor: Miguel de Castro Neto, pp1 - 166

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Abstract

Health Care system has had an ongoing focus on improving access to and quality of care, and more recently on cost reduction. The primary mean to achieve these goals has been to change health care policy, as exemplified by the adoption of health information technology in particular the adoption of patient centred information, characterized by the ability to manage comprehensive patience information such as: medical records; appointments scheduling; theatre management and ward reporting. Different terms are used to refer to these systems including the most common: electronic patient record; electronic medical record; computer based patient record and medical records system (MRS). Despite the importance of these systems in health care, little is known about the adoption. This study addresses the existent research gap by analyzing the adoption of MRS in European hospitals. Study data source is the e‑Business W@tch 2006 decision maker survey, covering 448 hospitals in the European Union. Additional information related to country wealth indicators, was extracted from the EU official statistics and opinion polls website. Variable choice is based on a derivation from the recently introduced framework know as Human, Organization and Technology fit (HOT‑fit) and Technology, Organization and Environment (TOE) framework. Adding the environmental context into the HOT‑fit framework, the Human, Organization, Technology and Environment (HOTE) framework is derivate. HOTE framework identifies four contexts that influence information and communication technologies (ICT) adoption: Technology characteristics including equipment but also processes; Organizational context as size, localization and even managerial structure; Human context relating to ‘User Involvement’; and Environmental context that incorporate the cultural environment of the country and regulatory influence. In order to reduce the number of variables available, a factor analysis (FA) is performed, using the principal component technique with varimax rotation. Three eigen‑value, greater than one are extracted, explaining 69.68% of the variance contained in the data. The three contexts found are: country wealth, competition and technology readiness. To determine the correlation between HOTE framework characteristics and MRS adoption a Logit model is used. For that were used variables obtained from the FA and other variables such as hospital size, education level and research level, gathered directly from the e‑business watch survey. MRS adoption is significantly associated with Education Level, Technology Readiness and Country Wealth. Since MRS adoption may be an organization survival strategy for hospitals to improve quality and efficiency while reducing costs, hospitals that are at risk of missing the wave of implementation should be offered incentives that enable them to implement and maintain patient centred information systems.

 

Keywords: ICT adoption, e-Business, HOTE framework, Hospitals, Factor Analysis, Logit model.

 

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Journal Article

Confirmatory factor analysis of service quality dimensions within mobile telephony industry in Ghana  pp199-217

Simon Gyasi Nimako, Foresight Kofi Azumah, Francis Donkor, Veronica Adu-Brobbey

© Jul 2012 Volume 15 Issue 2, Editor: Shaun Pather, pp149 - 229

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Abstract

Due to the increasing importance and investment in modern information systems (IS) technologies, the evaluation of service quality (SQ) in information system environments has attracted significant attention and debate in the literature. Much effort ha s been made by scholars and practitioners to use IS service quality criteria and dimensions in different industry contexts. Not much attention has been devoted to using other SQ model criteria and dimensions to evaluate information systems in the mobile t elephony industry (MTI) context. This study fills the gap, and contributes to the body of knowledge in the area SQ in the MTI environment. This paper, which was a part of a larger study, sought to empirically validate SQ dimensions that are relevant to the mobile telephony industry in Ghana. It used Confirmatory Factor Analysis (CFA) to detect the underlying latent variables that significantly determine SQ in Ghanas MTI. 1000 customers were sampled from four mobile telecom operators in Ghana in a cro ss‑sectional survey that used a self‑administered structured questionnaire for data collection. The findings indicate that four emerged SQ dimensions relevant to Ghanas MTI were labelled as: Customer relations, Image, Tangibles and Real network quality. Cronbach alpha reliability for all items indicated a high value of 0.918. Service providers could conveniently use the derived instrument items for measuring service quality in Ghana Mobile Telephony industry. It concludes that aside the popular SERVQUAL, alternative SQ models model, like one conceptualised in this study, could be useful in determining SQ dimensions relevant to MTI. Limitations and directions for research are discussed.

 

Keywords: Service quality, SERVQUAL model, Technical and Functional Quality Model, mobile telephony industry, factor analysis.

 

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Journal Issue

Volume 15 Issue 2 / Jul 2012  pp149‑229

Editor: Shaun Pather

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Keywords: information systems, service quality, SERVQUAL, service performance, service expectations, difference scores, user satisfaction, quality evaluations, Technical and Functional Quality Model, mobile telephony industry, factor analysis, health information systems, evaluation, individual and organisational change management, e-health, decentralisation

 

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