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
For general enquiries email administrator@ejise.com
Click here to see other Scholarly Electronic Journals published by API
For a range of research text books on this and complimentary topics visit the Academic Bookshop

Information about the European Conference on Information Management and Evaluation is available here

linkedin-120 

twitter2-125 

fb_logo-125 

 
Journal Issue
Volume 14 Issue 1, ECIME 2010 Special Issue / Jan 2011  pp1‑166

Editor: Miguel de Castro Neto

Download PDF (free)

Secret Level: Evaluation of a New Zealand Community ICT Project  pp1‑12

Barbara Crump, Keri Logan

Look inside Download PDF (free)

Alliance Decision Making of SMEs  pp13‑26

Karla Diaz, Ute Rietdorf, Utz Dornberger

Look inside Download PDF (free)

Georeferencing Road Accidents with Google Earth: Transforming Information into Knowledge for Decision Support  pp27‑36

Jorge Ricardo Ferreira, Joao Carlos Ferreira

Look inside Download PDF (free)

Organizational Challenges and Barriers to Implementing IT Governance in a Hospital  pp37‑45

Luis Velez Lapao

Look inside Download PDF (free)

An Evidence‑Based Approach to Scoping Reviews  pp46‑52

Antonio Hidalgo Landa, Istvan Szabo, Liam Le Brun, Ian Owen, Graham Fletcher

Look inside Download PDF (free)

Enterprise Architecture Principles and their impact on the Management of IT Investments  pp53‑62

Kalevi Pessi, Thanos Magoulas, Mats-Ake Hugoson

Look inside Download PDF (free)

Information Inadequacy: Some Causes of Failures in Human, Social and Industrial Affairs  pp63‑72

Miranda Kajtazi, Darek Haftor, Anita Mirijamdotter

Look inside Download PDF (free)

Evaluating Information Systems according to Stakeholders: a pragmatic perspective and method  pp73‑88

Jenny Lagsten

Look inside Download PDF (free)

Medical Records System Adoption in European Hospitals  pp89‑99

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

Look inside Download PDF (free)

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.

 

Share |
Modified Early Warning Scorecard: The Role of Data/Information Quality within the Decision Making Process  pp100‑109

John O Donoghue, Tom O Kane, Joe Gallagher, Garry Courtney, Abdur Aftab, Aveline Casey, Javier Torres, Philip Angove

Look inside Download PDF (free)

Literature Review of Information Technology Adoption Models at Firm Level  pp110‑121

Tiago Oliveira, Maria Fraga Martins

Look inside Download PDF (free)

Evaluation of New Information Technologies Exposure on Knowledge Retention Regarding Benefits of Physical Activity on Health Status  pp122‑133

Paulo Pinheiro, Dulce Esteves, Rui Bras

Look inside Download PDF (free)

Supply Chain Information Alignment in the Consumer Goods and Retail Industry: Global Standards and Best Practices  pp134‑149

Virgil Popa, Mircea Duica

Look inside Download PDF (free)

A Visualization‑based Approach to Present and Assess Technical Documentation Quality  pp150‑159

Anna Wingkvist, Morgan Ericsson, Welf Lowe

Look inside Download PDF (free)

The SIGLIC System for Improving the Access to Surgery in Portugal  pp160‑166

Pedro Gomes, Luis Velez Lapao

Look inside Download PDF (free)