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 Issue
Volume 15 Issue 2 / Jul 2012  pp149‑229

Editor: Shaun Pather

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An Analysis of Three SERVQUAL Variations in Measuring Information System Service Quality  pp149‑162

James J. Jiang, Gary Klein, Neeraj Parolia, Yuzhu Li

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A Socio‑technical Approach to Designing and Evaluating Industry Oriented Applications  pp163‑175

Shah Jahan Miah, John G. Gammack, Don V Kerr

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A theoretical framework for exploring the influence of national culture on Web 2.0 adoption in corporate contexts  pp176‑186

Andrew Barron, Dirk Schneckenberg

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Implementing Electronic Health Information Systems in Local Community Settings: examining Individual and Organisational change experiences in the Philippines  pp187‑198

Shainur Premji, Ann Casebeer, Richard E Scott

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Abstract

In this paper, we examine the implementation of an electronic health information system called the Community Health Information Tracking System (CHITS) in health centres in the Philippines. CHITS was created in 2005 to respond to a gap in population health decision‑making that developed when the Philippines government underwent health sector reforms in the 1990s, shifting resources and decision‑making authority from the national Department of Health to local governmental units at the municipal, provincial and regional levels. Two models ‑ Prochaska and Velicers Transtheoretical Model for Health Behaviour Change and Greenwood and Hinings Organisational Change Management Model ‑ were used to examine the transition from a paper to electronic environment and to assess processes and outcomes at the individual and organisational levels. Final results show both models adequately described the change management processes that occurred for health centre workers and health centres during implementation. However, neither model was developed to focus well on system and government level action and inaction. Our use of these frameworks was therefore unable to fully encapsulate the multiple organisational and political layers of change required in a highly decentralised environment; the health centre as an organisational entity was, and remains, highly dependent on decisions made by local governmental units … decision and policy‑makers at this level must undergo their own change management processes in order for the adoption of CHITS to proceed. We therefore see a series of processes required to proceed both concurrently and sequentially in order for change to occur and be sustained individually, organisationally and systemically. In particular, the role and power of government policy and decision‑making requires more deliberate attention when building our models and conducting our empirical enquiries. 

 

Keywords: health information systems, evaluation, individual and organisational change management, e-health, decentralisation

 

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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

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Barriers to the Adoption and Use of an Electronic Medication Record  pp218‑229

Maren Sander Granlien, Morten Hertzum

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