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Malhan AS, Sadeghi-R K, Pavur R, Pelton L. Healthcare information management and operational cost performance: empirical evidence. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2024; 25:963-977. [PMID: 37950806 DOI: 10.1007/s10198-023-01641-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 10/12/2023] [Indexed: 11/13/2023]
Abstract
Healthcare knowledge management systems can mitigate hospitals' operational inefficiency. As a healthcare information technology, the electronic health record (EHR) receives much attention from medical institutions due to its considerable impact on operational cost performance. This paper focuses on EHR systems to address operational inefficiency by which patients pay more for health care services, and many U.S. hospitals are filing for bankruptcy. From the theoretical perspective of the practice-based view, this paper introduces a path to implement EHR systems for improving cost performance. The empirical investigation is archival data of 200 hospitals collected from the U.S. healthcare agencies. Findings contribute to prior work by hypothesizing moderating and mediating roles in EHR systems implementation. This paper introduces absorptive capacity and monitoring mechanisms as enablers of implementing EHR systems. The results showed that hospital monitoring strengthens the relationship between absorptive capacity and electronic health record systems implementation, which results in better operational cost performance. Theoretically, this study supports the long-term potential benefits of EHR adoption, and its findings are consistent with optimizing efficiency through data standardization and interoperability. From a practical perspective, this study supports hospitals' investments in evolving healthcare information technology systems through the development of a knowledge-based system employing EHR, particularly when hospitals are merging or need a financial strategic plan to control expenses.
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Affiliation(s)
- Amit S Malhan
- Department of Marketing and Supply Chain Management, Willie A. Deese College of Business and Economics, North Carolina Agricultural and Technical State University, Greensboro, NC, 27401, USA
| | - Kiarash Sadeghi-R
- Department of Marketing and Supply Chain Management, Willie A. Deese College of Business and Economics, North Carolina Agricultural and Technical State University, Greensboro, NC, 27401, USA.
| | - Robert Pavur
- Department of Information Technology and Decision Sciences, G. Brint Ryan College of Business, University of North Texas, Denton, TX, 76203, USA
| | - Lou Pelton
- Department of Marketing, G. Brint Ryan College of Business, University of North Texas, Denton, TX, 76203, USA
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Guo X, Li Y. Intelligent health in the IS area: A literature review and research agenda. FUNDAMENTAL RESEARCH 2024; 4:961-971. [PMID: 39156567 PMCID: PMC11330141 DOI: 10.1016/j.fmre.2023.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 04/15/2023] [Accepted: 04/25/2023] [Indexed: 08/20/2024] Open
Abstract
As the global demand for healthcare services continues to grow, improving the efficiency and effectiveness of the healthcare ecosystem has become a pressing concern. Information systems are transforming the healthcare delivery process, shifting the focus of healthcare services from passive disease treatment to proactive health prevention and the healthcare management model from hospital-centric to patient-centric. This study focuses on reviewing research in IS journals on the topic of e-health and is dedicated to constructing a theoretical model of intelligent health to provide a research basis for future discussions in this field. In addition, as the innovation of intelligent healthcare services has led to changes in its elements (e.g., an increase in the number of stakeholders), there is an urgent need to sort out and analyze the existing research.
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Affiliation(s)
- Xitong Guo
- School of Management, Harbin Institute of Technology, Harbin 150006, China
| | - Yan Li
- School of Information, Central University of Finance and Economics, Beijing 100098, China
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Rothe H, Lauer KB, Talbot-Cooper C, Sivizaca Conde DJ. Digital entrepreneurship from cellular data: How omics afford the emergence of a new wave of digital ventures in health. ELECTRONIC MARKETS 2023; 33:48. [PMID: 37724180 PMCID: PMC10505108 DOI: 10.1007/s12525-023-00669-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 08/25/2023] [Indexed: 09/20/2023]
Abstract
Data has become an indispensable input, throughput, and output for the healthcare industry. In recent years, omics technologies such as genomics and proteomics have generated vast amounts of new data at the cellular level including molecular, structural, and functional levels. Cellular data holds the potential to innovate therapeutics, vaccines, diagnostics, consumer products, or even ancestry services. However, data at the cellular level is generated with rapidly evolving omics technologies. These technologies use scientific knowledge from resource-rich environments. This raises the question of how new ventures can use cellular-level data from omics technologies to create new products and scale their business. We report on a series of interviews and a focus group discussion with entrepreneurs, investors, and data providers. By conceptualizing omics technologies as external enablers, we show how characteristics of cellular-level data negatively affect the combination mechanisms that drive venture creation and growth. We illustrate how data characteristics set boundary conditions for innovation and entrepreneurship and highlight how ventures seek to mitigate their impact. Supplementary Information The online version contains supplementary material available at 10.1007/s12525-023-00669-w.
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Affiliation(s)
- Hannes Rothe
- University of Duisburg Essen, Institute for Computer Science and Business Information Systems, Essen, Germany
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Steinhauser S, Raptis G. Design propositions for nudging in healthcare: Adoption of national electronic health record systems. Digit Health 2023; 9:20552076231181208. [PMID: 37325075 PMCID: PMC10262653 DOI: 10.1177/20552076231181208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 05/24/2023] [Indexed: 06/17/2023] Open
Abstract
Objectives Electronic health records (EHRs) are considered important for improving efficiency and reducing costs of a healthcare system. However, the adoption of EHR systems differs among countries and so does the way the decision to participate in EHRs is presented. Nudging is a concept that deals with influencing human behaviour within the research stream of behavioural economics. In this paper, we focus on the effects of the choice architecture on the decision for the adoption of national EHRs. Our study aims to link influences on human behaviour through nudging with the adoption of EHRs to investigate how choice architects can facilitate the adoption of national information systems. Methods We employ a qualitative explorative research design, namely the case study method. Using theoretical sampling, we selected four cases (i.e., countries) for our study: Estonia, Austria, the Netherlands, and Germany. We collected and analyzed data from various primary and secondary sources: ethnographic observation, interviews, scientific papers, homepages, press releases, newspaper articles, technical specifications, publications from governmental bodies, and formal studies. Results The findings from our European case studies show that designing for EHR adoption should encompass choice architecture elements (i.e., defaults), technical elements (i.e., choice granularity and access transparency), and institutional elements (i.e., regulations for data protection, information campaigns, and financial incentives) in combination. Conclusions Our findings provide insights on the design of the adoption environments of large-scale, national EHR systems. Future research could estimate the magnitude of effects of the determinants.
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Affiliation(s)
- Stefanie Steinhauser
- Health Economy and Entrepreneurship, Technical University of Applied Sciences Amberg-Weiden, Weiden, Germany
| | - Georgios Raptis
- Computer Science / eHealth, OTH Regensburg, University of Applied Sciences, Regensburg, Germany
- Regensburg Center of Biomedical Engineering, Regensburg, Germany
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Beese J, Aier S, Haki K, Winter R. The impact of enterprise architecture management on information systems architecture complexity. EUR J INFORM SYST 2022. [DOI: 10.1080/0960085x.2022.2103045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Jannis Beese
- Institute of Information Management, University of St Gallen, St Gallen, Switzerland
| | - Stephan Aier
- Institute of Information Management, University of St Gallen, St Gallen, Switzerland
| | - Kazem Haki
- Geneva School of Business Administration (HES-SO), HEG Genève, Switzerland
| | - Robert Winter
- Institute of Information Management, University of St Gallen, St Gallen, Switzerland
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Senyo PK, Gozman D, Karanasios S, Dacre N, Baba M. Moving away from trading on the margins: Economic empowerment of informal businesses through
FinTech. INFORMATION SYSTEMS JOURNAL 2022. [DOI: 10.1111/isj.12403] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- P. K. Senyo
- Department of Decision Analytics and Risk, Southampton Business School University of Southampton Southampton UK
| | - Daniel Gozman
- Business Information Systems Research University of Sydney Business School, University of Sydney Sydney New South Wales Australia
- Business Informatics Systems, and Accounting, Henley Business School University of Reading Reading UK
| | - Stan Karanasios
- University of Queensland Business School University of Queensland Brisbane Queensland Australia
| | - Nicholas Dacre
- Department of Decision Analytics and Risk, Southampton Business School University of Southampton Southampton UK
| | - Melissa Baba
- Business Informatics Systems, and Accounting, Henley Business School University of Reading Reading UK
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Berente N, Salge CADL, Mallampalli VK, Park K. Rethinking Project Escalation: An Institutional Perspective on the Persistence of Failing Large-Scale Information System Projects. J MANAGE INFORM SYST 2022. [DOI: 10.1080/07421222.2022.2096545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- Nicholas Berente
- University of Notre Dame, Mendoza College of Business, Notre Dame, Indiana 46556
| | | | | | - Ken Park
- KP Consulting, 1619 Country Walk Trail, Lawrenceville, Georgia 30043
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Mishra AN, Tao Y, Keil M, Oh JH(C. Functional IT Complementarity and Hospital Performance in the United States: A Longitudinal Investigation. INFORMATION SYSTEMS RESEARCH 2022. [DOI: 10.1287/isre.2021.1064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
For healthcare practitioners and policymakers, one of the most challenging problems is understanding how to implement health information technology (HIT) applications in a way that yields the most positive impacts on quality and cost of care. We identify four clinical HIT functions which we label as order entry and management (OEM), decision support (DS), electronic clinical documentation (ECD), and results viewing (RV). We view OEM and DS as primary clinical functions and ECD and RV as support clinical functions. Our results show that no single combination of applications uniformly improves clinical and experiential quality and reduces cost for all hospitals. Thus, managers must assess which HIT interactions improve which performance metric under which conditions. Our results suggest that synergies can be realized when these systems are implemented simultaneously. Additionally, synergies can occur when support HIT is implemented before primary HIT and irrespective of the order in which primary HITs are implemented. Practitioners should also be aware that the synergistic effects of HITs and their impact on cost and quality are different for chronic and acute diseases. Our key message to top managers is to prioritize different combinations of HIT contingent on the performance variables they are targeting for their hospitals but also to realize that technology may not impact all outcomes.
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Affiliation(s)
- Abhay Nath Mishra
- Debbie and Jerry Ivy College of Business, Information Systems & Business Analytics, Iowa State University, Ames, Iowa 50011
| | - Youyou Tao
- College of Business Administration, Information Systems & Business Analytics, Loyola Marymount University, Los Angeles, California 90045
| | - Mark Keil
- J. Mack Robinson College of Business, Department of Computer Information Systems, Georgia State University, Atlanta, Georgia 30303
| | - Jeong-ha (Cath) Oh
- Department of Computer Information Systems, Georgia State University, Atlanta, Georgia 30302
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Sangal S, Nigam A, Bhutani C. Conceptualizing the role of blockchain in omnichannel healthcare: a Delphi study. ASLIB J INFORM MANAG 2022. [DOI: 10.1108/ajim-08-2021-0230] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
PurposeThis study aims to identify the challenges in the healthcare industry as it adopts an omnichannel setup in an emerging economy context. Further, the study determines the scope of blockchain in addressing these challenges.Design/methodology/approachThe study uses a qualitative approach to understand the challenges in the omnichannel healthcare industry and know the scope of blockchain in building an omnichannel healthcare system. In the first stage, it did an in-depth analysis of the extant literature, followed by a Delphi study with 24 healthcare experts.FindingsThe study presents the current challenges in the omnichannel healthcare sector in an emerging economy. Further, it develops a novel conceptual framework for blockchain adoption in the omnichannel healthcare industry. The study also presents propositions that will help healthcare service providers enhance decision-making concerning the adoption of blockchain in the healthcare industry.Research limitations/implicationsThe research results may lack generalizability due to the exploratory approach and emerging economies context. Theoretically, in this study, the authors extend the theory of swift trust and organization information processing theory in an omnichannel healthcare context.Practical implicationsThe propositions provided in this paper can help healthcare managers make strategic decisions on the scope of adoption of blockchain for omnichannel healthcare.Originality/valueThis study explores the understudied area of challenges in omnichannel healthcare and the scope of blockchain for omnichannel healthcare in an emerging economy context.
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Hospodková P, Berežná J, Barták M, Rogalewicz V, Severová L, Svoboda R. Change Management and Digital Innovations in Hospitals of Five European Countries. Healthcare (Basel) 2021; 9:1508. [PMID: 34828554 PMCID: PMC8625074 DOI: 10.3390/healthcare9111508] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 10/26/2021] [Accepted: 11/03/2021] [Indexed: 12/13/2022] Open
Abstract
The objective of the paper is to evaluate the quality of systemic change management (CHM) and readiness for change in five Central European countries. The secondary goal is to identify trends and upcoming changes in the field of digital innovations in healthcare. The results show that all compared countries (regardless of their historical context) deal with similar CHM challenges with a rather similar degree of success. A questionnaire distributed to hospitals clearly showed that there is still considerable room for improvement in terms of the use of specific CHM tools. A review focused on digital innovations based on the PRISMA statement showed that there are five main directions, namely, data collection and integration, telemedicine, artificial intelligence, electronic medical records, and M-Health. In the hospital environment, there are considerable reservations in applying change management principles, as well as the absence of a systemic approach. The main factors that must be monitored for a successful and sustainable CHM include a clearly defined and widely communicated vision, early engagement of all stakeholders, precisely set rules, adaptation to the local context and culture, provision of a technical base, and a step-by-step implementation with strong feedback.
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Affiliation(s)
- Petra Hospodková
- Department of Economic Theories, Faculty of Economics and Management, Czech University of Life Sciences Prague, Kamýcká 129, 165 00 Prague, Czech Republic; (P.H.); (L.S.)
- Department of Biomedical Technology, Czech Technical University in Prague, 272 01 Kladno, Czech Republic; (J.B.); (V.R.)
| | - Jana Berežná
- Department of Biomedical Technology, Czech Technical University in Prague, 272 01 Kladno, Czech Republic; (J.B.); (V.R.)
| | - Miroslav Barták
- Department of Master Study Programs, Faculty of Health Studies, J. E. Purkyne University in Ústí nad Labem, 400 96 Ústí nad Labem, Czech Republic;
| | - Vladimír Rogalewicz
- Department of Biomedical Technology, Czech Technical University in Prague, 272 01 Kladno, Czech Republic; (J.B.); (V.R.)
| | - Lucie Severová
- Department of Economic Theories, Faculty of Economics and Management, Czech University of Life Sciences Prague, Kamýcká 129, 165 00 Prague, Czech Republic; (P.H.); (L.S.)
| | - Roman Svoboda
- Department of Economic Theories, Faculty of Economics and Management, Czech University of Life Sciences Prague, Kamýcká 129, 165 00 Prague, Czech Republic; (P.H.); (L.S.)
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Ajer AKS, Hustad E, Vassilakopoulou P. Enterprise architecture operationalization and institutional pluralism: The case of the Norwegian Hospital sector. INFORMATION SYSTEMS JOURNAL 2021. [DOI: 10.1111/isj.12324] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | - Eli Hustad
- Department of Information Systems University of Agder Kristiansand Norway
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Steinhauser S, Doblinger C, Hüsig S. The Relative Role of Digital Complementary Assets and Regulation in Discontinuous Telemedicine Innovation in European Hospitals. J MANAGE INFORM SYST 2020. [DOI: 10.1080/07421222.2020.1831778] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Stefanie Steinhauser
- Department of Innovation and Technology Management, University of Regensburg, Regensburg, Germany
| | - Claudia Doblinger
- Campus Straubing for Biotechnology and Sustainability and School of Management, Technical University of Munich, Straubing, Germany
| | - Stefan Hüsig
- Department of Innovation Research and Technology Management, Chemnitz University of Technology, Chemnitz, Germany
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Thomas O, Hagen S, Frank U, Recker J, Wessel L, Kammler F, Zarvic N, Timm I. Global Crises and the Role of BISE. BUSINESS & INFORMATION SYSTEMS ENGINEERING 2020. [PMCID: PMC7309698 DOI: 10.1007/s12599-020-00657-w] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Oliver Thomas
- Osnabrück University, Osnabrück, Germany
- German Research Center for Artificial Intelligence (DFKI), Osnabrück, Germany
| | | | | | | | | | - Friedemann Kammler
- German Research Center for Artificial Intelligence (DFKI), Osnabrück, Germany
| | - Novica Zarvic
- German Research Center for Artificial Intelligence (DFKI), Osnabrück, Germany
| | - Ingo Timm
- Trier University, Trier, Germany
- German Research Center for Artificial Intelligence (DFKI), Trier, Germany
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Rahrovani Y. Platform drifting: When work digitalization hijacks its spirit. JOURNAL OF STRATEGIC INFORMATION SYSTEMS 2020. [DOI: 10.1016/j.jsis.2020.101615] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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