Patient decision support technology provides increasingly more opportunitiesto support disease self-management in the healthcare setting. However, it doescome with a disruptive impact on the health provision between health providerand patient. Recent work on the climate that they are introduced in in TheNetherlands, though, is lacking. Health professionals’ perceptions are informedby that adoption climate, but also shape it in turn. This study explores thethoughts, beliefs, perceptions, and attitudes of those Dutch healthprofessionals. It explores the perceptions on the adoption climate that isprojected or experienced for patient decision support technology in healthcare.The deployed qualitative approach is based on theory on the adoption space,complemented with an interaction model for e-health implementation. Ittargets both the health professionals’ beliefs on this technology, as theirprojections of the larger adoption climate. The health professionals consist ofgeneral practitioners, medical researchers, pharmacists, chronic pain therapists,nurses, and medical specialists. The analysis circles in on the value of healthprofessional interaction and the hindering force that is encountered inestablished mechanisms and health infrastructure. It furthermore proposes aset of guidelines for developments in patient decision support technology thatboth guides it as well as protects the current healthcare from downsides. Thestudy contributes in providing a first exploration of different healthprofessionals’ perceptions on the apparent adoption climate for patientdecision support technology in The Netherlands. The outcomes and guidelinescan furthermore serve future studies to expand on.

Syfte – Denna studies syfte var att öka kunskapen om tjänstekvalitet inom branschen för platsbaserad beslutsstödjande teknologi. Det har därmed undersökts vilka förväntningar som finns på tjänsten och hur de står sig emot de faktiska upplevelserna. De forskningsfrågor som har besvarats är:  FF1: Hur kan kunders förväntningar på platsbaserad beslutsstödjande teknologi beskrivas? FF2: Hur kan kunders upplevelser av platsbaserad beslutsstödjande teknologi beskrivas? FF3: Hur kan DT barriärer och dess påverkan på tjänstekvaliteten karaktäriseras?  Metod – Studien har genomförts i form av en multipel fallstudie på kunder som implementerat platsbaserad beslutsstödjande teknologi. Inledningsvis genomfördes en litteraturstudie för att finna och sammanfatta den forskning som tidigare har utförts inom området. Baserat på denna utformning framtogs en teoretisk referensram, som i sin tur låg till grund för intervjuguiden som nyttjades under insamlandet av primärdata. Sex semistrukturerade intervjuer hölls med företag som implementerat platsbaserad beslutsstödjande teknologi. Vidare ingick den insamlade primärdatan i en tematisk analys som identifierade mönster i respondenternas svar; vilka ligger till grund för studiens resultat.  Resultat – Studien har funnit att kunder som implementerat platsbaserad beslutstödjande teknologi har liknande förväntningar och upplevelser oavsett bransch. De upplever att deras förväntningar är uppfyllda för samtliga dimensioner förutom design. Lägst förväntningar har de på nöje medan bekvämlighet, funktionalitet och förtroende är de dimensioner som de har högst förväntningar på. Gällande digitala transformationsbarriärer visar studien att kunder som implementerat platsbaserad beslutstödjande teknologi generellt sett har en hög acceptans mot digitala lösningar, en organisationskultur som värderar säkerhet högt samt främjar risktagande för innovationer.  Praktiska implikationer – Studiens praktiska implikationer riktar sig till mjukvaruföretag som erbjuder platsbaserad beslutsstödjande teknologi. Studien bidrar med nya kunskaper om vilka förväntningar och upplevelser kunder har av tjänsten och de företag som erbjuder den. Företag inom denna bransch gavs därmed insikter om hur de på bästa sätt kan sälja in sin tjänst till nya kunder. Studien fann också att platsbaserad beslutstödjande teknologi har störst värde hos företag som opererar under jord med stora underjordiska system, en organisationskultur som främjar risktagande med avseende på innovationer och värderar säkerheten mycket högt samt en hög digital mognad i form av kompetens, teknik och acceptans.  Teoretiska implikationer – Studien indikerar att de företag som väljer att investera i platsbaserad beslutsstödjande teknologi har liknande förutsättningar gällande digital mognad och arbetsplatsutformning. Kunderna uppger även liknande mål, organisationskultur och incitament till köp. Kunderna värderar bekvämlighet, funktionalitet och försäkran högst, medan säkerhet, anpassningsbarhet och design värderas lägre. Dimensionen nöje saknar relevans för kunderna när det kommer till denna tjänst. Denna studie bidrar således med nya insikter om hur tjänstekvalitén kan beskrivas för platsbaserad beslutsstödjande teknologi samt vilken effekt digitala transformationsbarriärer har på den. / Purpose - The aim of this study was to increase knowledge about service quality in the industry for location-based decision support technology. Thus, the expectations from the technology have been compared to the actual experience. The following research questions was answered:  FF1: How can customers' expectations of location-based decision support technology be described? FF2: How can customers' experiences of location-based decision support technology be described? FF3: How can DT barriers and their impact on service quality be characterized?  Method - The study was conducted in the form of a multiple case study on customers of site- based decision support technology. Initially, a literature study was conducted to find and summarize the research that have previously been conducted in the field. Based on this design, a theoretical frame of reference was developed, which in turn formed the basis for the interview guide that was used during the collection of primary data. Six semi-structured interviews were held with companies that have implemented location-based decision support technology. Furthermore, the collected primary data was included in a thematic analysis that identified patterns in the respondents' responses, which formed the basis for the results of the study.  Results - The study found that customers of location-based decision support technology have similar expectations and experiences regardless of industry. They feel that their expectations are met for all dimensions except design. They have the lowest expectations for pleasure, while comfort, functionality and trust are the dimensions they have the highest expectations for. Regarding digital transformation barriers, the study shows that customers of location-based decision support technology generally have a high acceptance of digital solutions, an organizational culture that values security highly and promotes risk-taking for innovations.  Practical implications - The study's practical implications embraces software companies that offer location-based decision support technology. The study contributes with new knowledge about what expectations and experiences customers have of the service and the companies that delivering them. Companies in this industry were thus given insights on how they can best sell their service to new customers. The study also found that location-based decision support technology has the greatest value in companies operating underground with large underground systems, an organizational culture that promotes risk-taking in terms of innovations and values safety very highly and a high digital maturity in terms of competence, technology and acceptance.  Theoretical implications - The study indicates that companies that choose to invest in location-based decision support technology have similar conditions regarding digital maturity and workplace design. Customers also show similarities in terms of goals, organizational culture and incentives for purchasing. Customers value convenience, functionality and assurance the most, while safety, adaptability and design are valued lower. The pleasure dimension is irrelevant to customers when it comes to this service. This study thus contributes with new insights on how the quality of service can be described for location-based decision- supporting technology and what effect digital transformation barriers have on it.

In a time where the implementation of technical solutions has become common in the audit industry, the auditor's way of performing judgments of a company's financial reports has changed. The purpose of this essay is to, based on the Technology Dominance Theory and the Technology Acceptance Model (TAM), contribute knowledge about the consequences of digitization in the auditing industry, specifically on the role of the auditor and its professional judgment. In addition, the paper examines the effects that digitization has on the required skills in today's digital audit environment. In the essay, a deductive research approach is used, and a qualitative method is applied in the form of semi-structured interviews with authorized auditors in Sweden. The essay shows that the implementation of digital tools challenges today's auditors to develop professional judgment in high-risk areas. The process of extracting and transforming audit evidence into appropriate digital formats has also been shown to result in an improved judgment capability. However, the paper could not show any differences in whether the use of digital tools can dominate professional judgment among authorized auditors. Furthermore, the paper identifies some of the qualifications that may be in demand as a result of the implementation of digital audit tools.