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Development of Web-based Health Care Services in Swedish County Councils : Strategies, Usage and ChallengesAcheampong, Faustina January 2010 (has links)
<p>eHealth has been adopted by many countries across the globe in response to cut down cost and improve the quality of life. Sweden has been engaged in providing web-based health care services for its citizens for the past decade and county councils have the responsibility to develop them. The main aim of this thesis is to present answers to the following research questions:What strategies (formal and informal) guide the development of web-based health care services provided by the Swedish county councils?What barriers exist in relation to the development and usage of web-based health care services provided by the county councils from the viewpoint of their IT leaders?From the perspective of IT leaders in the county councils and in their capacity to develop, manage and monitor their organizations‘ website content, which web-based health care services are mostly accessed by users and what age group utilize the services most?The thesis is an exploratory research conducted through a survey based on a mail questionnaire that was posted to all 21 county councils in Sweden with 18 councils responding. The results show that all county councils have formally adopted the National eHealth Strategy to guide the development of web-based health care services and some have other informal strategies as well. Technological barriers, resistance to use the web-based services and changing business process to integrate ICTs have been identified by IT leaders as major challenges that impede the development of web-based health care services in Swedish county councils. Swedish citizens more frequently access prescription renewal and booking and cancellation of appointments than other available web-based health care services which depicts a trend towards the use of advanced interactive services than basic information seeking, and people in the ages of 46 to 55 have been identified as the frequent users of web-based health care services according to IT leaders from the county councils.</p>
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Open Source and Electronic Voting: A New Strategy Toward Technical Procurement for Voting SystemsKesselman, Andor 01 January 2014 (has links)
Direct Recording Electronic Voting Systems (DRE) are some of the most popular forms of electronic voting and yet they are riddled with problems. Current voting systems are poorly designed and migration to newer software can be costly. Inadequate software solutions in voting systems have led to security flaws, bad tabulation, and partisan software design. As government proceeds into an increasingly sophisticated era of voting technology, it needs to consider a better platform. This thesis explores the government procurement strategy associated with modern Direct Recording Electronic Voting Systems. The thesis argues that governments should adopt an open source solution (OSS) for future IT acquisition of voting systems. Adopting an open source solution not only provides practical advantages such as better software design, cheaper implementation, and avoidance of vendor lock-in, but also proposes that OSS provides a strong foundation for future IT policy. Open source’s strength in transparency provides a key factor in voting system design. The thesis recommends that governments adopt a four part strategy for future OSS adoption with voting system.
1) Approve an independent, pro-OSS certification organization that works closely with the U.S Election Assistance Commission, National Institute of Standards and Technology, and other system organizations to create the optimal voting systems guidelines.
2) Update FAR requirements to greater accommodate open source procurement policy.
3) Assist local and state jurisdictions to acquire OSS for DRE machines.
4) Promote open source business strategy by hiring vendors for system integration and analysis
This thesis contends that these four policies will improve the electronic voting experience and allow for better future innovation and adoption IT strategies.
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eGovernment ve vybraných obcích mikroregionu BystřickoAmbrožová, Jana January 2016 (has links)
eGovernment in selected municipalities of the microregion Bystřicko. Diploma thesis. Brno: Mendel University, 2016. Diploma thesis deals with the evaluation of the success of the introduction and analysis of the current situation of individual agendas of eGovernent at the munic-ipal offices of selected municipalities in microregion of Bystřicko. Based on com-paration of financial performance of electronization public government, Czech POINT analysis, data boxes and basic registers are formulated proposals and rec-ommendation at using of agendas eGovernment in small municipalities.
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eGovernment / eGovernmentSokolová, Aneta January 2016 (has links)
This thesis deals with the topic of eGovernment. The teoretical part is focused on the characteritic of eGovernment and its evolution in the Czech Republic. In the next part are analysed topics related to public administration and administration law, information systems of public administration (data boxes, Portal of public administration, basic registers, Czech POINT, etc.) and deeds and electronic documents (data message, electronic signature, time stamp, administration and conversion of electronic documents.)
The practical part is based on the information obtained on the basis of individual half-standardized interwievs with experts from public administration (villages, cities and Ministry of the Interior of the Czech Republic) on the topic of eGovernment focused on data boxes. From these results are found out the current problems of data boxes, their functionality, usefulness, reliability or overall satisfaction of users (cities and villages) with these data boxes. The following are mentioned problems and perspectives of data boxes and their overall and unitary operating costs. Subsequently is characterized the present situation of eGovernment in the Czech Republic and future development. In the end it is compared research questions relating to data boxes with real situation of this systeme.
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Analýza datových zdrojů ve státní správě / Data Source Analysis in State AdministrationRezek, Martin January 2016 (has links)
This diploma thesis tackles the issue of data sources used in state administration. Its
aim is to carry out a process analysis of data sources used in internal processes within the
Czech Social Security Administration authority (Česká správa sociálního zabezpečení) and
propose changes to optimise processes within the institution. The theoretical part of the
thesis defines communication between a citizen and public administration and describes its
basic elements. It also looks at the Process Management In Public Administration project
and the evaluation of applications for new ICT projects.
The practical part deals with the application of the theoretical findings to processes
within a particular body of the state administration, the CSSA. The resulting proposal to
optimise selected processes within the entire CSSA institution is based on a process analysis
of data sources from a branch of the District Social Security Administration office (Okresní
správa sociálního zabezpečení) as well as two case studies.
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On the road to interoperability : Complexities of public sector enterprise thinkingLarsson, Hannu January 2011 (has links)
Increasingly, eGovernment (the use of ICTs in order to achieve better government) is moving its focus from web presence and electronic service provision to striving for an interoperable public sector. Interoperability refers to the ability for information exchange across organizational borders, concerning technology as well as business aspects. Policy for such change has been formulated and implementation is currently taking place in many government sectors. In such programs there is a strong need for coordination with regard to the way in which interoperability is to be implemented. Interoperability work requires coordination, as it is a complex endeavour because of the interrelatedness of information systems, public services, departments and organizations, as well as policies, constraints and regulations. In order to achieve interoperability, architectural approaches are increasingly used in the public sector to try to coordinate interoperability work. One such approach, Enterprise Architecture (EA), is becoming increasingly influential. EA has been defined as an overview of the complete business processes and business systems, both in terms of how they overlap and their interrelatedness. However, previous research show that state-of-the-art EA is seldom fully applied in practice. Previous research has also proposed that information infrastructures and architectures should be seen as evolving dynamically during the implementation process through changing relationships between actors. The implementation of IS architecture for interoperability is thus seen as an evolving process of social production. As the research field is still immature further research on the evolution of public information infrastructures and architectures is needed, as well as how the strategic alignment of handling of goals, and ambiguities in implementation is done. This thesis hence addresses the challenges of implementing national public sector interoperability as an evolving process by addressing the research question: How is interoperability interpreted and enacted by different actors in public sector implementation? In order to approach the research question, an interpretive case study is performed. The case studied in this thesis is from the implementation of the Strategy for eHealth in Sweden, where healthcare is mainly publicly funded, and catered for by 20 county councils (who mainly focus on healthcare, and 290 municipalities (who also cater for a great deal of other public services). The case is an example of how interoperability is implemented, from the early stages of outlining a general picture of goals and requirements, to the formulation of a strategy and an architecture. This case is also an example of how EA influences an interoperability program through enterprise thinking. The research uses an interpretive case study approach influenced by Actor-Network Theory (ANT). ANT is used as a toolbox for telling stories about technology in practice, as emergent in socio-material relations. A number of complementary qualitative methods are used. These include semi-structured interviews, observations and document analysis, with the foremost part of the empirical material being first-hand. In order to understand interoperability implementation in the public sector I examine the background to eGovernment implementation, by contrasting conceptualizations of eGovernment evolution to contemporary theories of public policy implementation. It is shown that, during the last decade, stage models have been used as tools for describing, predicting and directing the evolution of eGovernment. The stage model approach has been criticized for presenting a linear development which has little empirical support and delimits the understanding of eGovernment development as a dynamic process. Newer stage models have started to take this criticism into consideration and alternative models on eGovernment have also been developed. Consequently, eGovernment implementation is in this thesis perceived as a process in which technologies, policies and organizations are in a process of mutual shaping, where policymaking and policy implementation are intermingled. Implementing interoperability is hence not a matter of disseminating a policy that is to be implemented in every setting exactly as stated on paper, but a process in which the goals and means of interoperability are constantly being negotiated. Also, EA has been proposed as an approach to treat technology and business in the public sector as interrelated. However, since previous research show that state-of-the-art EA is seldom fully applied in public sector practice, the concept of enterprise thinking is developed in this thesis. Enterprise thinking is intended to be a concept that describes EA as a contemporary zeitgeist which in practice is adopted in varying ways. The results of the thesis show how interoperability in eHealth was roughly outlined before implementation although still containing conflicts and ambiguities. Central to this thesis is the controversy of defining “the enterprise”, as the health care sector was delimited as one enterprise, which became increasingly problematic during implementation. This to a large extent concerned municipalities, whose business area stretched much wider than just the health care sector, and hence the definition of the enterprise became problematic. Another central aspect was legal obstacles to cooperation, as there was a clash between the values of efficiency and patient privacy as a result of a new law that had been implemented in order to allow for information sharing. The legal grounds for sharing information proved to be problematic, which lead to that several involved actors perceived that a large portion of the patients in health care could not benefit from interoperability as their information could not be shared despite this law. The legal challenges also dampened the enthusiasm for the eHealth program as a whole. The program had also outlined a technology architecture before implementation. This architecture was however treated in conflicting ways, both as a blueprint (something to be implemented) and a tool for communication (as a way of discussing what was to be implemented). For instance, several municipalities perceived that the planned infrastructure was unsuitable to their business needs (as it did not meet the requirements of other actors in eGovernment), and thus questioned it, using it as a tool for communication rather than a blueprint. Meanwhile, other actors argued that the blueprint had already been decided, and thus needed to be implemented. The case also shed light on the use of informal networks, outside traditional bureaucracy, as a means to deal with interoperability. Such networks were used in order to align actions and perceptions of a large number of autonomous municipalities. This revealed issues concerning local decision as knowledge of, and resources for, ICT and architectural work was lacking in several municipalities. Also, as the networks lacked formal power no decisions could be taken jointly, but in the end had to be negotiated locally. This made coordinated decision making hard as the processes were lengthy and often lacked clear incentives. Furthermore, ambiguous feedback from national authorities, as well as an overall lack of understanding among local actors, concerning what was legal to do in terms of procurement and information sharing, complicated the situation further. These findings are summarized in four main conclusions; The process of defining which organizations are to be made interoperable, or what is to be considered as “the enterprise”, is a political process which might be brought into question and require re-negotiations throughout implementation, as the drawing of boundaries of “the enterprise” can be filled with conflict. Different perspectives on an enterprise, from different architectural viewpoints, are often described as complementary, and it has previously been shown that different architectural metaphors can be used by different actors during implementation. However, in practice, different use of metaphors for architectures can open up for discussion and conflict. These may not only be different, but may also contradict other actors’ use of metaphors, since different metaphors might clash. Interoperability work can be a novel task for some local governments. Therefore, there is a need for negotiation and to establish forms of formal decision making and informal dissemination because such structures might be lacking. It should be anticipated that implementation might be slow because of a lack of understanding about interoperability programs (particularly in terms of something other than ICT). In addition, there may be few forums for coordinated decision making, or there may be obstructions in the form of prior formal and legal arrangements. Enterprise thinking is interconnected with Enterprise Architecture as a zeitgeist for interoperability work. It draws upon EA as an ideal, whilst acknowledging that public organizations are influenced by this zeitgeist, although practical conditions might not allow for adoption of an EA approach. Enterprise thinking thus refers to the notion of EA as an ideal, not as a specific way of applying EA. Enterprise thinking has a process focus on interoperability. ICT, business goals, and work practices are perceived as interconnected, and hence need to be treated from a holistic perspective. How this is approached is, however, dependent upon the context in which it is implemented. Further research efforts could approach how enterprise thinking affects interoperability work in the long run with a longitudinal approach. Also, as this thesis has shown how the use of different architectural metaphors can clash, further research could focus on the positive and negative effects of negotiations being initiated by such conflict. From a project management perspective the risks and benefits of using smaller projects as “enrolment devices” for interoperability programs, where an architecture cannot be pushed but is voluntary, should be of interest. Furthermore the use of EA as an ideal which cannot be fully followed in several public settings, although might intentionally be used as a guiding light, is interesting for further research. For instance, it would be of interest to see how the rhetoric of EA may be applied in practice in order to legitimate programs. This is of interest as to examine to which extent the use of such concepts influence actual practice, or if they are only “empty words”. The conceptualization of enterprise thinking proposed in the conclusions of this thesis can be used in further research. Indeed, they could be useful for investigating different approaches, influenced by EA, in different contexts. For instance, it may be of interest to countries that might not share the same institutional characteristics of Sweden, but are influenced by enterprise thinking in different ways. This would be of interest for outlining different practical approaches to enterprise thinking. Also, the further development in Sweden specifically could be of interest, as other sectors are at the time of writing preparing their own interoperability programs, and aim to benefit from the lessons learned in the healthcare sector. / I ökande utsträckning har e-förvaltningens (användningen av IKT för att förbättra verksamheten i offentlig sektor) fokus förflyttats från webb-närvaro och elektroniska tjänster mot att sträva efter en interoperabel offentlig sektor. Interoperabilitet avser möjligheten för informationsutbyte över verksamheters olika gränser, vilket innefattar teknologiska såväl som organisatoriska aspekter. Policys för sådana förändring har utarbetats och implementeras för närvarande i flera offentliga organisationer. I sådana program finns det ett starkt behov av samordning gällande det sätt på vilket interoperabilitet skall genomföras. Interoperabilitetsarbete kräver således samordning, eftersom det är en komplex uppgift på grund sammanvävda informationssystem, offentliga tjänster, organisationer, policys, begränsningar och regler. För att uppnå interoperabilitet används arkitekturella tillvägagångssätt alltmer inom den offentliga sektorn, för att försöka samordna arbetet. Ett sådant tillvägagångssätt, Enterprise Architecture (EA), har fått ett ökande inflytande. EA har definierats som en översikt av hela affärsprocesser och affärssystem, både vad gäller hur de överlappar med varandra och hur de hänger samman. Dock visar tidigare forskning att EA i praktiken sällan tillämpas fullt ut. Tidigare forskning har också påvisat att informationsinfrastrukturer och arkitekturer bör ses som dynamiskt framväxande under implementeringsprocessen, genom förändrade relationer mellan aktörer. Implementering av informationssystemsarkitektur för interoperabilitet bör därmed ses som en framväxande och socialt producerad process. Då forskningsområdet fortfarande är omoget behövs ytterligare forskning om framväxten av offentliga informationsinfrastrukturer och arkitekturer, samt hur strategisk sammanjämkning av mål och oklarheter i implementeringen sker. Denna avhandling behandlar därför utmaningarna som finns i implementeringen av interoperabilitet i offentlig sektor, som en framväxande process, genom att behandla frågeställningen: Hur tolkas och sätts interoperabilitet i praktiken av olika aktörer under implementering i offentlig sektor? För att närma sig frågeställningen utförs en tolkande fallstudie. Fallet som studerats i denna avhandling är från implementeringen av strategin IT-strategin för vård och omsorg (eHälsostrategin) i Sverige, där vården i huvudsak är offentligt finansierad, och tillhandahålls av 20 landsting (som huvudsakligen fokuserar på sjukvård), och 290 kommuner (som också tillhandahåller en mängd andra offentliga tjänster). Fallet är ett exempel på hur interoperabilitet implementeras, från de tidiga skeden då en generell bild av mål och krav målas upp, till utformningen av en strategi och en arkitektur. Detta fall är också ett exempel på hur EA påverkar ett interoperabilitetsprogram via ”enterprise thinking”. En fallstudie genomförs med en tolkande ansats, influerad av Actor-Network Theory (ANT). ANT används som en verktygslåda för att berätta historier om teknik i praktiken, som framväxande genom sociomateriella relationer. Merparten av det empiriska materialet har samlats in i förstahand och ett antal kompletterande kvalitativa metoder används. Dessa metoder inkluderar semi-strukturerade intervjuer, observationer och dokumentanalys. För att förstå interoperabilitetsimplementering i offentlig sektor undersöker jag bakgrunden till implementation av e-förvaltning, genom att kontrastera begreppsbildningar av hur e-förvaltningen växer fram mot samtida teorier om implementation i offentlig sektor. Jag påvisar att under det senaste decenniet har stegmodeller använts som verktyg för att beskriva, förutsäga och styra utvecklingen av e-förvaltning. Denna typ av modeller har kritiserats då de framhåller en linjär utveckling som har bristande empiriskt stöd och begränsar förståelsen för e-förvaltningens framväxt som en dynamisk process. Nyare stegmodeller har börjat ta hänsyn till denna kritik och alternativa modeller på e-förvaltning har också utvecklats. Följaktligen ses i denna avhandling implementeringen av e-förvaltning som en process där teknik, policy och organisationer är i en ständig process av ömsesidig påverkan, där policyskapande och policyimplementering är sammanvävt. Att implementera interoperabilitet är därför inte en fråga om att sprida en policy som skall genomföras av varje aktör så som det står angivet på pappret, utan en process där mål och metoder för interoperabilitet ständigt omförhandlas. EA har föreslagits som ett tillvägagångssätt för att behandla teknik och verksamhet som integrerade. Dock, eftersom tidigare forskning visar att EA sällan tillämpas fullt ut i praktiken i offentlig sektor, så utvecklas begreppet enterprise thinking i denna avhandling. Enterprise thinking är avsett att vara ett koncept som beskriver EA som en samtida tidsandan som i praktiken närmas på olika sätt. Resultaten i avhandlingen visar hur interoperabilitet i e-hälsa skisserades ut grovt innan implementeringen, i en bild som innehöll konflikter och tvetydigheter. Centralt för denna avhandling är problematiken i att definiera verksamheten (”the enterprise”), då hälso- och sjukvårdssektorn var avgränsad som en verksamhet, vilket blev allt mer problematiskt under implementeringen. Detta berörde till stor del kommuner, vars verksamhetsområde sträcker sig mycket bredare än bara hälso- och sjukvården. Därmed blev definitionen av verksamheten problematisk. En annan central aspekt var juridiska hinder för samverkan, då det fanns en konflikt mellan värdena effektivitet och patientens integritet. Detta var delvis en följd av en ny lag som hade införts just i syfte att möjliggöra informationsutbyte. De rättsliga grunderna för att dela information visade sig vara problematiska, vilket ledde till att flera inblandade aktörer uppfattade att en stor del av patienterna i vården inte kunde dra nytta av interoperabilitet, eftersom deras information inte kunde delas trots denna lagändring. De rättsliga utmaningarna dämpade också entusiasmen för eHälsoprogrammet som helhet. Programmet hade också skisserat ut en teknikarkitektur innan implementeringen. Denna arkitektur behandlades dock på motstridiga sätt, både som en ”ritning” (en klar bild av vad som skulle genomföras) och som ett verktyg för kommunikation (som ett sätt att diskutera vad som skulle genomförts). Till exempel uppfattade flera kommuner att den planerade infrastrukturen var olämpliga för deras verksamhetsbehov (då den inte uppfyllde kraven från andra aktörer inom e-förvaltning), och ifrågasatte därmed den genom att använda arkitekturen som ett verktyg för kommunikation snarare än en ritning. Samtidigt menade andra aktörer att man redan hade tagit beslut om denna ritning och att den därmed skulle följas. Fallstudien kastar också ljus på användningen av informella nätverk, utanför den traditionella byråkratin, som ett sätt för att arbeta med interoperabilitetsfrågor. Sådana nätverk användes i syfte att sammanjämka åtgärder och uppfattningar hos ett stort antal självstyrande aktörer. Detta visade på en problematik gällande lokalt beslutsfattande och resurser gällande IKT och arkitekturellt arbete, då kompetenser och erfarenheter för detta saknades hos flera kommuner. Relaterat till detta är att i de nätverk där diskussionerna fördes saknades även formell makt, och inga beslut kunde fattas gemensamt därigenom. I slutändan var man istället tvungna att diskutera de frågor som togs upp där lokalt. Detta gjorde samordnat beslutsfattande svårt eftersom processerna var långa och ofta saknade tydliga incitament. Dessutom fanns en problematik i att nationella aktörer ofta gav tvetydig respons på frågor, samt en allmän brist på förståelse bland lokala aktörer, gällande vad som var lagligt att göra beträffande upphandling och informationsutbyte. Detta komplicerade situationen ytterligare. Dessa resultat sammanfattas i fyra huvudsakliga slutsatser; 1. Processen med att definiera vilka organisationer som skall göras interoperabla, eller vad som ska betraktas som ”verksamheten”, är en politisk process som kan ifrågasättas och kräva omförhandlingar under implementeringen, eftersom hur man definierar gränserna kring ”verksamheten” kan vara konfliktfyllt. 2. Olika perspektiv på en verksamhet, från olika arkitekturella perspektiv, beskrivs ofta som komplementära, och det har tidigare visats att olika arkitekturella metaforer kan användas av olika aktörer under implementeringen. I praktiken kan dock olika användning av arkitekturella metaforer öppna upp för diskussion och konflikt. Dessa är inte nödvändigtvis bara annorlunda och komplementära, utan kan också motsäga andra aktörers användning av metaforer, då olika metaforer kan kollidera. 3. Interoperabilitetsarbete kan vara en ny uppgift för lokala aktörer. Det finns därför ett behov av förhandlingar och att upprätta former för formellt beslutsfattande och informell ”spridning” av information eftersom strukturer för detta kan saknas. Detta kan vara en långsam process på grund av bristande förståelse för interoperabilitetsprogram (särskilt i fråga om att de skulle handla om något annat än bara IKT). Dessutom finns ibland få (om ens några) forum för samordnat beslutsfattande, och det kan även finnas formella och legala hinder för detta. 4. Enterprise thinking (”verksamhetstänkande”) är sammankopplat med Enterprise Architecture, som är en tidsanda för interoperabilitetsarbete. Det bygger på EA som ett ideal, då offentliga organisationerna påverkas av denna tidsanda, men att praktiska förutsättningar kanske inte möjliggör att man antar en EA-strategi. Enterprise thinking hänvisar således till EA-begreppet som ett ideal, och är alltså inte ett specifikt sätt att tillämpa EA. Enterprise thinking har ett processfokus på interoperabilitet. IKT, verksamhetens mål och arbetsrutiner ses som sammanlänkade och måste därför behandlas utifrån ett helhetsperspektiv. Hur man närmar sig detta i praktiken är dock beroende på i vilken kontext det implementeras. Vidare forskning skulle kunna behandla hur enterprise thinking påverkar interoperabilitetsarbete på lång sikt, med en longitudinell ansats. Då denna avhandling visar på hur användningen av olika arkitekturella metaforer kan kollidera föreslås ytterligare forskning som fokusera på de positiva och negativa effekterna av att förhandlingar initieras av sådana konflikter. Från ett projektledningsperspektiv kan riskerna och fördelarna med att använda mindre projekt som symboler för att få med flera aktörer i interoperabilitetsprogram fokuseras. Detta är i synnerhet intressant i arkitekturprogram där en arkitektur inte kan tvingas på aktörerna, men att implementation är frivillig. Användning av EA som ett ideal som ofta inte kan följas fullt ut i offentlig sektor, men avsiktligt användas som en ledstjärna, är intressant för vidare forskning. Till exempel skulle det vara intressant att se hur EA-retorik kan tillämpas i praktiken för att legitimera program. Det är av intresse att undersöka i vilken utsträckning användningen av dessa begrepp påverkar verksamheten, eller om de bara är tomma ord. Begreppet enterprise thinking föreslås som användbart för vidare forskning. Det kan vara användbart för att undersöka olika tillvägagångssätt, influerade av EA, i olika kontexter. Exempelvis kan det vara av intresse att se till länder som inte har samma institutionella egenskaper som Sverige, men påverkas av enterprise thinking på olika sätt. Detta skulle vara av intresse för att undersöka på vilka olika sätt enterprise thinking närmas i praktiken. Även den fortsatta utvecklingen i Sverige kan vara av särskilt intresse, då andra sektorer i skrivande stund förbereder egna interoperabilitetsprogram och ämnar dra nytta av lärdomar från arbetet inom vårdsektorn.
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Factors contributing to failure of egovernment projects in developing countries : a literature reviewAGALOMBA, CHRISTINE AFANDI January 2012 (has links)
No description available.
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Electronic Government in Iraq: Challenges of development and implementationAl-Dabbagh, Mustafa January 2011 (has links)
No description available.
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Development of Web-based Health Care Services in Swedish County Councils : Strategies, Usage and ChallengesAcheampong, Faustina January 2010 (has links)
eHealth has been adopted by many countries across the globe in response to cut down cost and improve the quality of life. Sweden has been engaged in providing web-based health care services for its citizens for the past decade and county councils have the responsibility to develop them. The main aim of this thesis is to present answers to the following research questions:What strategies (formal and informal) guide the development of web-based health care services provided by the Swedish county councils?What barriers exist in relation to the development and usage of web-based health care services provided by the county councils from the viewpoint of their IT leaders?From the perspective of IT leaders in the county councils and in their capacity to develop, manage and monitor their organizations‘ website content, which web-based health care services are mostly accessed by users and what age group utilize the services most?The thesis is an exploratory research conducted through a survey based on a mail questionnaire that was posted to all 21 county councils in Sweden with 18 councils responding. The results show that all county councils have formally adopted the National eHealth Strategy to guide the development of web-based health care services and some have other informal strategies as well. Technological barriers, resistance to use the web-based services and changing business process to integrate ICTs have been identified by IT leaders as major challenges that impede the development of web-based health care services in Swedish county councils. Swedish citizens more frequently access prescription renewal and booking and cancellation of appointments than other available web-based health care services which depicts a trend towards the use of advanced interactive services than basic information seeking, and people in the ages of 46 to 55 have been identified as the frequent users of web-based health care services according to IT leaders from the county councils.
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Národní elektronický nástroj jako cesta k vyšší transparentnosti / National Electronical System as a way to higher transparencyJelínek, Daniel January 2016 (has links)
This diploma thesis outlines the issue of National electronical system and electronical procurement in general. The aim is to consider benefits and also possible defects connected to the installation of the system mentioned above, including its financial demands and comparison with similar central systems. Thesis outlines actual usage of the system and if it is easy to use. Based on the data from NEN usage statistics and also from the questionnaire method of research thesis analyzes real usage of the system. Based on arguments mentioned in both theoretical and practical part of this thesis, system has been considered as not very used and not user-friendly.
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