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This research investigates the applicability of thin client in a hospital environment. First, a set of thin client application criteria in terms of hardware, function characteristics, network, and application platform are identified. Second, we analyze the healthcare delivery process in terms of operation process, hardware, and application platform. Third, we evaluate the fitness of thin client application by matching the above two sets of criteria. A case study was conducted to valid the applicability of this approach. These results provide great insight for practitioners and scholars for enhancing their understanding of thin client implementation and provide implication guidelines to help practitioners adapt thin client in health care industry.

eHealth Strategies in countries have shown a trend that countries are moving to Electronic Health Records(EHR). EHR implementation is expected to produce benefits for patients, professionals, organisations, and the population as a whole. The use of some format of an Electronic Health Record is used by many countries and others are in the implementation or planning phases. South Africa has kicked of the project to implement a national EHR as part of the national eHealth Strategy. This study aims to analyse the key success factors from other EHR implementation projects and evaluate if South Africa is ready to implement an EHR.

eHealth Strategies in countries have shown a trend that countries are moving to Electronic Health Records(EHR). EHR implementation is expected to produce benefits for patients, professionals, organisations, and the population as a whole. The use of some format of an Electronic Health Record is used by many countries and others are in the implementation or planning phases. South Africa has kicked of the project to implement a national EHR as part of the national eHealth Strategy. This study aims to analyse the key success factors from other EHR implementation projects and evaluate if South Africa is ready to implement an EHR.

<p>This dissertation uses the theory of the experimentallyorganised economy (EOE) and competence blocs to analyseeconomic development in the health care industry. The healthcare industry is both important and interesting to study fromseveral points of view. The industry is large, even larger thanthe manufacturing industry, and draws significantresources.</p><p>The theory of the EOE and competence blocs is bothevolutionary and dynamic. It identifies the actors needed foran efficient selection and commercialisation of investmentprojects and the competences needed to support that process.For this, the institutional setting is important in thatinstitutions influence the incentives that guide actors in theeconomy and the nature of competitionthat forces change.</p><p>Four empirical studies are carried out using severalempirical methods to study similar problems, ranging fromeconometric analyses of panel micro data to case studies. Weask if the withdrawal of a major employer (Pharmacia) from aregion (Uppsala) has had a negative effect on employmentgrowth. We then ask if the turnover of establishments has hadany effect on regional employment growth. We find no supportfor the first question. However, the regional turnover ofestablishments is found to have had a positive effect onregional employment growth, illustrating how important thisdynamic is for the economy. In addition, a case study of theintroduction of two almost identical innovations in twodifferent competence bloc environments, that of the US and thatof Sweden, captures the whole process from invention toinnovation and diffusion in the market. We find that without acomplete competence bloc the risk is high of“loosing awinner”. Finally, we study the role of the technologytransfer process from university to industry for thecommercialisation of new inventions. Among other things, thestudy illustrates how institutional changes, such as theBayh-Dole Act, have created positive effects for theeconomy.</p><p>The Experimentally Organised Economy; Competence Blocs;Industrial Dynamics; Health Care Industry; IndustrialTransformation; Regional Turnover of Establishments; CaseStudies; Technology Transfer</p>

This dissertation uses the theory of the experimentallyorganised economy (EOE) and competence blocs to analyseeconomic development in the health care industry. The healthcare industry is both important and interesting to study fromseveral points of view. The industry is large, even larger thanthe manufacturing industry, and draws significantresources. The theory of the EOE and competence blocs is bothevolutionary and dynamic. It identifies the actors needed foran efficient selection and commercialisation of investmentprojects and the competences needed to support that process.For this, the institutional setting is important in thatinstitutions influence the incentives that guide actors in theeconomy and the nature of competitionthat forces change. Four empirical studies are carried out using severalempirical methods to study similar problems, ranging fromeconometric analyses of panel micro data to case studies. Weask if the withdrawal of a major employer (Pharmacia) from aregion (Uppsala) has had a negative effect on employmentgrowth. We then ask if the turnover of establishments has hadany effect on regional employment growth. We find no supportfor the first question. However, the regional turnover ofestablishments is found to have had a positive effect onregional employment growth, illustrating how important thisdynamic is for the economy. In addition, a case study of theintroduction of two almost identical innovations in twodifferent competence bloc environments, that of the US and thatof Sweden, captures the whole process from invention toinnovation and diffusion in the market. We find that without acomplete competence bloc the risk is high of“loosing awinner”. Finally, we study the role of the technologytransfer process from university to industry for thecommercialisation of new inventions. Among other things, thestudy illustrates how institutional changes, such as theBayh-Dole Act, have created positive effects for theeconomy. The Experimentally Organised Economy; Competence Blocs;Industrial Dynamics; Health Care Industry; IndustrialTransformation; Regional Turnover of Establishments; CaseStudies; Technology Transfer / <p>NR 20140805</p>

No description available.

No description available.

O objetivo deste trabalho é analisar situações em que a tecnologia da informação (TI) contribui para o desenvolvimento de estratégias de negócios, envolvendo interrelação e cooperação entre empresas no setor da saúde. O estudo baseia-se na análise das operações de serviços em uma rede de valor (grupo determinado de empresas) no setor da saúde. Esta análise é realizada por meio de técnicas estratégicas, buscando compreender como e por que a tecnologia da informação pode ser utilizada como um fator diferenciador e decisivo na escolha de estratégias de negócios. As estratégias de negócios obtêm vantagem competitiva na medida em que criam valor, aumentando a eficiência e/ou eficácia das empresas. Este valor pode ser mais bem percebido e até aferido ao se analisar as interações em uma rede de valor em que a empresa está inserida. O levantamento de dados deste trabalho tem respaldo no método exploratório cuja função, entre outras, é obter informações sobre possibilidades práticas de realização de pesquisas em situações de vida real. Utilizam-se, ainda, de levantamento bibliográfico, pesquisas de documentos e dados em geral, tendo como fonte principal um estudo de caso múltiplo, englobando empresas de uma rede de valor no setor da saúde. Os resultados da pesquisa demonstram que o uso da TI permite ampliar os pontos fortes da empresa, além de suas oportunidades no ambiente externo e propicia também formas alternativas de atuação das empresas no mercado, gerando possibilidades para o desenvolvimento de novas estratégias ou modelos de negócios. / The purpose of this study is the analysis of cases where information technology (IT) helps the development of business strategies. It involves the inter-relation and cooperation among companies in the health care sector. This study is based on the analysis of service operations in the health care sector (a particular group of companies) by means of strategic techniques. It addresses the reasons why information technology may be used as a decisive differentiating factor in the selection of business strategies. Business strategies result in competitive advantages as they create value and thus increase business efficiency and/or effectiveness. Such value may be perceived and measured when the chain of values, the value system, the supply chain, and most of all, the network of values where the company is encased, are analyzed. Data collection for this study is supported by the exploratory method whose function,among others, is getting information about the practical possibilities of carrying out researches in real life conditions. This study also makes use of bibliographic research, documents research and generic data. The main source of data is a multi-case study encompassing health care enterprises. Data obtained in this research show that IT application may amplify the company strong points as well as its business opportunities in the market. It also opens up alternative forms of market actuation and raises new possibilities for the development of new strategies and business models.

This research study examines the influence of two major forces, competition and regulation, on the strategic orientation of hospitals. This is a particularly relevant subject, as the effectiveness of competition versus the effectiveness of regulation in the health care market has been called one of the Bellwether issues in health care policy, and the most controversial and far reaching philosophical battle facing the health care industry. Even after three decades of research and debate, there is still no consensus on how the hospital industry responds to either a competitive environment or a regulated environment. There continues to be significant variation across the country on which model provides the environmental context for hospitals, and there is no resolution of the issue on the horizon. It is clear that the dichotomy of a competitive environment or a regulated environment and the wide variation from market to market will continue to be significant factors influencing the development of hospital strategies. Developing strategies that provide an appropriate fit with the particular environmental context is a critical aspect of the success of an organization.This study provides a unique perspective on the subject, with an examination of the relationship between the level of competition in the market and the level of regulation in the market, and whether these dimensions influence hospital strategic orientation. Porter's strategic orientation typology is used as the model for hospital strategy, and the theoretical framework combines the legitimacy seeking elements of institutional theory and the resource and cost control elements of resource dependency theory.The findings of this study indicate an association between a competitive environment and a differentiation orientation. As competition decreases, there is a greater likelihood of association with cost inefficiency. The results also indicate that in the absence of CON or as CON decreases, there is a greater likelihood of cost inefficiency. Although this study provides a timely analysis of a very controversial topic, it is clear that additional research efforts are needed on this critical issue that impacts every hospital in the country.