The healthcare system in the US faces substantial challenges related to cost, access and quality. Health Information Exchange (HIE) has been widely viewed as a viable solution for dealing with those challenges. Despite the potential contributions to the healthcare system that HIE promises, adoption and use of HIE have always been difficult, and the past two decades have witnessed significant HIE implementation failures. The limited understanding of HIE is a major obstacle for HIE success. Only recently in-depth research about HIE starts to appear in top IS journals. In addition, the uniqueness of healthcare industry adds to the complexity to HIE. Our study attempts to address this research gap by systematically examining multiple factors that influence HIE adoption and use. Using social exchange theory (SET) and diffusion of innovations theory, a research model was developed to empirically test major factors that impact healthcare providers’ relative advantages and risks perceptions for adopting and using HIE. It is further proposed that relative advantages and risks in turn impact organizations’ intentions for adopting and continuously using HIE. As such, we posit that organizations’ assessments of relative advantages and risks associated with HIE mediate the impacts of organizational and technological factors on organizations’ adoption and use intentions. This study uses questionnaire surveys for data collection. Out of a total of 163 responses, 117 surveys were completed and were analyzed using Partial Least Square software SmartPLS 3. Data analysis finds that most of the relationships were in the hypothesized directions with some of the relationships being significant. Specifically, top management support, absorptive capacity, trust, and HIE innovation characteristics positively affect relative advantages and negatively affect risk. Furthermore, relative advantages positively affect adoption/continuance intentions, whereas risk negatively affects adoption/continuance intentions. This study contributes to the literature and offers important practical implications. It is one of the early empirical attempts to understand the key factors that affect HIE’s adoptions and use. The research can also serve as a starting point for more in-depth studies in the future. Moreover, practitioners can use the several newly-developed scales to empirically examine healthcare providers’ adoption and use intentions.

<p>The respondents can be classified into 3 groups as follows,</p><p>users 47%, non users 37%, non awareness customers 16%.</p><p>We found that the group of users perceived more positive</p><p>toward Bualuang ibanking than the group of non users in four</p><p>aspects, relatively advantage, complexity, compability and</p><p>observability, while, trialability was not perceived as a</p><p>significant attribute facilitating the use of Bualuang ibanking.</p><p>However, in some circumstances, such as, time processing,</p><p>mental effort, frustrating, privacy and security, the attitude</p><p>toward these circumstances is positive but not divergent</p><p>between these two groups. For the non awareness customers,</p><p>there are 58% of them preferred adopting this technology in</p><p>the future and the most frequently selective duration that they</p><p>will adopt this technology is within one month.</p>

Clinical information systems are being introduced into nurses’ work at an alarming rate. These systems are implemented with limited input from nurses who provide direct patient care, and without considering human factors in the systems design and implementation process. The need for nurses to be involved at every level of decision-making as it relates to technological innovation into their work is imperative to mitigate system failure and truly support their work. Therefore, the purpose of this paper is two-fold: 1) to discuss evidence that suggests that the nurse is not really viewed as an end user in most clinical information systems implementations and 2) to describe the implications of this misperception to the nurse, organization, and nursing profession.

The respondents can be classified into 3 groups as follows, users 47%, non users 37%, non awareness customers 16%. We found that the group of users perceived more positive toward Bualuang ibanking than the group of non users in four aspects, relatively advantage, complexity, compability and observability, while, trialability was not perceived as a significant attribute facilitating the use of Bualuang ibanking. However, in some circumstances, such as, time processing, mental effort, frustrating, privacy and security, the attitude toward these circumstances is positive but not divergent between these two groups. For the non awareness customers, there are 58% of them preferred adopting this technology in the future and the most frequently selective duration that they will adopt this technology is within one month.

L'obiettivo di questo lavoro e' l'estensione dell'approccio basato su opzioni reali alla valutazione delle tecnologie sanitarie. l'approccio al problema e' duplice. da un lato si vuole capire quale contributo questo sviluppo possa fornire alla comprensione dei meccanismi di adozione e diffusione di nuove tecnologie in sanità. l'altro obiettivo e' realizzare una concreta applicazione di questo approccio alla valutazione, che e' ancora assente nella letteratura di economia sanitaria. la tecnologia scelta per l'applicazione è la positron emission tomography (pet). / This work aims to extend the real option approach to the evaluation of health care technologies. The aim is to do this from two different points of view. On one side we are interested in understanding what insights taking option values into account provides in the study of adoption behaviour by providers. On the other side, we aim to provide an application of this approach to the economic evaluation of a specific medical technology, which is still missing in the health economics literature. The technology that has been chosen for the application is positron emission tomography (pet).

This research examines the integration of electronic book (e-book) technology within an academic library. The University of Ottawa library is explored as a qualitative case study. The perceptions of use and communication pertaining to e-book adoption from the perspectives of students, faculty members, and librarians are combined with other documentation to provide a comprehensive examination of the case. Rogers (1962; 2003) Diffusion of Innovations provides the theoretical framework to guide the study and structure its analysis. Main findings revealed the following: (1) participants preferred print books, (2) inadequate communication occurred between students, faculty members, and librarians, and (3) information literacy training initiatives were insufficiently standardized. This study contributes to communication research by examining adoption of e-book technology and the spread of ideas within a social environment. It also furthers Diffusion of Innovations by confirming that even when individuals acknowledge advantages of a communication technology, it is not necessarily adopted.

This exploratory research focuses on impacts of the rural socio-cultural context on Information and Communication Technology (ICT) adoption for business information needs using the Maldives as the study context, and attempts to develop a model to capture the influences of the rural context on ICT adoption decisions. The numerous ways in which rural context differs from urban context, such as small markets combined with familiarity among community members and reliance on interpersonal relationships, suggest potential impacts on the nature and management practices of rural businesses and provide an approach to explore ICT use in rural settings. Using findings from the literature, a theoretical framework was developed to outline how the socio-cultural context of a rural community of a developing country might affect ICT adoption by rural businesses. The research model predicts relationships between context factors and perceived benefits and barriers of ICTs, and between these perceptions and intentions to adopt/use ICTs. The initial phase of the research was exploratory in nature focusing on a few selected rural and urban businesses and the second phase consisted of a quantitative survey of 314 rural and urban businesses. The findings supported predicted differences between rural and urban contexts for all five factors included in the research model. The results also show that context factors explain 35.5% of variance on perceived benefits of ICTs and 49.3% variance on perceived barriers of ICTs. The findings raised questions about the disjoint between opinions of ICTs and actual use and the limited value derived from ICTs. The research also highlighted that promoting ICT adoption in rural businesses was a highly complex issue that has important linkages to public policy support. Overall, this research provides important insights into the complex dynamics that exist in rural settings that have implications for ICT use and provides empirical evidence to illustrate differences between urban and rural contexts, as well as the level of influence from different context factors on ICT adoption. This research has relevance for organizations working towards the development of rural communities.

This study assesses how to measure and evaluate performance impacts of IntelligentTransport Systems (ITS) in the transport chain.The importance of transportation in global trade has increased significantly in the lastdecades. Cost pressure, rising customer demand for sophisticated logistics services, sustainabilityand security as well as safety issues have boosted the need for more efficient,effective and differentiated transport operations. Intelligent Transport Systems werefound to have the potential to address these challenges in the transport chain. However,due to the novelty of the technology both ITS developers and users face huge uncertaintyabout the performance impacts of ITS. Evaluating ITS in the transport chain beforethe rollout based on concrete measures is likely to reduce the uncertainty involvedin ITS developments and enhance the adoption rate of the new technology. The increasingnumber of ITS projects, like the Secure Intermodal Transport Systems at VolvoTechnology, create a need for a structured approach to measure and evaluate ITS.A literature review concerning the characteristics of the transport industry, technologyadoption, ITS and performance measurements served as a basis for the empirical studyin which 8 semi-structured interviews with different stakeholders in the transport industrywere conducted in order to find out how the performance impacts of ITS are perceivedin the industry and how they could possibly be assessed. The focus groupmethod was used to validate and apply the findings from the interview study to a GeofencingITS-service.The study has confirmed that the concept of ITS is still an emerging phenomenon in thetransportation industry. There is no common understanding of ITS among researchersand practitioners in the transport industry and still a lack of knowledge regarding theperformance impacts of ITS. Even though it could be found that ITS leverages mainlythe service level that can be offered to the customer and that they increase the efficiencyin the back office, the great variety of ITS-services calls for an individual assessment.Structuring the assessment into the phases of measurement design, implementation anduse of the measures facilitates this process. For the different phases a set of activitiescritical for a successful assessment of ITS have been identified. Despite its usefulnessfor mitigating the uncertainty related to the new technology, the focus group validationuncovered that a comprehensive measurement for ITS is not appropriate from the outset,but should be assessed based on the cost of the measurement, the ITS project priority,the customer relations as well as the hierarchical structure in the provider firm.

This exploratory research focuses on impacts of the rural socio-cultural context on Information and Communication Technology (ICT) adoption for business information needs using the Maldives as the study context, and attempts to develop a model to capture the influences of the rural context on ICT adoption decisions. The numerous ways in which rural context differs from urban context, such as small markets combined with familiarity among community members and reliance on interpersonal relationships, suggest potential impacts on the nature and management practices of rural businesses and provide an approach to explore ICT use in rural settings. Using findings from the literature, a theoretical framework was developed to outline how the socio-cultural context of a rural community of a developing country might affect ICT adoption by rural businesses. The research model predicts relationships between context factors and perceived benefits and barriers of ICTs, and between these perceptions and intentions to adopt/use ICTs. The initial phase of the research was exploratory in nature focusing on a few selected rural and urban businesses and the second phase consisted of a quantitative survey of 314 rural and urban businesses. The findings supported predicted differences between rural and urban contexts for all five factors included in the research model. The results also show that context factors explain 35.5% of variance on perceived benefits of ICTs and 49.3% variance on perceived barriers of ICTs. The findings raised questions about the disjoint between opinions of ICTs and actual use and the limited value derived from ICTs. The research also highlighted that promoting ICT adoption in rural businesses was a highly complex issue that has important linkages to public policy support. Overall, this research provides important insights into the complex dynamics that exist in rural settings that have implications for ICT use and provides empirical evidence to illustrate differences between urban and rural contexts, as well as the level of influence from different context factors on ICT adoption. This research has relevance for organizations working towards the development of rural communities.

This paper considers the adoption of Health Information Technology (HIT) by physician clinics with ten or fewer physicians. The paper considers the theoretical economics literature on technology adoption for a new technology and has a place in the empirical tests of these models. The two major hypotheses tested in the paper are that the probability of adopting HIT increases with the number of physicians working at the clinic and if the clinic is part of a chain of clinics, and that it also increases with increased competition at the market level measured by the number of clinics per 10,000 residents in a county. To test these hypotheses, the paper first estimates a baseline logit model followed by three hazard rate models. In each case, clinic size is found to have positive though not significant effect on the probability of adoption (in the logit model) or to decrease the predicted time to adoption for the clinic (in the hazard rate models), being in a chain of clinics is found to have a strong positive and significant on the probability of adoption, and increased competition is found to have a positive though not significant effect on the probability of adoption.