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1.
Electronic Health Record (EHR) can promote awareness or knowledge about healthcare among patients and healthcare professionals to improve collaboration between different governmental bodies, and enhance healthcare quality. The aim of the study is to identify the critical farctors affecting the physicians’ adoption of EHR in healthcare system of Bangladesh by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) to include Personal Innovativeness in Information Technology and Resistance to Change. A cross-sectional survey questionnaire was used to collect data from 300 participants in different private and public hospitals in Dhaka, the capital city of Bangladesh. The study used partial least square (PLS) method, a statistical analysis technique based on the structural equation modeling (SEM), to analyze the collected data. The results of the study determined that Social Influence (β = 0.19, P < 0.05), Facilitating Conditions (β = 0.19, P < 0.05), and Personal Innovativeness in Information Technology (β = 0.19, P < 0.05) had a significant influence on physicians’ Behavioral Intention to adopt the EHR system, whereas Performance Expectancy (β = 0.08, P > 0.05), Effort Expectancy (β = -0.02, P > 0.05), and Resistance to Change (β = 0.03, P > 0.05) had no significant influence. The findings suggest that policymakers should increase the adoption of the EHR system by developing social strategies to encourage physicians to stimulate each other to use the EHR system and ensuring technical sufficiency, training to facilitate the use of the EHR system. In addition, the policymakers should identify physicians who possess a propensity to experiment with new information technologies as well as reduce existing challenges and barriers such as computers crush, poor infrastructure with erratic power supply etc. Moreover, we identify future research areas that provide scholars opportunities to push theoretical and empirical boundaries and offer further insights into the study of the EHR system. 相似文献
2.
Theodor D. Sterling 《The Information Society》2013,29(1-2):9-47
Abstract The potential impact of managing large organizations, enterprises, and government departments through the universal adoption of computer‐based techniques is analyzed. Current soft and hardware architecture tends to support a centralizing power strategy. Also, the economics of that architecture tend to support centralized rather than distributed and decentralized organizations. This trend may be further supported by dominant Reinforcement Politics. As one byproduct, centralization decreases the possibility of forming a more broadly based consensus. Opportunities for democratic organizational processes are diminished when computerized procedures deny members or citizens the ability to define their way of organizational life by constraining actions that are largely voluntary. Democratic styles may be further constricted when access to information and to foci of decisions is made more difficult. It is not yet clear just how managing single‐issue adherents by means of special lists and letters as part of electoral processes will affect party and coalition politics. There is agreement that computers enhance the possibility of surveillance of citizens and organizations. However, there is controversy whether that surveillance poses threats to individual freedoms that differ from traditional means of coercion. Yet all known instances of surveillance seem to have been initiated by administrative fiat and in the absence of legislated controls or accountability. Somewhat unclear is the effect of computers on the apparent link between more or less free markets and democratic government. Also unclear is the possible destabilizing effect of large‐scale technological unemployment on the politics of democratic countries. All in all, while there are indications that computer‐based technologies tend to have antidemocratic political impact, their influence seems to be cushioned by the process by which democracies are sustained. 相似文献
3.
上下级关系实践是中国情境下组织中所特有的概念,而理论界缺乏以关系实践对员工工作绩效的积极和消极双重影响为出发点的研究。为此,本研究通过对12家企业中48个部门的464套配对调查问卷,构建多层数据模型（HLM）,从个体层面关系实践的促进作用和群体层面关系实践的抑制作用探讨上下级关系实践对员工工作绩效的积极与消极双重影响。研究发现：在单层模型中,个体层面关系实践对员工角色内绩效和组织公民行为具有正向影响,工作满意度起到部分中介作用;在多层模型中,群体层面关系实践对员工角色内绩效和组织公民行为具有负向影响,程序公平感知起到完全中介作用。 相似文献
4.
【目的/意义】社会化媒体已经成为企业和组织工作中的一种新兴趋势,但少有研究在工作情境下探讨社会化媒体采纳的具体行为和其影响机制。【方法/过程】将工作情境下的社会化媒体使用行为分为强化使用和多样使用两类,以S-O-R理论为基础框架,结合技术接受模型和动机理论,构建工作中使用社会化媒体的两类动机及其对使用行为影响的研究模型,同时还讨论了惯性对意图与两类使用行为影响的调节作用。【结果/结论】通过实际工作中的问卷数据进行实证分析,研究结果表明:个人层面和任务层面的动机在使用者采纳社会化媒体中扮演着积极的角色;使用者的惯性确实能够调节意图与行为之间的关系。 相似文献
5.
Cloud computing is an IT service paradigm that can, if used meaningfully, enhance traditional health IT approaches and offer major benefits to the healthcare industry. However, its adoption by healthcare organizations has been accompanied by diverse challenges that could impede its meaningful use. Decisions about its adoption should be made after serious consideration of relevant industry-specific factors. Whereas the literature has focused on cloud computing adoption in general, the industrial specificities that influence the decision to adopt cloud computing in the healthcare context have yet to be systematically addressed. We reviewed empirical studies on both information systems and medical informatics to investigate the determinant factors of the cloud computing adoption decision in healthcare organizations and the industrial specificities of those factors. Based on the results of our review, we proposed a conceptual framework of cloud computing adoption studies in healthcare and made seven recommendations for related future research. Our research contributes to the theory by providing a comprehensive list of industry-specific factors that influence cloud computing adoption decisions in healthcare and explains their specificities for the healthcare industry. For practitioners, the identified factors serve as a checklist that informs healthcare organizations’ decision making regarding cloud computing adoption. 相似文献
6.
很多爱心人士在加入慈善公益组织后发现现实与预期的工作或组织状态不一致,导致其产生较高的离职倾向和较低的幸福感与组织公民行为,造成这类组织的管理低效。为了剖析这种现象发生的原因,本研究着眼于心理契约违背,并从职场精神力角度分析了其作用机理。通过结构方程模型（SEM）方法的实证检验,本研究发现在慈善公益组织中：（1）心理契约违背对员工的主观幸福感与组织公民行为有负向影响,对员工的离职倾向有正向影响;（2）心理契约违背对员工的职场精神力有负向影响;（3）职场精神力部分中介了员工心理契约违背与主观幸福感的负向关系,完全中介了心理契约违背与组织公民行为的负向关系,以及心理契约违背与离职倾向的正向关系。 相似文献
7.
As cloud computing has spread from the enterprise sector to individuals, there has been a growing need for research on the adoption of cloud computing at the individual level. However, relatively little research has investigated the differences and similarities between users and nonusers regarding the individual-level technology acceptance. To fill this gap, this study explored the differences and similarities between users and nonusers in the context of public cloud storage services of South Korea. Data (users = 210; nonusers = 187) were analyzed using structural equation modeling. For social influence, there was a significant difference between users and nonusers. For users, social influence was not a determinant for positive intention to use PCSS, whereas it was a determinant for nonusers. For other factors, there were no significant differences between the two groups, but each showed meaningful similarities: habit was the strongest predictor of the intention to use for both users and nonusers, whereas hedonic motivation was not an important concern for both; performance expectancy was a determinant for positive intention to use PCSS for both groups. Effort expectancy was a determinant for positive intention to use PCSS for users, whereas it was not a determinant for nonusers. These results can provide academic researchers and businesses with insights into individual-level adoption of cloud computing. 相似文献
8.
This paper presents a research model aimed to investigate the impact of organizational climate, motivational drivers, and empowering leadership on behavioral intention formation in knowledge sharing. A research model has been developed by integrating several knowledge management studies having in-focus behavioral intention formation in knowledge sharing. The hypotheses are tested on data collected from 873 employees from public and private sector organizations from Serbia’s province of Vojvodina, using partial least square structural modeling technique and SmartPLS software. Findings suggest that organizational climate with prominent dimensions of fairness, innovativeness and affiliation, empowering leadership, sense of self-worth, and altruism significantly influence individuals’ knowledge-sharing attitude, intention, and behavior thus confirming the theory of reasoned action. Results obtained in this research expand and deepen findings reported in previous studies and enable a comprehensive framework for understanding the influence of some organizational variables on employees’ tendencies to be engaged in knowledge sharing. 相似文献
9.
个体行为的改变对组织变革有决定性的影响。应对是个体面对组织变革压力时的一种典型的行为反应,理应成为研究的重点。然而传统的组织变革研究忽视了对个体因素的考察。受心理学影响,消极研究倾向长期成为组织行为学的主流。近年来,组织中的积极主动行为受到广泛关注。从微观视角、个体层面对组织变革情境下个体的积极应对与其绩效的关系及其影响机制进行的实证研究发现,变革压力下个体的积极应对对员工绩效和工作投入均有显著影响;工作投入在积极应对与员工绩效关系中起中介作用;员工的技能可调节积极应对与任务绩效之间的关系。因此,变革的管理者应给予个体足够的重视,注意激发员工的积极情绪和行为,提高其工作投入状态和技能水平。 相似文献
10.
Hsiu-Fen Lin 《知识管理研究与实践》2013,11(4):389-404
Drawing upon innovation diffusion theory and the organizational capability literature, this study empirically investigates the differential influence of three contextual variables (organizational readiness, expected benefits, and organizational learning capability) on knowledge management system (KMS) adoption (or continue-to-use) decisions. Utilizing data collected from 220 senior executives in large Taiwanese firms, various relationships in the research model are tested using partial least squares analysis. The results indicate that organizational readiness, expected benefits, and organizational learning capability influence KMS adoption (or continue-to-use) intention. Additionally, this study finds that the relationship between organizational readiness and KMS adoption (or continuance) intention is greater for potential adopters than for current adopters. Theoretically, this study provides a model capable of understanding the determinants of KMS adoption (or continue-to-use) across potential and current adopters. From the managerial perspective, the findings should provide valuable guidelines to companies potentially wishing to adopt KMS by overcoming potential obstacles, and thus maximizing the benefits during the pre-adoption and post-adoption stages. 相似文献
11.
《Information processing & management》2022,59(4):102969
In this study, we use a hybrid sentiment analysis approach to identify and assess service quality dimensions (i.e., technical and functional quality) in unstructured textual reviews and employ econometric methods to theorize and test the impact of these service quality signals on online physician selection. By analyzing a data set with 246,294 reviews based on 5,452 physicians in 8 disease markets from an online health consultation platform, this study reports that technical and functional quality cues are important market signals used by patients to select online physicians. More importantly, this study provides strong evidence that the effects of these signals on online physician selection are substantially contingent on disease market competition intensity. Furthermore, this market competition effect is moderated by the level of disease risk. This study contributes insight into patients' physician choice behavior by introducing the role of market-level characteristics. It also guides online health consultation platforms in developing operational strategies to increase patient engagement. 相似文献
12.
组织社会资本是能够带来内生优势的资源,其源于个体互动网络的特点决定了其多层次性。但着眼于不同层次和侧面的研究导致了构念架构的模糊。本文基于多层次理论的逻辑,将已有的概念、衍生与效能等相关研究纳入多层次视野下,说明了组织社会资本在单一层次和跨层次的应用,并建构了融合其跨层次前因与效果的跨层次理论架构,明确了组织社会资本的多层次本质及其所包含的微观与宏观的关联关系,并提出未来需要推进的问题。 相似文献
13.
随着信息技术组织扩散的深入推进,信息技术组织扩散研究重点已从封闭式信息技术组织采纳行为转向交互式信息技术的跨组织系统扩散行为,以及后采纳期的组织成员采纳与使用行为,大量研究在IDT或TOE框架的基础上融合其他理论,对信息技术组织扩散进程的影响因素进行了更为全面的考察。对近40年来信息技术组织扩散研究相关文献进行考察分析,旨在介绍信息技术组织扩散研究进展,建构其理论整合框架,展望其未来发展。 相似文献
14.
为了帮助学界把握资源依赖理论（RDT）在信息系统领域应用的研究进展,以便今后的研究更好地利用RDT解决信息系统领域中尚未涉及的问题。本文对国内外基于RDT的研究文献进行检索和梳理,并总结了研究取得的成果、存在的问题以及未来值得关注的研究方向。研究分析发现,目前RDT的应用研究主要集中在RDT在信息技术对组织影响的应用研究、基于RDT的信息系统采纳的影响因素研究、基于RDT的信息共享的影响因素研究3个方面;研究中主要存在"研究主要局限于制造业"、"时间维度的纵向数据研究较少"等问题;文化、亚文化和组织文化差异对组织信息系统采纳的不同影响以及信息技术对政府、教育机构等服务组织的绩效影响等研究是未来值得关注的研究领域。 相似文献
15.
Radio Frequency Identification (RFID), once a niche technology, is rapidly gaining the attention of retailers as a key enabler in their supply chain. As RFID moves into the mainstream, it is poised to replace the standard barcode as the technology that identifies and tracks products throughout the supply chain. In an attempt to gain competitive advantages, some retailers have begun the transition to RFID while others have been reluctant to embrace it. This study investigates South Korean retailers to identify key organizational characteristics that positively drive the evaluation of RFID. Further, this study assesses the impact one's evaluation has on the adoption and integration of RFID within their respective firm. Results from 278 adopting organizations show organizational needs (Ubiquity and Performance Gaps), perceived factors (Benefits and Cost Savings), and organizational readiness (Financial Resources and Technological Knowledge) have a significant influence on RFID Evaluation; and evaluation impacts its adoption, and integration. 相似文献
16.
组织人力资本是组织获得可持续竞争优势的源泉,因此组织人力资本近年来得到持续关注。为了厘清组织人力资本的前因变量及结果变量,本文运用元分析的方法对比了147项研究、151个独立样本中的606个效应值。分析结果显示,影响组织人力资本的形成与发展的主要因素主要以体现在三个层面,即组织特征（包含组织战略、组织文化、组织支持）,团队特征（招聘实践、培训实践、竞争性薪酬、绩效反馈、内部晋升、员工参与、共享机制）,个体特征（知识经验、能力、态度）;组织人力资本也从两个层面对组织和个体产生影响,即组织人力资本在组织层面推动组织绩效、组织创新、组织学习、竞争优势,在个体层面助力个体行为、个体绩效、职业生涯发展等。本研究旨在全面梳理组织人力资本形成、发展与转化的作用机理,由此推进个体与组织之间良好的正向动态循环,持续促进二者协同发展,为组织人力资本领域的深入研究奠定基础。 相似文献
17.
The paper argues that existing research on information quality (IQ) mainly focuses on the primary use of electronic health record (EHR) data, whereas IQ in secondary use of EHR data needs further deliberation. The current view of IQ in a healthcare context is static. It assumes that once the EHR system generates the information product, individual users may act on the information based on their subjective perception of its quality. However, this view ignores the complexities of secondary use of EHR data, in which users are actively involved in (re)generating and communicating the information product. Thus, IQ does not remain static but keeps on transforming through active engagement and interpersonal communication. To contribute to this debate, we conducted a qualitative case study in a Norwegian healthcare context by employing an IQ life cycle model. In conclusion, we enhanced the existing IQ model by (1) adding interpersonal communication, (2) showing the interrelations of the IQ dimensions, and (3) integrating the mechanisms of the transformation process for IQ in secondary use of EHR data. In doing so, we unfold the dynamics of IQ in the secondary use of EHR data. 相似文献
18.
移动医疗发展迅速,医疗健康管理成为研究热点,为了研究用户对健康APP的采纳意愿及影响因素。本文从技术视角和健康行为改变视角,基于UTAUT理论和PMT理论构建用户使用意愿研究模型,通过调查问卷收集数据,并利用SPSS和AMOS进行统计分析和结构方程建模。研究发现：绩效期望、信任感知、社会影响和努力期望依次显著正向影响用户的使用意愿;信任感知正向影响用户的自我效能和反应效能;用户的自我效能和反应效能分别正向影响用户的绩效期望、努力期望和社会影响;并为医疗健康服务商及APP开发运维商提供建议。 相似文献
19.
隐性知识为企业技术创新及可持续发展提供了支撑,共享、整合和利用企业内外部隐性知识的研究得到学者们的广泛关注,但现有文献对如何促进组织间隐性知识共享的关注甚少。本文选取中国东部地区的186家知识密集型企业为调查对象,探讨开放情境下核心企业的知识治理与组织间隐性知识共享的关系。研究发现：知识治理对组织间隐性知识共享具有正向影响,组织开放度在市场型和层级型知识治理对组织间隐性知识共享的影响中均具有显著的调节作用,但在社会型知识治理对组织间知识共享影响中的调节作用不显著。该研究可为企业在创新网络中获得基于知识治理的创新和竞争优势提供借鉴。 相似文献
20.
James I. Cash Jr. 《The Information Society》2013,29(3):199-228
Abstract Numerous environmental forces exist today that contribute to changing industry and market segments. The least studied of these is the impact of information systems which transcend traditional company boundaries. One of the subtle impacts of contemporary developments in information systems technology is the redefinition of traditional organizational and industrial boundaries. Examples of these interorganizational systems (referred to as IOS), reviewed by the author, imply that a wide range of organizations may have an opportunity to use these systems to improve their operations, services to their customers, and their competitive position. Some of these systems raise public policy issues that are not well understood, nor are they being addressed in a comprehensive manner. This article is designed to provide a conceptual framework for thinking about these systems. 相似文献