The Competitive Forces Facing E-Health

The Competitive Forces Facing E-Health

Nilmini Wickramasinghe (Stuart Graduate School of Business, USA), Santosh Misra (Cleveland State University, USA), Arnold Jenkins (John Hopkins Hospital, USA) and Douglas R. Vogel (City University of Hong Kong, China)
DOI: 10.4018/978-1-59904-690-7.ch019
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Abstract

Superior access, quality, and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing costs of healthcare expenditure. E-Health in its many forms and possibilities appears to offer a panacea for facilitating the necessary transformation for healthcare. While a plethora of e-health initiatives keep mushrooming both nationally and globally, there exists to date no unified system to evaluate these respective initiatives and assess their relative strengths and deficiencies in realizing superior access, quality and value of healthcare services. Our research serves to address this void. This is done by focusing on the following three key components: (1) understanding the Web of players (regulators, payers, providers, healthcare organizations, suppliers, and last but not least patients) and how e-health can modify the interactions between these players as well as create added value healthcare services, (2) understand the competitive forces facing e-health organizations and the role of the Internet in modifying these forces, and (3) from analyzing the Web of players combined with the competitive forces for e-health organizations we develop a framework that serves to identify the key forces facing an e-health and suggestions of how such an organization can structure itself to be e-health prepared.

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Table of Contents
Chapter 1
Phillip Olla, Joseph Tan
The reference model presented in this chapter encourages the breakdown of m-health systems into the following five key dimensions: communication... Sample PDF
Designing a M-Health Framework for Conceptualizing Mobile Health Systems
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Chapter 2
Janice A. Osbourne, Malcolm Clarke
This paper discusses the use of three published models, the technology acceptance model (TAM), Rogers diffusion of innovation theory (IDT), and the... Sample PDF
Factors Motivating the Acceptance of New Information and Communication Technologies in UK Healthcare: A Test of Three Models
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Chapter 3
Vivying S.Y. Cheng, Patrick Hung
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a set of rules to be followed by health plans, doctors, hospitals and... Sample PDF
An Overview of the HIPAA-Compliant Privacy Access Control Model
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Chapter 4
Christopher G. Reddick
This chapter examines the use of the Internet for gathering health information by boomers and seniors. This study attempts to determine whether... Sample PDF
The Internet and Managing Boomers and Seniors' Health
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Chapter 5
Thomas Chesney, Kay Penny, Peter Oakley, Simon Davies, David Chesney, Nicola Maffulli, John Templeton
Trauma audit is intended to develop effective care for injured patients through process and outcome analysis, and dissemination of results. The... Sample PDF
Data Mining Medical Information: Should Artificial Neural Networks be Used to Analyze Trauma Audit Data
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Chapter 6
Steven Walczak, Bradley B. Brimhall, Jerry B. Lefkowitz
Patients face a multitude of diseases, trauma, and related medical problems that are difficult and costly to diagnose with respect to direct costs... Sample PDF
Diagnostic Cost Reduction Using Artificial Neural Networks: The Case of Pulmonary Embolism
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Chapter 7
James G. Anderson, E. Andres Balas
The objective of this study was to assess the current level of information technology used by primary care physicians in the U.S. Primary care... Sample PDF
Information Technology in Primary Care Practice in the United States
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Chapter 8
Dana Schwieger, Arlyn Melcher, Ranganathan Chandreasekaran, H. Joseph Wen
Adaptive structuration theory (AST) is rapidly becoming an important theoretical paradigm for comprehending the impact of advanced information... Sample PDF
A Case Study of Health Information Systems Adoption: An Adaptive Structuration Theory Approach
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Chapter 9
Huigang Liang, Yajiong Xue, Xiaocheng Wu
Computerized physician order entry (CPOE) holds potential of reducing medical errors, improving care quality, and cutting healthcare costs. Yet its... Sample PDF
Understanding Physicians' Acceptance of Computerized Physician Order Entry
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Chapter 10
Carla Wiggins, John C. Beachboard, Kenneth Trimmer, Lela “Kitty” Pumphrey
This study describes and assesses the evolution of IT governance practices in a rural family practice residency program. The need to establish IT... Sample PDF
Entrepreneurial IT Governance in a Rural Family Practice Residency Program
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Chapter 11
Maryann Yeo, Penny A. Jennett
The current status of policies, guidelines and standards related to the organizational context of clinical telehealth practice were investigated.... Sample PDF
Telehealth Organizational Implementation Guideline Issues: A Canadian Perspective
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Chapter 12
Marion Sobol, Edmund Prater
Research on the use of information technology in healthcare has focused on hospitals and health maintenance organizations (HMOs). However little has... Sample PDF
Computer Usage by U.S. Group Medical Practices 1994 vs. 2003 and Type of Usage Comparison to IT Practices in Taiwan
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Chapter 13
Ioannis Apostolakis, Periklis Valsamos, Iraklis Varlamis
The demographic and geographic dispersion of Greece necessitates the adoption of telemedicine solutions in order to reduce patient transportation... Sample PDF
Decentralization of the Greek National Telemedicine System
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Chapter 14
Diane C. Davis, Minal Thakkar
The need to adopt an electronic health record (EHR) system in United States (U.S.) hospitals seems to be more and more obvious when evaluating the... Sample PDF
Perceived Level of Benefits and Risk Core Functionalities of an EHR System
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Chapter 15
Karen Chang, Kyle D. Lutes, Melanie L. Braswell, Jacqueline K. Nielsen
Nurses working in hospitals with paper-based systems often face the challenge of inefficiency in providing quality nursing care. Two areas of... Sample PDF
Using Pocket PCs for Nurses' Shift Reports and Patient Care
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Chapter 16
David Parry
Evidence-based medicine (EBM) requires appropriate information to be available to clinicians at the point of care. Electronic sources of information... Sample PDF
Evaluation of a Tool to Enhance Searching for Useful Medical Information on the Internet
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Chapter 17
E. Vance Wilson
E-health use is increasing worldwide, but no current e-health paradigm fulfills the complete range of users’ needs for Web-enabled healthcare... Sample PDF
Applying Personal Health Informatics to Create Effective Patient-Centered E-Health
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Chapter 18
Neset Hikmet, Anol Bhattacherjee
This study examines the effects of certifications such as JCAHO on healthcare information technology (HIT) usage in healthcare organizations and... Sample PDF
The Impact of Certification on Healthcare Information Technology Use
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Chapter 19
Nilmini Wickramasinghe, Santosh Misra, Arnold Jenkins, Douglas R. Vogel
Superior access, quality, and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing... Sample PDF
The Competitive Forces Facing E-Health
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Chapter 20
George Eisler, Joseph Tan, Samuel Sheps
The challenge of conceptualizing healthcare technology management (HCTM) construct begins with an extensive literature content analysis to generate... Sample PDF
From Theory to Practice: Healthcare Technology Management (HCTM) Conceptualization, Measures, and Practices
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About the Contributors