Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications: Global Adoption and Impact of Information Communication Technologies

Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications: Global Adoption and Impact of Information Communication Technologies

Khalil Khoumbati (University of Sindh, Pakistan), Yogesh K. Dwivedi (Swansea University, UK), Aradhana Srivastava (Participatory Research in Asia (PRIA), India) and Banita Lal (Nottingham Trent University, UK)
Indexed In: SCOPUS View 1 More Indices
Release Date: July, 2009|Copyright: © 2010 |Pages: 628
DOI: 10.4018/978-1-60566-030-1
ISBN13: 9781605660301|ISBN10: 1605660302|EISBN13: 9781605660318
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Description & Coverage

In the healthcare field, there is limited literature published on the subject of global deployment, diffusion, adoption, use, and impact of information communication technologies in the context of health informatics and electronic healthcare applications. Due to a lack of such literature, those involved in healthcare spend a great deal of time searching and gathering information from various sources.

The Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications: Global Adoption and Impact of Information Communication Technologies for the first time brings to the healthcare community a comprehensive resource elucidating the adoption and usage of health informatics. Gathering an in-depth collection of research articles and case studies from leading experts worldwide, this Handbook of Research provides a global understanding of the advances in health informatics and electronic applications in healthcare delivery and management.


The many academic areas covered in this publication include, but are not limited to:

  • Application of emerging ICT in e-healthcare
  • Barriers to health informatics adoption
  • Benefits to health informatics
  • Clinical data repositories
  • Clinical systems
  • Cultural issues in health informatics
  • Data management for patient care
  • Developed countries case studies of health informatics
  • Developing countries case studies of health informatics
  • E-health development
  • E-Healthcare
  • Electronic Medical Records
  • Health informatics adoption
  • Health informatics efficiencies
  • Health informatics infrastructure
  • Health informatics tools and technologies
  • Health informatics transparency
  • Health informatics usage models
  • Health Sector
  • Hospital strategies
  • Impact of emerging ICT in e-healthcare
  • Implementation of health informatics
  • Political issues in health informatics
  • Privacy and security in health informatics
  • Quality management in health informatics
  • Small-sized hospitals
  • Social Exclusion
  • Social issues in health informatics
  • Strategy of health informatics
  • Telecommunication technologies in healthcare
Reviews and Testimonials

"This handbook is an excellent resource for readers/audiences who wish to learn more on how to encourage the successful adoption of emerging information and telecommunication technologies in healthcare, both in the context of developed and developing countries."

– Khalil Khoumbati, University of Sindh, Pakistan
Table of Contents
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Editor Biographies
Khalil Khoumabti (khalil.khoumbati@gmail.com) is a professor with the Institute of Information and Communication Technology University of Sindh, Jamshoro (Sindh, Pakistan). He received his PhD in “Evaluation the Adoption of Enterprise Application Integration in Healthcare Organizations” from the School of Information Systems, Computing and Mathematics, Brunel University (UK); and his MSc in computer technology and BSc in electronics from the Institute of Information and Communication Technology, University of Sindh, Jamshoro (Pakistan). His current research focus is on the adoption of enterprise application integration health informatics and e-government applications. He is on the editorial board of several international journals such as Transforming Government: People, Process and Policy. He has published 25 research papers in internationally refereed journals such as the Journal of Management Information Systems and the Journal of Computer and Information Systems. He has presented 16 papers in international conferences such as HICSS, AMCIS, ECIS and EMCIS.
Yogesh K. Dwivedi is a lecturer at the School of Business and Economics at Swansea University in the UK. He was awarded his MSc and PhD by Brunel University in the UK, receiving a Highly Commended award for his doctoral work by the European Foundation for Management and Development. His research focuses on the adoption and diffusion of ICT in organisations and in addition to authoring a book and numerous conference papers, has co-authored papers accepted for publication by journals such as Communications of the ACM, the Information Systems Journal, the European Journal of Information Systems, and the Journal of the Operational Research Society. He is Senior Editor of DATABASE for Advances in Information Systems, Managing Editor of Journal of Electronic Commerce Research, Assistant Editor of Transforming Government: People, Process and Policy and a member of the editorial board/review board of a number of other of other journals, and is a member of the Association of Information Systems, IFIP WG8.6 and the Global Institute of Flexible Systems Management, New Delhi.
Aradhana Srivastava (ara.sriv@gmail.com) is a geographer with a keen research interest in the geography of health. She holds a PhD in geography of health from Centre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, one of the premier national universities in India. She has to her credit several publications in health and social development on issues in health status, morbidity analysis, ageing and healthcare, social morbidity, nutrition, maternal and child health, and information and communication technologies in the health sector. She is currently working with Urban Health Resource Centre (UHRC), a premier national Non-Governmental Organization, on issues of urban poverty and access to healthcare among the poor in India’s cities.
Banita Lal is a lecturer in the Nottingham Business School, Nottingham Trent University, UK. She obtained her PhD and MSc in Information Systems from the School of Information Systems, Computing and Mathematics, Brunel University. Her research interests involve examining the individual and organizational adoption and usage of ICTs and technology-enabled alternative forms of working. She has published several research papers in internationally refereed journals such as Industrial Management and Data Systems,Information Systems Frontiers, Electronic Government, International Journal of Mobile Communications, and Transforming Government: People, Process and Policy, and has presented several papers at several international conferences.
Editorial Review Board

Editorial Advisory Board

  • Abdul Karim Baloch, Mehran University of Engineering and Technology, Pakistan
  • Asadullha Shah Bukhari, ISRA University, Pakistan
  • Rajiv Kohli, Mason School of Business at The College of William & Mary, USA
  • Rajiv Ranjan Tewari,University of Allahabad, India
  • Mohini Singh, RMIT University, Australia
  • Marinos Themistocleous, Brunel University, UK
  • Vishanth Weerakkody, Brunel University, UK
  • Michael D. Williams, Swansea University, UK
  • E. Vance Wilson, The University of Toledo, USA

    List of Reviewers

  • Hamid Alalwany, Brunel University, UK
  • Sarmad Alshavi, Brunel University, UK
  • James Anderson, Purdue University, USA
  • Wasana Bandara, Queensland University of Technology, Australia
  • Nesaar Banderker, Information Systems Consultant, PBT Group, South Africa
  • Herbert Daly, Brunel University, UK
  • Kiran Deep, Brunel University, UK
  • Schmitz Dominik, Fraunhofer FIT, Schloss Birlinghoven, Augustin, Germany
  • Yogesh K. Dwivedi, Swansea University, Swansea, UK
  • Tillal Eldabi, Brunel University, UK
  • Sigurd Eskeland , University of Agder,. Norway
  • Ing. Vincenzo Gullà, Digital Technologies, Italy
  • Raj Gururajan, University of Southern QueenslandToowoomba, Australia
  • Michael I. Harrison, University of Pennsylvania
  • Dr Yu-An Huang, National Chengchi University, Taiwan
  • Geoffrey Jalleh, Curtin University of Technology, Perth, Western Australia
  • Geoffrey Jalleh, Curtin University of Technology, Perth, Western Australia
  • Ulrika Josefsson, IT-University of Göteborg, Sweden
  • Stefanie Kethers, CSIRO ICT Centre, Australia
  • khalil Khoumbati, University of Sindh, Pakistn
  • Hans Kyhlbäck, Blekinge Institute of Technology, Ronneby, Sweden
  • Banita Lal, Swansea University, UK
  • Shahid Hussain Larik, University of Sindh, Pakistn
  • Chad Lin, Curtin University of Technology, Australia
  • Vasiliki Mantzana, University of Athens, Greece
  • Nisar A Memon, Sindh University, Pakistan
  • Shazad Ahmed Memon, Brunel University, UK
  • Syed Misbahuddin, UoH, Saudi Arabia
  • Dr Masoud Mohammadian, School of Information Sciences and Engineering Australia
  • Maryati Mohd, University Kebangsaan, Malaysia
  • Navonil Mustafee, Warwick Business School, University of Warwick, UK
  • Aisha Naseer, Brunel University, UK
  • Vladimir Oleshchuk, University Agder, Norway
  • Sevgi Ozkan, Brunel University, UK
  • Dim Pet, University of Athens, Greece
  • Luisa Piris, Brunel University, UK
  • Dominik Schmitz, Fraunhofer FIT, Schloss Birlinghoven, Augustin, Germany
  • Asadullaha Shah, ISRA University, Hyderabad Pakistan
  • Ghullam sarwar shah, Brunel University, UK
  • David Sier, Mathematical and Information Sciences,Clayton MDC, Clayton, Australia
  • Hardeep Singh, Houston Center for Quality of Care and Utilization Studies, USA
  • Inger Dybdahl Sorby, Norwegian University of Science and Technology, Norway
  • Aradhana Srivastava, Jawaharlal Nehru University, New Delhi, India
  • Bernd Carsten Stahl, Computing Sciences and Engineering, Irland
  • Lampros K. Stergioulas, Brunel University, UK
  • Imran Tasadduq, National University of Emerging Sciences, Pakistan
  • Simon J.E. Taylor, Brunel University, UK
  • Jean-Paul Van Belle, Centre for IT and National Development in Africa
  • Medical College of Cornell University, USA
  • Norhayati Zakaria, Universiti Utara, Malaysia
  • Kai Zheng, Carnegie Mellon University, Pittsburgh, PA, USA
  • Junaid Ahmed Zubairi, SUNY at Fredonia, USA
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    The adoption of Health Informatics within healthcare organisations is characterised by a series of phases since the 1960s. Initially, Health Informatics adoption began in financial systems in the 1960s, which provided support to the organisations’ billing, payroll, accounting and reporting systems. During this phase, Health Informatics adoption was clear and straightforward (e.g. elimination of clerical positions). Clinical departments took a major initiative during the 1970s that supported their internal activities such as radiology, laboratory and pharmacy. Financial systems once again became prominent in the 1980s with major investments in cost accounting and materials management systems . During the 1990s, attention turned towards enterprise-wide clinical systems, including clinical data repositories and visions of a fully computerised electronic patient medical record. All the technological developments in the field of Health Informatics have been made in providing well functioning systems to healthcare organisations in order to improve healthcare services. Computerised Patient Record (CPR) systems; the adoption of the Internet along with Intranet and Extranet; Asynchronous Transfer Mode (ATM) networks along with local area networks; wide area networks; enterprise systems; integration approaches and remote diagnostics via telemedicine have experienced significant growth in recent years .

    The adoption of the Internet in healthcare has significant impacts on the delivery of healthcare services and has bridged the gap between healthcare providers, patients, suppliers and other stakeholders. In addition, the Internet is used by healthcare organisations to support operational management including employment announcement and staff recruitment. The adoption of the Internet has led to the concept of intranets and extranets and a number of medical intranets and extranets have been developed and implemented for different purposes, such as for internal and external sharing of medical information and patients’ insurance eligibility, which have been greatly facilitated by broadband Internet. The need for most patients to take on more responsibility for their healthcare is made easier by an increasing availability of medical information on the Internet. Thus, the number of specialised or health-related web portals is increasing. Such developments in this area suggest that Health Informatics has the potential to facilitate the innovation of health care delivery and that innovation is truly needed .

    The above clearly suggests that accessibility, adoption and use of Health Informatics tools are likely to transform and affect almost every aspect of better healthcare services. Therefore, it is important to understand the development in the domain of Health Informatics within the context of both developed and developing countries. Most countries with highly developed health systems are investing heavily in computer hardware and software in the expectation of higher quality for lower costs. Recent systematic reviews show that Health Informatics is providing a range of benefits, particularly in the areas of prevention and care to the patients. However, there remains a relative lack of published evaluations of informatics tools and methods. The uncritical adoption of new systems, based on the pressures of technological push, continue to discredit policy makers who have had to commit significant resources despite inadequate information on what can be realistically expected from a proposed system. In the context of developing countries, this becomes all the more significant since the resources are not abundant, and hence warrant extremely judicious use. Thus, studies from the developing countries’ perspective become invaluable in guiding the adoption of new technologies and tools, and technologies related with Health Informatics within this context.

    In line with the above, the overall mission of “The Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications: Global Adoption and Impact of Information Communication Technologies” is to provide an understanding of the global adoption and impact of Information and Communication Technologies (ICTs) within the area of Health Informatics. Corresponding to the mission, the 30 chapters comprising this Handbook have discussed a range of topics covering Evaluation, Tools and Technologies, Applications and Impact on Health Informatics and electronic healthcare systems. The book highlights the major areas of adoption of Health Informatics in both developed and developing countries, and further examines the constraints, experiences and outcomes, as well as identifying policy concerns and planning implications. In effect, this Handbook provides an advanced understanding of Health Informatics from a global perspective. This Handbook contributes towards theory, practice and policy. Theoretically, it exerts efforts towards expanding the knowledge within the area by synthesising and evaluating the appropriate literature in order to enhance the understanding of Health Informatics adoption, usage and impact from the perspectives of both developed and developing countries. The Handbook will form an aid for gaining an improved appreciation of the factors such as costs, benefits and barriers associated with its adoption. Therefore, the Handbook can potentially help healthcare organisations, development functionaries as well as policy makers to understand the impact of Health Informatics on health care administration and health outcomes for providing better healthcare services and reducing medical errors.

    The Handbook is organised into 30 chapters, co-authored by 55 contributors from 34 different institutions/organisations located in more than 30 countries (such as Australia, Italy, India, Norway, the United Kingdom, and the United States of America). Such geographical and institutional variety indicates that the Handbook has drawn on a collection of wide and diverse outlooks. The 30 chapters have been organised into five sections: Health Informatics and E-Health Evaluation (6 Chapters); Health Informatics and E-Health Tools and Technologies (5 Chapters); Health Informatics and E-Health Applications (6 Chapters); Health Informatics and E-Health Impact (5 Chapters) and further reading (8 Chapter).

    Considering the richness and depth of the content, we firmly believe that this handbook will be an excellent resource for readers/audiences who wish to learn more on how to encourage the successful adoption of emerging information and telecommunication technologies in healthcare, both in the context of developed and developing countries. The chapters included in this Handbook are also useful for readers who are interested in learning about how various research approaches and methods fit with different theories. The target audience for the Handbook includes Healthcare Service Providers, Policy Makers, Academics/Researchers, Students of IS and IT Management.

    We sincerely hope that this Handbook will provide a positive contribution to the area of Information Systems in general and Health Informatics specifically. In order to make further research progress and improvement in the understanding of this area, we would like to welcome feedback and comments about this Handbook from readers. Comments and constructive suggestions can be sent to the Editors of IGI Global at the address provided at the beginning of the Handbook.

      Khalil Khoumbati, Jamshoro, Sindh, Pakistan
      Yogesh K. Dwivedi, Swansea, UK
      Aradhana Srivastava, New Delhi, India
      Banita Lal, Nottingham, UK