Adoption and Diffusion of Telemedicine Technology in Health Care Organizations: A Comparative Case Study in Hong Kong

Sheng, Olivia R. Liu; Hu, Paul Jen-Hwa; Wei, Chih-Ping; Higa, Kunihiko; Au, Grace

doi:10.1207/s15327744joce0804_1

Cited by 35 publications

(25 citation statements)

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“…At the same time, persistent problems in health care that include service accessibility, quality, costs, and resource allocation, have also significantly contributed to telemedicine's economical attractiveness, social desirability, and political appeal. As a result, a fast-growing number of telemedicine projects and programs have been implemented or are under development around the globe [29].The development of telemedicine in Hong Kong has significantly proliferated since the mid-1990s [32]. Several programs were initiated and ultimately established by proactive physicians who were in part motivated by factors interestingly different from those common to most rural-based telemedicine programs in the United States [32].…”

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confidence: 99%

“…Consequently, administrators and managers are likely to exert some, but limited, influences on physicians' technology acceptance decisions. The described expertise-oriented control or power, in turn, contributes to professional dominance of physicians over managers, which has been examined and supported empirically (such as [32]). Second, the framework departs from conclusions offered by Goodhue and Thompson [21], who advocate the importance of the task context.…”

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“…Choice of the these specialties was made primarily on the basis of accessibility and the likelihood of the respective specialists' involvement with telemedicine-enabled services as well as becoming technology adopters in the near future. As a group, physicians at these hospitals have considerable interorganizational service needs, including rendering second or specialist's opinions, assessing patient transfer or admission requests, participating in and often taking the lead in team-based patient management, and responding to medical emergencies that require special care [31,32]. These service needs and others may be effectively supported by telemedicine technology.…”

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“…The development of telemedicine in Hong Kong has significantly proliferated since the mid-1990s [32]. Several programs were initiated and ultimately established by proactive physicians who were in part motivated by factors interestingly different from those common to most rural-based telemedicine programs in the United States [32].…”

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Examining a Model of Information Technology Acceptance by Individual Professionals: An Exploratory Study

Chau¹,

Hu²

2002

Journal of Management Information Systems

491

330

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The recent proliferation of information technology designed to support or enhance an individual professional's task performance has made the investigation of technology acceptance increasingly challenging and significant. This study investigates technology acceptance by individual professionals by examining physicians' decisions to accept telemedicine technology. Synthesized from relevant prior research, a generic research framework was built to provide a necessary foundation upon which a research model for telemedicine technology acceptance by physicians could be developed. The research model was then empirically examined, using data collected from more than 400 physicians practicing in public tertiary hospitals in Hong Kong. Results of the study suggest several areas where individual "professionals" might subtly differ in their technology acceptance decision-making, as compared with end users and business managers in ordinary business settings. Specifically, physicians appeared to be fairly pragmatic, largely anchoring their acceptance decisions in the usefulness of the technology rather than in its ease of use. When making decisions to Downloaded by [University of Sussex Library] at 10:47 06 February 2015 192 CHAU AND HU accept a technology, physicians expressed considerable concerns about the compatibility of the technology with their practices, placed less importance on controlling technology operations, and attached limited weight to peers' opinions about using the technology. Based on results obtained from this study, the initially proposed framework for technology acceptance by individual professionals was revised to a "hierarchical, three-layer" structure with the individual context at the inner core, the implementation context on the outermost layer, and the technological context residing in the middle. Implications for information systems research and telemedicine management practice that have emerged from the study's findings are also discussed.KEY WORDS AND PHRASES: acceptance of information technology, adoption of information technology, professional users, telemedicine technology management. THE USE OF INFORMATION TECHNOLOGY (IT) has expanded into many areas that can be broadly categorized by applications and target users. Driven by service improvement, market competitiveness enhancement, or bottom-line survival, business organizations have invested heavily in IT and are likely to continue doing so in the near future. Examples of prevalent or highly publicized IT applications for business include technology-enabled process reengineering, open systems, electronic data interchange, and more recently, Internet-based electronic commerce. In the meantime, various IT applications designed to support or enhance individual task performance and services within for-profit and not-for-profit professional organizations have also proliferated rapidly. This phenomenon-the fast-growing acquisition and implementation of innovative IT applications for individual professionals 1 -has demanded effective technology ma...

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