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2015 | Buch

Introduction Kapitel lesen Erstes Kapitel lesen

Resistance Behavior to National eHealth Implementation Programs

verfasst von: Philipp Klöcker

Verlag: Springer International Publishing

Buchreihe : Progress in IS

Enthalten in: Springer Professional "Wirtschaft+Technik" , Springer Professional "Technik" , Springer Professional "Wirtschaft"

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Über dieses Buch

This monograph discusses challenges faced during the implementation of national eHealth programs. In particular, it analyzes the causes of stakeholders’ reluctance to adopt these technologies by drawing on user resistance theory and context specific variables. Taking the example of the introduction of the electronic health card (Elektronische Gesundheitskarte – eGK) technology in Germany, the book presents insights into why these programs are often lengthy, costly and have previously been met with fierce resistance from key stakeholders. It also presents a quantitative and qualitative study of individual physicians' resistance behavior towards these new eHealth technologies.

Inhaltsverzeichnis

Frontmatter
Chapter 1. Introduction
Abstract
The maintenance of one’s personal health is in the interests of every human being. A minimum level of health can be regarded as a most basic necessity for a normal life and healthcare can thus be regarded as fundamental for a functioning society. Implementing professional structures around a working healthcare system has therefore long been a key concern for mankind.
Philipp Klöcker
Chapter 2. Contextual Background
Abstract
Before looking more closely at how Germany’s healthcare system works, analyzing what the introduction of the ‘eGK’ technology in Germany entails and who is responsible for its rollout, this subsection provides a brief overview of the development of eHealth technologies over the past years.
Philipp Klöcker
Chapter 3. Theoretical Foundations
Abstract
Over the years, information systems research has focused heavily on theoretical contributions around technology acceptance, adoption or diffusion. 345 articles have been published on these theories over the past 20 years which can be found within the Science Citation Index or within the Social Science Citation Index (Dwivedi et al. 2011; Williams et al. 2009).
Philipp Klöcker
Chapter 4. Phase I—Pilot Study
Abstract
From the literature review above it can be concluded that the field of eHealth is yet missing a quantitative empirical study that verifies the specific antecedents leading to user resistance of eHealth technologies. Given the complexity of many national eHealth implementation programs, as in the case of the German ‘eGK’ technology, the following section describes a pilot study conducted to verify resistance-related antecedents previously identified in other information systems studies in the context of eHealth. This section therefore runs through the analysis of an existing resistance model in order to examine the applicability of current user resistance theory to the context of the German ‘eGK’ technology. For this purpose, the ‘Status Quo Bias Model’ developed by Kim and Kankanhalli (MIS Quart 33(3):567–582, 2009) is used and the effects of the antecedents therein defined are measured. Overall, this section aims at answering the first of the two research questions initially posited.
Philipp Klöcker
Chapter 5. Phase II—Qualitative Study
Abstract
In order to gain a comprehensive understanding of the factors which more adequately explain user resistance to the ‘eGK’ technology, further in-depth explanatory data was collected yielding a discrete set of antecedents. The following section describes the collection and analysis of such qualitative data.
Philipp Klöcker
Chapter 6. Phase III—Quantitative Study
Abstract
Before this thesis goes on to explain the concrete hypotheses derived from the qualitative data and the relevant literature as discussed above, the following section briefly describes the methodology of Structural Equation Modeling (SEM). SEM was already used to analyze the data in the Pilot Study of Phase I. It is furthermore used to draw up the path model derived from the findings of the qualitative data analyzed in Phase II, which is subsequently tested with the large quantitative data set in Phase III of this research. In particular, the section below discusses the choice of the methodology employed and the measurement mode in the form of reflective as opposed to formative constructs. The choice of model is accounted for in detail before this thesis proceeds to explain the actual data collection procedure and measurements of the quantitative model from Sect. 6.2 onwards.
Philipp Klöcker
Chapter 7. Implications and Limitations of the Study
Abstract
This research aimed at theoretically developing and empirically testing a model that would better explain user resistance towards national eHealth systems. In a field yet relatively unexplored this thesis provides further scientific insights into the antecedents leading to user resistance towards eHealth technology implementation in particular and national information system implementations in general.
Philipp Klöcker
Chapter 8. Conclusion
Abstract
Conclusively, this thesis provides a multi-stage mixed method empirical approach, as it builds on relevant literature and an exploratory case study followed by theory development to test the final model in a large-scale, professionally conducted survey on German physicians’ resistance to a new national eHealth system, namely the German ‘eGK’ technology.
Philipp Klöcker
Backmatter
Metadaten
Titel
Resistance Behavior to National eHealth Implementation Programs
verfasst von
Philipp Klöcker
Copyright-Jahr
2015
Electronic ISBN
978-3-319-17828-8
Print ISBN
978-3-319-17827-1
DOI
https://doi.org/10.1007/978-3-319-17828-8

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