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Adopting information technology in hospitals: the relationship between attitudes/expectations and behavior.

The purpose of this field study was to measure the influence of three factors on the adoption of information technology in a health care setting--namely, attitudes toward using the technology, subjective norms or beliefs about others' expectations, and perceived voluntariness. Approximately 77 percent of the variance of intent to use the technology was explained by three attitude variables (beliefs related to perceived relative advantage and compatibility with previous work patterns as well as result demonstrability), and one variable associated with subjective norms (influence of a senior policymaker, the director of nursing). Use of this model may provide insights for administrators managing the process of information technology implementation in health care.

Alberta↗

America's most computer advanced healthcare facilities.

Healthcare Informatics polled industry experts for nominations for this listing of "America's Most Computer Advanced Healthcare Organizations." Survey responses from organizations nominated were reviewed by Ronald L. Johnson, founder and president of R.L. Johnson & Associates, Danville, Calif. The results of his evaluations follow.

Diffusion of Innovation↗

Sorting out the Baby Bells' strategies.

After months of uncertainty, the seven regional Bell operating companies have divided into two camps: those that provide only the infrastructure for health care networks, and those that offer infrastructure along with other networking features, such as systems integration and central data repositories. In their quest for health care market share, the Bells face a number of obstacles. For example, they can't provide long-distance service, and they face restrictive rate regulations. In addition, increased interest in cable TV and wireless communication ventures has led some of the Bells to downsize their health care ambitions.

Computer Communication Networks↗

International experience and health sector reform: the challenge for developing health systems.

Health sector reform is a priority issue in many countries and there is great scope for an international exchange of experiences. We should not be amiss, however, to the problems and dangers of such international exchange. Focusing on the situation of developing countries, three critical problems are identified: tendencies to the universalism of a market approach, a one-way transmission of ideas, and the lack of policy analysis. In order to contribute to a more constructive process of international exchange, four recommendations are proposed in the areas of training and the approach to management, management research, strengthening health policy analysis, and developing new exchanges between countries.

Communication↗

Adding, defining and measuring value.

Suppliers to the health care industry are changing relationships with their customers by forging partnerships that blur the boundaries between them. Here, representatives from several suppliers discuss what programs and services the market has driven them to offer.

Consultants↗

Using EDI (electronic data interchange) to improve the accounts payable department.

Additional paperwork, escalating costs, and an outdated accounts payable system at St. Joseph Health System forced management staff to alter the way the accounts payable department operates. This article describes the process the health system used to automate one of its accounts payable departments by using electronic data interchange/electronic funds transfer (EDI/EFT) technology.

Accounts Payable and Receivable↗

How interface technologies bridge communication gaps.

Interface engines and translation software perform very similar, perhaps interchangeable, tasks. This special report offers an in-depth analysis of whether the lines between these two technologies will blur over time.

Computer Communication Networks↗