Results can help managers understand key considerations affecting HIS development and use and may be applied as a reference for system development and improvement.
E-learning is thought of as an innovative approach to enhance nurses' care service knowledge. Extensive research has provided rich information toward system development, courses design, and nurses' satisfaction with an e-learning system. However, a comprehensive view in understanding nursing e-learning system success is an important but less focused-on topic. The purpose of this research was to explore net benefits of nursing e-learning systems based on the updated DeLone and McLean's Information System Success Model. The study used a self-administered questionnaire to collected 208 valid nurses' responses from 21 of Taiwan's medium- and large-scale hospitals that have implemented nursing e-learning systems. The result confirms that the model is sufficient to explore the nurses' use of e-learning systems in terms of intention to use, user satisfaction, and net benefits. However, while the three exogenous quality factors (system quality, information quality, and service quality) were all found to be critical factors affecting user satisfaction, only information quality showed a direct effect on the intention to use. This study provides useful insights for evaluating nursing e-learning system qualities as well as an understanding of nurses' intentions and satisfaction related to performance benefits.
The purpose of this study was to explore the status of e-healthcare maturity in Taiwan following a nationwide investigation sponsored by the Department of Health. Based on Nolan's stage model and related studies, we propose a multidimensional model to gain a better understanding of the current status of e-healthcare maturity in hospitals. The target subjects included every hospital in Taiwan. A total of 538 hospitals were successfully interviewed, showing a high response rate of 94.4%. The results indicate that the overall e-healthcare maturity of Taiwanese hospitals is fairly high. Such a high degree of maturity is critical for formulating e-healthcare policy to stimulate the exchange of electronic medical record. This article provides a brief comparison of the situation in other countries and posits that Taiwan holds a position of relative maturity in the world of e-healthcare development.
This retrospective study included COPD patients who attended our medical center between January and October 2018, and analyzed the outcomes of their influenza vaccination, including medical visits, hospitalization, medical expenses, and the incidence of respiratory failure. Airflow limitation was stratified according to GOLD guidelines. Overall, 543 COPD patients were enrolled, including 197, 113, 126, and 107 mild, moderate, severe, and very severe patients, respectively. Of all the participants, 238 received an influenza vaccination (43.8%), which significantly reduced hospital utilization for moderate (odds ratio [OR] 0.22, 95%CI 0.09–0.51), severe (OR 0.19, 95%CI 0.08–0.44), and very severe patients (OR 0.15, 95%CI 0.05–0.5) compared to mild patients (OR 0.51, 95%CI 0.2–1.26); reduced emergency department utilization for moderate (OR 0.33, 95%CI 0.14–0.77), severe (OR 0.22, 95%CI 0.10–0.52), and very severe patients (OR 0.30, 95%CI 0.10–0.88) compared to mild patients (OR 0.64, 95%CI 0.30–1.37); and reduced the occurrence of respiratory failure for moderate (OR 0.20, 95%CI 0.06–0.68), severe (OR 0.40, 95%CI 0.16–0.98), and very severe patients (OR 0.36, 95%CI 0.15–0.82) compared to mild patients (OR 0% CI 0.14–3.20). Influenza vaccination is more effective in COPD patients with moderate, severe, and very severe airflow obstruction than in those with mild obstruction with respect to hospital utilization, emergency department utilization, and respiratory failure.
For over a decade, Richard Nolan's stage model on the assimilation of information system (IS) technology has received a significant amount of attention from both academicians and practitioners. The existing empirical studies addressing aspects of the stage model have shown mixed results. This might be due to the inability of the existing questionnaires in capturing the essence of the stage model. To provide added perspective, this study adapted Nolan's stage benchmarks to develop and test a questionnaire which seems to better capture the essence of the stage model than the existing ones. One hundred and twenty-three companies participated in the study. The results indicated that the instrument possesses reliability and validity in measuring the stages of IS sophistication. The DPexpenditure benchmark was confirmed to have no discriminating power between IS growth stages. It was found that 1) DP expenditures of most firms grow less than the rate of sales growth regardless of the stage of IS growth, 2) the higher the ratio of EDP/MIS budget to sales, the higher the growth of DP expenditure, 3) a company with a higher applications-portfolio stage tends to have a higher DPplanning-and-control or user-awareness stage, and vice versa, 4) a company with a higher technology stage or a higher DP-organization stage does not necessarily have a higher applications-portfolio, DPplanning-and-control, or user-awareness stage, and 5) the composite average of the five benchmarks (excluding the DP-expenditure one) appears to represent the overall status of an organization's IS sophistication and may be used by prospective researchers as a relative measure to compare stages of IS growth between two or more organizations.
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