International Journal of Healthcare Technology and Management
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International Journal of Healthcare Technology and Management (2 papers in press)
Stakeholder identification and salience in purchasing: an empirical study from UK hospitals by Christos Papanagnou, Pearce Madhlambudzi Abstract: The lack of systematic processes for stakeholder identification and the omission of key stakeholders in UK hospitals cause significant delays in purchasing processes. This is reinforced by the strict tender processes that follow in making their purchases as a matter of assurance of fairness and competition. This paper presents a descriptive analysis of decision-making processes when the public hospitals purchase diagnostic equipment and discovers how the hospitals use stakeholder identification and salience during the purchase of diagnostic equipment. With the aid of purposeful case studies and semi-structured interviews, we explore how stakeholder salience is concentrated on the administrative personnel who have the role to implement organisational policy, and technical experts who make sure that the right equipment is bought. Lastly, this study provides an insight into how stakeholder groups share the premises of the public hospitals decision-making processes by considering the attributes of power, urgency, legitimacy, and proximity. Keywords: purchasing; procurement; stakeholder identification; stakeholder salience; United Kingdom; healthcare economics and management; NHS Trust; hospital management; decision-making; diagnostic equipment; semi-structured interviews.
Physicians' perceptions of electronic medical records: the impact of system service quality, and generation/experience gaps by Shin-Yuan Hung, Makoto Nakayama, Charlie Chen, Fang-Lan Tsai Abstract: Electronic Medical Record (EMR) systems are complex, organisation-wide information systems involving stakeholders in various medical fields and responsibilities. Assessing the usefulness of EMR, therefore, is not straightforward. Using SERVQUAL, this study assesses the relationship between perceived EMR service quality and the perceived usefulness (subjective belief), expectation (judgment), and satisfaction (affect) of EMR systems. Data were obtained from 338 physicians in 10 medical centres and 15 regional hospitals in Taiwan. The results show that physicians perceived EMR service quality has a much stronger effect on non-affect outcomes than on an affect-based antecedent like satisfaction. Owing to the complexity of EMRs, a beneficial assessment of EMRs requires the clinical experience of individual physicians and an organisational perspective on how EMRs facilitate their tasks. Keywords: electronic medical record systems; SERVQUAL; continuance intention; beneficial assessment of EMRs; subjective belief; non-affect outcomes.