---------- Forwarded Message ---------- Subject: Journal of End User Cimputing, 13,4, Table of Contents and Abstra cts Date: Wed, 29 Aug 2001 14:34:46 -0600 From: "Mahmood, Mo Adam" mmahmood@UTEP.EDU To: ISWORLD@LISTSERV.HEANET.IE

The contents of the latest issue of:

Journal of End User Computing Official publication of the Information Resources Management Association Vol 13, 4, October-December 2001 Editor: Mo Adam Mahmood, University of Texas, El Paso

Special Theme Issue:

Medical Informatics: Part II

Guest Editors TOM G. GOUGH, University of Leeds, UK CHRISTOPHER J. HEMINGWAY, Cranfield School of Management, UK

GUEST EDITORIAL PREFACE

As the second part of a special issue on Medical Informatics, this edition of JEUC presents further perspectives on the successful adoption of IT/IS in the medical and healthcare context. In the first two papers presented here, cross-case analysis is used to derive best practice insights from different projects. The final paper of the issue helps us further understand successful practice in medical informatics by telling us how we might evaluate the level of this success.

RESEARCH PAPERS:

ARTICLE ONE:

The Importance of User Ownership and Positive User Attitudes in the Successful Adoption of Community Information Systems C. R. COOMBS, Loughborough University, UK N. F. DOHERTY, Loughborough University, UK J. LOAN-CLARKE, Loughborough University, UK

The factors that influence the ultimate level of success or failure of systems development projects have received considerable attention in the academic literature. However, despite the existence of a 'best practice' literature many projects still fail. The record of the National Health Service has been particularly poor in this respect. The research reported in this paper proposes that two additional factors; user ownership and positive user attitudes warrant further development and investigation. The current study investigated these two factors in a homogenous organisational sector, Community NHS Trusts, using a common type of information system, in order to eliminate the potentially confounding influences of sector and system. A multiple case-study design incorporating five Community Healthcare Trusts was utilised. The key results from the analysis indicated that both user ownership and positive user attitudes were important mediating variables that were crucial to the success of a CIS. In addition, it was also identified that the adoption of best practice variables had a dual role, directly influencing the level of perceived success but also facilitating the development of user ownership and positive user attitudes. These results will be of particular interest to practising IM&T managers in the NHS and also to the wider academic research community.

ARTICLE TWO:

Experiences from Health Information System Implementation Projects Reported in Canada Between 1991 and 1997 FRANCIS LAU, University of Alberta, Canada MARILYNNE HEBERT, University of British Columbia, Canada

Canada's Health Informatics Association has been hosting annual conferences since the 1970's as a way of bringing information systems professionals, health practitioners, policy makers, researchers and industry together to share their ideas and experiences in the use of information systems in the health sector. This paper describes our findings on the outcome of information systems implementation projects reported at these conferences in the 1990s. Fifty implementation projects published in the conference proceedings were reviewed and the authors or designates of 24 of these projects were interviewed. The overall experiences, which are consistent with existing implementation literature, suggest the need for organizational commitment; resource support and training; managing project, change process and communication; organizational/user involvement and teams approach; system capability; information quality; and demonstrable positive consequences from computerization.

ARTICLE THREE:

Introducing Computer-Based Telemedicine in Three Rural Missouri Counties KIMBERLY D. HARRIS, Duquesne University, USA JOSEPH F. DONALDSON, University of Missouri-Columbia, USA JAMES D. CAMPBELL, University of Missouri-Columbia, USA

This study investigated predictors of utilization of the computer-based telemedicine in three rural Missouri counties. Participating health care agencies were given computers and access to an Internet-based workstation that provided e-mail and World Wide Web (WWW) services. Utilization data for e-mail messages sent and WWW pages accessed were collected through proxy servers. A survey was distributed to those employees who are enrolled in the Rural Telemedicine Evaluation Project (RTEP), which addressed perceptions of the Internet-based RTEP workstation. The results of the survey were analyzed to see how perceptions and demographic variables predicted actual utilization. The findings of the study revealed that for e-mail, behavioral intentions/attitude, age, organizational support, and time were the most significant predictors. For WWW, only the behavioral intentions/attitude subscale predicted utilization. The majority of respondents did not utilize the e-mail technology. Strategies need to be developed through training interventions and organizational policies to address non-utilization.

BOOK REVIEW

Managing Healthcare Information Systems with Web-Enabled Technologies Eder, Lauren, Ed. Hershey, USA: Idea Group Publishing, 2000

In the preface to this collection of articles Eder notes that currently "healthcare organizations worldwide have undergone major reorganizations and adjustments to meet the demands of improved health service accessibility and quality as well as lowered costs." One of the primary means to accomplish this goal is by improving the effectiveness and efficiency of healthcare information systems (HIS). This book focuses specifically on how (and why) HISes should be enabled via Web-based technology. Using the ubiquitous nature of the Web, healthcare professionals, insurance companies, and patients become informed end users able to tailor and manage knowledge to improve many facets of the healthcare system.

EDITORIAL NOTE

If you are presently conducting research or have an interest in the Medical Informatics area and you would like to get a free copy of the present issue of the journal, please let me know. You can make a request even if you have received a free copy before. Please do remember that I will only have a few sample copies to distribute and, therefore, I may not be able to satisfy everyone's request (I was able to satisfy everyone's request for a copy of the last issue). Of course, you can always buy a copy from Jan Travers (email: jtravers@idea-group.com mailto:jtravers@idea-group.com ) at the Idea Group Publishing office or ask your library to subscribe to JEUC.

If you would like to submit a manuscript to JEUC for publication consideration, please consult the manuscript submission guidelines provided a http://www.idea-group.com http://www.idea-group.com . After reviewing the guidelines, please send us four copies of your manuscript.

Sincerely,

M. Adam Mahmood, Ph.D.

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