This paper outlines the application of a model of business that has been developed from an amalgam of sources covering a wide range of research literature concerned with the relationship between electronic communication and the business. This model outlines what is termed an "organisational profile" profile and allows the analysis of the business with respect to its ability to perform in four distinct quadrants: management, processes, organisational culture and human resources. It is then applied to the adoption of ICT in the business and the supply chain using a case study of the UK construction industry. The results are analysed to show which elements of the model are important for success. The model shows that to be successful in the adoption of ICT a business must have threshold scores in each of these quadrants that show its make‑up or "organisational profile" (OP). It is this OP that is the most interesting point of the research. It has been found that certain OPs are more likely to succeed in this adoption than others and that the likelihood of success can be shown by the movement of the business in the four quadrants: thus the model can provide a rough prediction of the future success in various activities — such as adoption of ICT but can also be extended to other activities because of the widespread nature of the model developed. It is also planned to apply the model to different problems in the same domain in the near future so that further insights can be gained from the model and its application.
Keywords: e-commerce, ICT adoption, construction industry, business modelling, organisational profile
Health Care system has had an ongoing focus on improving access to and quality of care, and more recently on cost reduction. The primary mean to achieve these goals has been to change health care policy, as exemplified by the adoption of health information technology in particular the adoption of patient centred information, characterized by the ability to manage comprehensive patience information such as: medical records; appointments scheduling; theatre management and ward reporting. Different terms are used to refer to these systems including the most common: electronic patient record; electronic medical record; computer based patient record and medical records system (MRS). Despite the importance of these systems in health care, little is known about the adoption. This study addresses the existent research gap by analyzing the adoption of MRS in European hospitals. Study data source is the e‑Business W@tch 2006 decision maker survey, covering 448 hospitals in the European Union. Additional information related to country wealth indicators, was extracted from the EU official statistics and opinion polls website. Variable choice is based on a derivation from the recently introduced framework know as Human, Organization and Technology fit (HOT‑fit) and Technology, Organization and Environment (TOE) framework. Adding the environmental context into the HOT‑fit framework, the Human, Organization, Technology and Environment (HOTE) framework is derivate. HOTE framework identifies four contexts that influence information and communication technologies (ICT) adoption: Technology characteristics including equipment but also processes; Organizational context as size, localization and even managerial structure; Human context relating to ‘User Involvement’; and Environmental context that incorporate the cultural environment of the country and regulatory influence. In order to reduce the number of variables available, a factor analysis (FA) is performed, using the principal component technique with varimax rotation. Three eigen‑value, greater than one are extracted, explaining 69.68% of the variance contained in the data. The three contexts found are: country wealth, competition and technology readiness. To determine the correlation between HOTE framework characteristics and MRS adoption a Logit model is used. For that were used variables obtained from the FA and other variables such as hospital size, education level and research level, gathered directly from the e‑business watch survey. MRS adoption is significantly associated with Education Level, Technology Readiness and Country Wealth. Since MRS adoption may be an organization survival strategy for hospitals to improve quality and efficiency while reducing costs, hospitals that are at risk of missing the wave of implementation should be offered incentives that enable them to implement and maintain patient centred information systems.
Keywords: benefits realisation, clinical trials, data integrity, decision making, e-government, ERP, evaluation process, evaluation results, evaluation use, government policy, ICT adoption, information and communications technology (ICT), inter-municipal cooperation, interpretative evaluation methodology, IS evaluation, IS failures, KPI, local government, NHS, organisational and personal trust, organisational goals, outsourcing, principal agent theory, public value, skills, small and medium sized enterprises (SMEs), software development