Stakeholders' resistance to telemedicine with focus on physicians: Utilizing the Delphi technique

2018 ◽  
Vol 25 (6) ◽  
pp. 378-385 ◽  
Author(s):  
Woo Seok Choi ◽  
Joowoong Park ◽  
Jin Young Brian Choi ◽  
Jae-Suk Yang

Introduction Sufficient infrastructure for information and communications technology (ICT) and a well-established policy are necessary factors for smooth implementation of telemedicine. However, despite these necessary conditions being met, there are situations where telemedicine still fails to be accepted as a system due to the low receptivity of stakeholders. In this study, we analyse stakeholders' resistance to an organization's implementation of telemedicine. Focusing on the physicians' interests, we propose a strategy to minimize conflicts and improve acceptance. Methods The Delphi study involved 190 telemedicine professionals who were recommended by 485 telemedicine-related personnel in South Korea. Results Out of 190 professionals, 60% of enrolled participants completed the final questionnaires. The stakeholders were categorized into four groups: policy-making officials, physicians, patients, and industrialists. Among these, the physicians were most opposed to the adoption of telemedicine. The main causes of such opposition were found to be the lack of a medical services delivery system and the threat of disruption for primary care clinics. Very little consensus was observed among the stakeholders, except on the following points: the need for expansion of the national health insurance budget by the government, and the need for enhancement of physicians' professional autonomy to facilitate smooth agreements. Discussion Our analysis on the causes of the resistance to telemedicine, carried out with the groups mentioned above, has important implications for policy-makers deriving strategies to achieve an appropriate consensus.

Author(s):  
Ubena John

This chapter analyses the use of e-Documents and e-Signatures in Tanzania with a view of establishing their legal status, applicability, and the future of such technologies in e-Government systems. That is important as Information and Communications Technology (ICT) is widely employed in Tanzania. Moreover, the development and application of information systems is influenced by law. Therefore, the problem investigated is twofold: First, legal status, validity, and admissibility of e-Documents and e-Signatures in evidence in Tanzania are questioned. Second, the challenges facing the establishment of e-Government in Tanzania are explored. The chapter is a qualitative study, i.e. library- and desk-based research. Various literatures focusing on e-Documents and e-Signatures are reviewed, analysed, and evaluated so as to draw a conclusion on the relevancy of e-Documents and e-Signatures in the e-Government projects in Tanzania. The literature analysis conducted found that there is a lack of legal framework to recognize e-Documents and e-Signatures compounded with poor ICT infrastructure in Tanzania. This scenario puts e-Government endeavours at risk. It is recommended that the government should enact the laws to recognise e-Documents and e-Signatures to boost e-Commerce as well as e-Government.


2019 ◽  
Vol 86 (4) ◽  
pp. 708-728 ◽  
Author(s):  
Mohamed Mahmood ◽  
Vishanth Weerakkody ◽  
Weifeng Chen

We present an empirically tested conceptual model based on exit–voice theory to study the influence of information and communications technology-enabled transformation of government on citizen trust in government. We conceptualize and address the key factors affecting the influence of transformation of government on citizen trust, including government performance and transparency. Based on 313 survey responses from citizens in Bahrain, the top-ranked country in information and communications technology adoption in the Gulf Cooperation Council region, we test government performance and transparency as mediators between transformation of government and citizen trust. The resulting preliminary insights on the measurement and manifestation of citizen trust in the context of information and communications technology-enabled transformation of government have multiple policy implications and extend our understanding of how information and communications technology-enabled transformation of government can improve the government–citizen relationship and digital services adoption. Points for practitioners To fundamentally change the core functions of government, information and communications technology-enabled transformation of government must move beyond the simple digitization and web enabling of processes. Information and communications technology-enabled transformation of government has the potential to address declining citizen trust in government by improving transparency and performance. The success of information and communications technology-enabled transformation of government in Bahrain is attributable to its small size and demographic composition, the relative maturity of digital government initiatives, and the complete commitment of the government to information and communications technology-enabled transformation of government.


Author(s):  
Krishna Kulin Trivedi

Today in the 21st century, the digitalization is the global trend, and it is the digital age. Today technology is a boon and has removed the global borders and has made the whole globe a small village. Technology has made the things easier, quicker, transparent, faster, efficient and so there is a need to adopt digitalization in every areas. E-Governance also known as Electronic Governance is the use of Information and Communications Technology for providing the government services to the nationals and organizations, for exchange of information transactions and other various services etc. and making the rules and procedure transparent. This Research paper focuses on the E-Governance in India which is a simplifying solution to all i.e. Government, nationals and organizations.


2018 ◽  
Vol 7 (1) ◽  
pp. 81
Author(s):  
Sinta Dewi Rosadi ◽  
Zahra Tahira

<p>Developments in information and communications technology have significantly influenced and changed lives of peoples by  providing  new opportunities for consumers and businesses.  In digital economic era, an increasing number of consumers engage in e-commerce, which provides easier and faster access to products and services However it also presents some challenges for consumers that differ from offline commercial transactions. The impersonality of e-commerce weakens the relationship between businesses and consumers, thereby increasing consumer vulnerability that could lead to  to unfair commercial practices and causing uncertainty and lack of trust by consumers. Therefore,  there is a need by the government and busineese to promte and protect consumer trust in digital markets so it will not hamper development digital economy</p>


2021 ◽  
Vol 15 (3) ◽  
pp. 66-80
Author(s):  
Rikardo da Sil'va ◽  
◽  
Paulo Kaminski ◽  
Rafael Marin ◽  
◽  
...  

The creation of effective innovation ecosystems (IES) at the national or sectoral level remains a difficult and not always feasible task. Basing on evidence from the Brazilian automotive industry, a case of unused opportunities for building a strong IES is considered. This is due to the insensitivity of such ecosystems to new complicated configurations and the formats of non-traditional interaction that they suggest - a “new ecology of competition”, etc. The internal context of companies in relation to the practice of open innovation has been studied. Despite joint projects with close value chain partners, carmakers are showing a closed attitude to external collaboration, unlike players in industries such as aerospace or information and communications technology that gained growth and major transformation by building a broader IES. Only a high demand from the government for creating a strong IES can change the situation.


2012 ◽  
pp. 610-642
Author(s):  
Ubena John

This chapter analyses the use of e-Documents and e-Signatures in Tanzania with a view of establishing their legal status, applicability, and the future of such technologies in e-Government systems. That is important as Information and Communications Technology (ICT) is widely employed in Tanzania. Moreover, the development and application of information systems is influenced by law. Therefore, the problem investigated is twofold: First, legal status, validity, and admissibility of e-Documents and e-Signatures in evidence in Tanzania are questioned. Second, the challenges facing the establishment of e-Government in Tanzania are explored. The chapter is a qualitative study, i.e. library- and desk-based research. Various literatures focusing on e-Documents and e-Signatures are reviewed, analysed, and evaluated so as to draw a conclusion on the relevancy of e-Documents and e-Signatures in the e-Government projects in Tanzania. The literature analysis conducted found that there is a lack of legal framework to recognize e-Documents and e-Signatures compounded with poor ICT infrastructure in Tanzania. This scenario puts e-Government endeavours at risk. It is recommended that the government should enact the laws to recognise e-Documents and e-Signatures to boost e-Commerce as well as e-Government.


2015 ◽  
Vol 9 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Mingzhi Li ◽  
Kai Reimers

Purpose – This paper aims to identify the sources of innovation in the current business environment of China. With the set target of transforming China into an innovative society by 2020, the Chinese government has taken dramatic measures to foster the nation’s innovation capability. Whether this Chinese model of promoting innovation has been successful and can be sustainable are controversial issues which need to be analyzed from an academic perspective. In recent years, there have been successful cases of innovation driven by grassroots entrepreneurs, especially in the information and communications technology (ICT) industry. Therefore, it is time to analyze their success factors from the perspectives of both corporate strategy and government policy. Design/methodology/approach – The methodology used in this research is a comparative case analysis, and several high-profile cases in China’s ICT industry have been selected for this comparative study. Information used in the analysis comes from publicly available sources such as business school case studies and industry and news media reports. The authors have been following the evolution of China’s ICT industry for more than a decade; insights from their prior research and knowledge gained through industry contacts are also used in the analysis. Findings – Generally speaking, the types of innovation in China’s ICT industry can be categorized into a top-down or a bottom-up approach. For the top-down approach of innovation driven by the government, the authors analyzed the case of the Chinese government’s effort to build an industry value chain through fostering the Chinese indigenous third-generation mobile communications standard time division–synchronous code division multiple access. In comparison, the authors use several success cases, including the ecosystem built around the highly successful XiaoMi mobile phone and Tencent’s mobile portal WeChat, as it showcases of the bottom-up approach of innovation driven by grassroots entrepreneurship. The comparison of these two approaches suggests that massive government-sponsored projects are unlikely to generate genuine innovation in the highly competitive and dynamic ICT sector. The government’s role should be to foster entrepreneurship and to create a fair business environment. Originality/value – This research uses the method of comparative case studies to identify the source of innovation in a highly dynamic and uncertain business environment. Findings of this study shed light on the government policy toward innovation in the ICT industry and on the business firms’ strategy on innovation.


2019 ◽  
Vol 8 (2) ◽  
pp. 71-75
Author(s):  
Mutmainah Mutmainah

The development of information and communications technology makes easy to find information needed from the world. Included in the student learning process. ICT has an important role in education ICT sophistication facilitate student-centered learning (SCL). However, can ICT create an effective and efficient learning process? What does the negative and positive effect of sophistication information and communications technology (ICT) in learning process? How effect on personal ethics? How should the role of government to solve that negative effect? This research uses a qualitative method with a phenomenology approach. This approach is a research-based on observations of phenomenology that occur in Merdeka University of Madiun. The data analysis uses descriptive techniques. It’s the result of the data collection from some informants were concluded. The results of research show that negative effects of development ICT; 1) decreasing student ethics, 2) learning process not effective, 3) student doesn’t ready to study in the classroom, 4) and delay next job. The positive effect is easy to get course material and reach communications quickly. The government role to solve negative effect are 1) socialization about ICT usage, 2) limit user age from government, 3) blocking web that no match with user age and 4) socialization about controlling child.


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