One of the many notable interventions in the healthcare delivery service in Ghana is the adoption and use of medical technology to different aspects of hospital management especially the integrated Hospital Information Systems. These are comprehensive information support systems (medical sensors, scanners, expert systems, patent record management) implemented in most hospitals to integrate and provide rapid information in respect of patients, clinical, ancillary, legal, financial, service processing and other administrative issues.
This research integrates each of the major elements from existing models to predict user acceptance, adoption and use of medical ICT in government hospitals in China and Ghana. Data is collected from a tertiary hospital in Ghana and analysed to evaluate a hierarchy of constraints and stimulants to the adoption and use of Medical ICT in government hospitals in Ghana, determines the extent to which cultural values or others can explain differences in the rate of adoption and use of Medical ICT in government hospitals in developing countries and make policy proposals towards amelioration of the problem of medical ICT adoption and use in government hospitals based on research outcome.
Adams, D. A; Nelson, R. R.; Todd, P. A. (1992), "Perceived usefulness, ease of use, and usage of information technology: A replication", MIS Quarterly 16: 227–247
Badu Akosah (2011) Ghana Health Service MIS in Retrospect, University of Ghana Medical School Journal, Legon Press, Accra
Bagozzi, R.P. (2007), "The legacy of the technology acceptance model and a proposal for a paradigm shift.", Journal of the Association for Information Systems 8(4): 244–254.
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.
Bass, F. M. (1986), The adoption of a marketing model: Comments and observation, Cambridge, Mass.:
Cardon, P. W., & Marshall, B. (2008). National culture and technology acceptance: The impact of uncertainty avoidance, Issues in Information Systems, 9 (2), 103-110
Coalition of Health Related NGO in Ghana (2013) The State of our Hospitals a Peer & Participatory Performance Review of CHAG Hospitals, CHAG PPRHAA, Ghana
Czaja, S. J.; Hammond, K; Blascovich, J. J.; Swede, H (1986), "Learning to use a word processing system as a function of training strategy", Behaviour and Information Technology 5: 203–216
Davis, F. D. (1989), "Perceived usefulness, perceived ease of use, and user acceptance of information technology", MIS Quarterly, 13(3): 319–340
Department of Health (2011) A Review of Catholic Health Institutions, Department of Health, National Catholic Secretariat, Centenary House, Accra
Eckhardt A, Laumer S, and Weitzel R (2009) “Who influences whom? Analyzing workplace referents’ social influence on IT adoption and non-adoption,” Journal of Information Technology, vol. 24, no. 1, pp. 11–24, 2009
Ghana Health Service (2012) Health Administration and Support Services, undated-a http://www.ghanahealthservice.org/division.php?dsion=Health%20Administration%20and%20Support%20Services&dd=30
GLOBE team (1995) Culture, leadership, and organizations: the GLOBE study of 62 societies (1st ed.). SAGE Publications.
Gunter T.D., Terry N.P. (2005). "The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions". J Med Internet Res 7: 1.
Habib, J. L. (2010). "EHRs, meaningful use, and a model EMR". Drug Benefit Trends 22 (4): 99–101.
Hofstede, Geert (1984). Culture's Consequences: International Differences in Work-Related Values (2nd ed.). Beverly Hills CA: SAGE Publications
Hofstede, Geert (2001). Culture's Consequences: comparing values, behaviors, institutions, and organizations across nations (2nd ed.). Thousand Oaks, CA: SAGE Publications
Khan, Masood N.; Findlay, John W. (2009). "11.6 Integration: Tying It All Together". Ligand-Binding Assays: Development, Validation, and Implementation in the Drug Development Arena. John Wiley & Sons. p. 324
Kierkegaard, Patrick (2011). "Electronic health record: Wiring Europe's healthcare". Computer Law & Security Review 27 (5): 503–515
Koivimäki,T . Ristola, A and Kesti M (2008) The perceptions towards mobile services: An empirical analysis of the role of use facilitators,” Personal & Ubiquitous Computing, vol. 12, no. 1, pp. 67–75, 2008
Ministry of Health (2012) A Review of Catholic Health Institutions, Department of Health, National Catholic Secretariat, Centenary House, Accra
Olmeda, Christopher J. (2000). Information Technology in Systems of Care. Delfin Press. ISBN 978-0-9821442-0-6
Payne, P.R., Greaves, A.W., and Kipps, T.J (2003) CRC Clinical Trials Management System (CTMS): an integrated information management solution for collaborative clinical research, AMIA Annu Symp Proc. 2003:967.
Peters T, J and Waterman R, H (1982) In Search of Excellence, Lessons From America’s Best Run Companies
Rao, Wang, Hu Wao (2005) Managing Information in Healthcare Centres in China, Jiangsu University Publication, Zhenjiang, China
Rogers, Everett M. (1962). Diffusion of Innovations. Glencoe: Free Press. ISBN 0-612-62843-4.
Scheutz, Martin et al. eds. Hospitals and Institutional Care in Medieval and Early Modern Europe (2009)
Shortliffe, E.H., and Cimino, J.J. eds. Biomedical Informatics: Computer Applications in Health Care and Biomedicine (3rd edition). New York: Springer, 2006.
Subramanian, G. H. (1994), "A replication of perceived usefulness and perceived ease of use measurement", Decision Sciences, 25(5/6): 863–873
Sundaravej Thanaporn (2010) Empirical Validation of Unified Theory of Acceptance and Use of Technology Model, University of Missouri at Saint Louis Press, USA
Sykes T. A, Venkatesh A, and. Gosain S (2009) Model of acceptance with peer support: A social network perspective to understand employees’ system use,” MIS Quarterly, vol. 33, no. 2, pp. 371–393, 2009.
Szajna, B. (1994), "Software evaluation and choice: predictive evaluation of the Technology Acceptance Instrument", MIS Quarterly, 18(3): 319–324
Van Raaij, E. M. and. Schepers J. J. L (2008) “The acceptance and use of a virtual learning environment in China,” Computers & Education, vol. 50, no. 3, pp. 838–852, 2008
Venkatesh, V.; Davis, F. D. (2000) A theoretical extension of the technology acceptance model: Four longitudinal field studies", Management Science 46(2): 186–204
Venkatesh, V.; Morris, M. G.; Davis, G. B.; Davis, F. D. (2003), "User acceptance of information technology: Toward a unified view", MIS Quarterly 27(3): 425–478
Wall, Barbra Mann (2011). American Catholic Hospitals: A Century of Changing Markets and Missions (Rutgers University Press, 2011). 238 pp
Wang T and Wang R (2010) New Initiatives in Public Hospital Information System, Nanjing University, Nanjing, China
WHO (2012) Report on Healthcare Informatics in Developing Countries, Issued 29th January 2012, in World Bank Office Ghana
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