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Full-Text Articles in Medicine and Health Sciences

The Nature And Role Of Perceived Threats In User Resistance To Healthcare Information Technology: A Psychological Reactance Theory Perspective, Madison N. Ngafeeson, Joseph A. Manga Jul 2021

The Nature And Role Of Perceived Threats In User Resistance To Healthcare Information Technology: A Psychological Reactance Theory Perspective, Madison N. Ngafeeson, Joseph A. Manga

Information Systems Faculty Publications and Presentations

The efforts of the United States government in the past 15 years have included harnessing the power of health information technology (HIT) to improve legibility, lessen medical errors, keep costs low, and elevate the quality of healthcare. However, user resistance is still a barrier to overcome in order to achieve desired outcomes. Understanding the nature of resistance is key to successfully increasing the adoption of HIT systems. Previous research has showed that perceived threats are a significant antecedent of user resistance; however, its nature and role have remained vastly unexplored. This study uses the psychological reactance theory to explain both …


Reporting Health Data In Waiting Rooms With Mobile Technology: Patient Expectation And Confirmation, Iris Reychav, Ankur Arora, Rajiv Sabherwal, Karina Polyak, Jun Sun, Joseph Azuri Apr 2021

Reporting Health Data In Waiting Rooms With Mobile Technology: Patient Expectation And Confirmation, Iris Reychav, Ankur Arora, Rajiv Sabherwal, Karina Polyak, Jun Sun, Joseph Azuri

Information Systems Faculty Publications and Presentations

Objectives: Hospitals and medical staff use digital devices such as mobile phones and tablets to treat patients. Prior research has examined patient-reported outcomes, and the use of medical devices to do diagnosis and prognosis of patients, but not whether patients like using, and intend to use in future, mobile devices to self-report medical data. We address this research gap by developing a theoretical model based on the expectancy confirmation model (ECM) and testing it in an empirical study of patients using mobile technology to self-report data.

Design: This study adopts a non-interventional cross-sectional research design. Randomly-selected patients provided data via …


Significant Stakeholders: Toward An Agile Knowledge Management System In The Time Of Coronavirus Crisis, Yaojie Li, Yi Zhou, Thomas Stafford, Xuan Wang Mar 2021

Significant Stakeholders: Toward An Agile Knowledge Management System In The Time Of Coronavirus Crisis, Yaojie Li, Yi Zhou, Thomas Stafford, Xuan Wang

Information Systems Faculty Publications and Presentations

Effective crisis response requires sophisticated knowledge management in organizations. Agile systems development capabilities for such crisis response systems are important, particularly for purposes of tailoring a crisis-oriented knowledge management system to a rapidly shifting threat landscape. We propose an architecture for achieving both of these ends in the form of an Agile Crisis Management System involving three specific stakeholders, and we discuss the steps, outcomes, and implications of such a system.


Strategically Rational Risk Taking By Age In Covid-19, And The Heterogeneous Agent Behavioral Sir Model, Siamak Javadi, Elena Quercioli, Lones Smith Feb 2021

Strategically Rational Risk Taking By Age In Covid-19, And The Heterogeneous Agent Behavioral Sir Model, Siamak Javadi, Elena Quercioli, Lones Smith

Economics and Finance Faculty Publications and Presentations

Given the dramatic age variation in COVID death rates, we create a heterogeneous agent version of the Behavioral SIR contagion model of Engle et al. (2020). The Bayes Nash equilibrium of our infection avoidance game yields a simple new log-linear relationship between the case fatality rate (CFR) and COVID incidence: Everyone knows that everyone optimizes vigilance both for the prevalence and their CFR. We explain 2020 CDC incidence data for the USA north-east in terms of the CFR to age-specific COVID death data for Massachusetts. Our model is statistically significant: A 10% higher CFR reduces incidence by about 1%.


Is First Impression Relevant In Online Health Support Communities? Preliminary Investigation Of The Effects Of Social Presence, Joseph A. Manga, Emmanuel Wusuhon Yanibo Ayaburi, Francis Andoh-Baidoo Jan 2021

Is First Impression Relevant In Online Health Support Communities? Preliminary Investigation Of The Effects Of Social Presence, Joseph A. Manga, Emmanuel Wusuhon Yanibo Ayaburi, Francis Andoh-Baidoo

Information Systems Faculty Publications and Presentations

Patients’ initial impression can influence the kind of reactions they receive and their subsequent participation. Prior studies use inference models to examine participation as a continuum phenomenon. In the online health supporting communities (OHSCs), distinguishing giving participation from receiving participation provide interesting insights at the granular level. Using social presence theory, this study identifies and uses social presence cues in the initial post of 168 patients to predict patients’ giving and receiving participation in a prominent OHSC. Findings reveal that the social presence cues affected the two participation dimensions differently. Specifically, while intimacy is the most important predictor of giving …