Critical information technology issues in Turkish healthcare

While the importance of information technology in reducing soaring healthcare costs and enhancing service quality is increasingly being recognized, significant challenges remain in how it is implemented. Although there are a few studies investigating key IT issues in healthcare in advanced countries, there are virtually none in developing countries. We bridge this gap by investigating the critical information technology issues in healthcare facilities in Turkey. These issues are developed based on the opinions of senior hospital managers. The top ten issues include privacy, quality, security, and the implementation of electronic medical records. Further analyses provide additional insights into the results.

[1]  Olivia R. Liu Sheng,et al.  Examining the Technology Acceptance Model Using Physician Acceptance of Telemedicine Technology , 1999, J. Manag. Inf. Syst..

[2]  D. Brailer Interoperability: the key to the future health care system. , 2005, Health affairs.

[3]  G. Dussault The health professions and the performance of future health systems in low-income countries: support or obstacle? , 2008, Social science & medicine.

[4]  D Draper,et al.  Hospital characteristics and quality of care. , 1992, JAMA.

[5]  Hamid R. Nemati,et al.  Information Technology Issues in Healthcare : Hospital CEO and CIO Perspectives Information Technology Issues in Healthcare : Hospital CEO and CIO Perspectives , 2018 .

[6]  Robin B. DiPietro,et al.  Key issues for ICT applications: impacts and implications for hospitality operations , 2010 .

[7]  Guilbert Jj The World Health Report 2006: working together for health. , 2006 .

[8]  Jonathan P. Weiner,et al.  Comment: "e-Iatrogenesis": The Most Critical Unintended Consequence of CPOE and other HIT , 2007, J. Am. Medical Informatics Assoc..

[9]  Prasanta Kumar Dey,et al.  Managing healthcare technology in quality management framework , 2007, Int. J. Technol. Manag..

[10]  Prof.Dr.Hasan Ibicioğlu,et al.  YÖNETİM VE YÖNETİCİLİK YÖNÜNDEN ÜNİVERSİTE HASTANELERİNİN DEĞERLENDİRİLMESİ , 2008 .

[11]  Ephraim R. McLean,et al.  Key Issues for IT Executives , 2004, MIS Q. Executive.

[12]  G. Hofstede,et al.  Culture′s Consequences: International Differences in Work-Related Values , 1980 .

[13]  James C. Wetherbe,et al.  Key Information Systems Issues for the 1980's , 1984, MIS Q..

[14]  William Davis Electronic medical records. , 2002, Minnesota medicine.

[15]  M. Eccles,et al.  Welcome to Implementation Science , 2006, Implementation Science.

[16]  L. Gostin,et al.  Health Care Information and the Protection of Personal Privacy: Ethical and Legal Considerations , 1997, Annals of Internal Medicine.

[17]  David J. Miller,et al.  The Correlates of Entrepreneurship in Three Types of Firms , 1983 .

[18]  Jerry N. Luftman,et al.  Key Issues for IT Executives 2011: Cautious Optimism in Uncertain Economic Times , 2011, MIS Q. Executive.

[19]  M. Wynia,et al.  Dreams and Nightmares: Practical and Ethical Issues for Patients and Physicians Using Personal Health Records , 2010, Journal of Law, Medicine & Ethics.

[20]  J. Ahronheim,et al.  Urban-Rural Differences in the Quality of Care for Medicare Patients With Acute Myocardial Infarction , 2016 .

[21]  Richard Harris,et al.  SMIS Members: A Membership Analysis , 1982, MIS Q..

[22]  Steven M. Thompson,et al.  Advancing information technology in health care , 2009, CACM.

[23]  Dahlia Remler,et al.  Information and communications technology in U.S. health care: why is adoption so slow and is slower better? , 2009, Journal of health politics, policy and law.

[24]  Jerry N. Luftman,et al.  Key Issues for IT Executives 2009: Difficult Economy’s Impact on IT , 2010, MIS Q. Executive.

[25]  T. Agartan Marketization and universalism: Crafting the right balance in the Turkish healthcare system , 2012 .

[26]  Kevin Beaver,et al.  Healthcare Information Systems, Second Edition , 2002 .

[27]  M. Dundar,et al.  Healthcare in overview of Turkey , 2010, EPMA Journal.

[28]  Nancy M. Lorenzi,et al.  Organizational ISSUES=change , 2003, Int. J. Medical Informatics.

[29]  Şevki Özgener,et al.  HASTANELERDE MODERN YÖNETİM FELSEFESİNİN VERİMLİLİĞE ETKİSİ: GEVHER NESİBE HASTANESİNDE BİR UYGULAMA , 2008 .

[30]  J. Ford,et al.  Decoding resistance to change , 2009 .

[31]  Brian D. Janz,et al.  Information Systems and Healthcare XVI: Physician Adoption of Electronic Medical Records: Applying the UTAUT Model in a Healthcare Context , 2007, Commun. Assoc. Inf. Syst..

[32]  C. Gericke,et al.  Healthcare financing in Yemen , 2012, The International journal of health planning and management.

[33]  Maria Lluch,et al.  Healthcare professionals' organisational barriers to health information technologies - A literature review , 2011, Int. J. Medical Informatics.

[34]  R. Ward,et al.  The attitudes of health care staff to information technology: a comprehensive review of the research literature. , 2008, Health information and libraries journal.

[35]  Dorothy E. Leidner,et al.  Knowledge Management Systems: Issues, Challenges, and Benefits , 1999, Commun. Assoc. Inf. Syst..

[36]  Melissa Steward Electronic Medical Records , 2005, The Journal of legal medicine.

[37]  K. Lewin Frontiers in Group Dynamics , 1947 .

[38]  A. Pearson,et al.  Evidence-based healthcare in developing countries. , 2010, International journal of evidence-based healthcare.

[39]  Anol Bhattacherjee,et al.  Physicians' Resistance toward Healthcare Information Technologies: A Dual-Factor Model , 2007, 2007 40th Annual Hawaii International Conference on System Sciences (HICSS'07).

[40]  M. Hatch,et al.  Organization Theory : Modern , Symbolic and Postmodern Perspectives , 2019 .

[41]  Thomas Jackson,et al.  Health Data Standards and Adoption Process: Preliminary Findings of a Qualitative Study in Saudi Arabia. , 2011 .

[42]  Richard Kremsdorf,et al.  Research Paper: The CMIO - A New Leader for Health Systems , 2006, J. Am. Medical Informatics Assoc..

[43]  Shaw K. Chen,et al.  An investigation into low mail survey response rates of information technology users in health care organizations , 2003, Int. J. Medical Informatics.

[44]  Ismet Sahin,et al.  Assessment of hospital efficiency under health transformation program in Turkey , 2011, Central Eur. J. Oper. Res..

[45]  Jerry N. Luftman Key Issues for IT Executives 2004 , 2005, MIS Q. Executive.

[46]  Hamid Moghaddasi,et al.  CEO is a Vision of the Future Role and Position of CIO in Healthcare Organizations , 2010, Journal of Medical Systems.

[47]  Nadeem Mahmood,et al.  Information and Communication Technology in Healthcare Management Systems: Prospects for Developing Countries , 2010 .

[48]  J. Herrin,et al.  The influence of hospital culture on rehabilitation team functioning in VA hospitals. , 2002, Journal of rehabilitation research and development.

[49]  Réjean Landry,et al.  Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success? , 2006, Implementation science : IS.