Measuring the effects of electronic government services and corrupt practices on information exchange: a comparison of public and private hospitals

IF 2.4 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE Transforming Government- People Process and Policy Pub Date : 2023-10-11 DOI:10.1108/tg-06-2023-0083
Utkarsh Shrivastava, Bernard Han, Mohammad Daneshvar Kakhki, J. Michael Tarn
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Abstract

Purpose Health Information Exchange (HIE) is essential for the efficient and cost-effective delivery of health-care services. The provider’s administrative structure and external environment can substantially influence adopting technologies involving inter-organizational linkages, such as HIE. Using the theoretical lens of institutional theory, this study aims to compare how public and private hospitals' engagement in HIE is influenced by corruption and government online services or e-government usage. Design/methodology/approach The study uses the positivist research design of secondary data analysis to test the six hypotheses proposed. Data from multiple third-party reliable sources, including the European Commission and World Bank, are combined into the final dataset consisting of observations from 1,442 hospitals across 30 countries in Europe. A multilevel modeling approach is used to associate country and hospital-level variables and test the hypothesis. Findings The study finds that, on average, a 10% increase in corruption leads to a 6.3% decrease, while a 10% increase in e-government leads to a 7% increase in the probability of HIE engagement for a hospital. The negative impact of corruption on average is 18% more in public than private hospitals, while the positive impact of e-government is 75% stronger in public in comparison to private hospitals. The study also finds that HIE engagements in health systems with predominantly public hospitals are more sensitive to corruption and e-government. Originality/value To the best of the authors’ knowledge, the study is one of the first to use the institutional view to test the influence of government actions and public providers' concentration on HIE engagement. The comparison of public and private institutions enriches our understanding of promoters and inhibitors of HIE.
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衡量电子政务服务和腐败行为对信息交换的影响:公立和私立医院的比较
目的卫生信息交换对于高效和具有成本效益地提供保健服务至关重要。提供商的管理结构和外部环境会对采用涉及组织间联系的技术(如HIE)产生重大影响。利用制度理论的理论视角,本研究旨在比较公立和私立医院参与医疗卫生信息系统是如何受到腐败和政府在线服务或电子政务使用的影响的。本研究采用二次数据分析的实证研究设计,对提出的六个假设进行检验。来自多个第三方可靠来源(包括欧盟委员会和世界银行)的数据被合并成最终的数据集,其中包括来自欧洲30个国家的1442家医院的观察结果。采用多层次建模方法将国家和医院水平的变量联系起来并检验假设。研究发现,平均而言,腐败增加10%导致6.3%的下降,而电子政务增加10%导致医院参与HIE的可能性增加7%。腐败的负面影响在公立医院平均比私立医院高18%,而电子政务的积极影响在公立医院比私立医院高75%。研究还发现,在以公立医院为主的卫生系统中,HIE对腐败和电子政务更为敏感。据作者所知,这项研究是第一个使用制度观点来测试政府行为和公共提供者对HIE参与的集中程度的影响的研究之一。公立和私立机构的比较丰富了我们对HIE启动子和抑制子的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Transforming Government- People Process and Policy
Transforming Government- People Process and Policy INFORMATION SCIENCE & LIBRARY SCIENCE-
CiteScore
6.70
自引率
11.50%
发文量
44
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