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The impact of COVID-19 on cybersecurity awareness-raising and mindset in the southern African development community (SADC) 新冠肺炎对南部非洲发展共同体(SADC)网络安全意识和心态的影响
IF 1.3 Q2 Computer Science Pub Date : 2023-02-13 DOI: 10.1002/isd2.12264
Laban Bagui, Shallen Lusinga, Nthabiseng Pule, Teofelus Tuyeni, Chimwemwe Q. Mtegha, Enrico Calandro, Wallace Chigona, Basie von Solms

At the beginning of 2020, the world came to a stand-still when governments across the globe decided to enter states of ‘emergency’ or ‘disaster’ over the breakout of the COVID-19 pandemic. The responses to the pandemic included stringent movement restrictions and hygiene advice preventing face-to-face interactions. As a result, many activities, including schooling, working, and shopping were moved online, drastically increasing exposure to cyber threats and risks. It is unclear if and how the rapid increase in internet use corresponded to an improvement in cybersecurity mindset development in countries of the Southern African Development Community (SADC). This paper explores the effect of the increase in digital technology usage due to the COVID-19 pandemic restrictions on the relationship between cybersecurity awareness-raising initiatives and the development of higher levels of cybersecurity mindset in Botswana, Lesotho, and Malawi. These three countries have a similar cybersecurity footprint and an average cybersecurity capacity level for the region. The research applies a comparative multiple case study approach relying on a thematic review of the literature and related documents, supported by in-depth interviews with purposefully selected key informants from the three selected SADC countries. Findings suggest that since the start of the COVID-19 pandemic, awareness-raising programs have gained some momentum in our selected countries, but the cybersecurity mindset has not improved. That was attributed to low frequency and poor quality of campaigns added to the lack of training, education and lived experience. The paper highlights the need to increase the frequency and improve the quality of programmes, for greater impact on the development of local cybersecurity mindsets.

2020年初,全球各国政府因新冠肺炎疫情爆发而决定进入“紧急状态”或“灾难状态”,世界陷入停滞。应对疫情的措施包括严格的行动限制和卫生建议,防止面对面交流。因此,包括上学、工作和购物在内的许多活动都转移到了网上,大大增加了网络威胁和风险的暴露。目前尚不清楚互联网使用的快速增加是否以及如何与南部非洲发展共同体(SADC)国家网络安全心态发展的改善相对应。本文探讨了新冠肺炎疫情限制导致数字技术使用量增加对博茨瓦纳、莱索托和马拉维网络安全意识分级举措与更高水平网络安全心态发展之间关系的影响。这三个国家的网络安全足迹相似,该地区的网络安全能力水平平均。这项研究采用了一种比较性的多案例研究方法,依靠对文献和相关文件的主题审查,并辅以对来自三个选定的南共体国家的有意挑选的关键线人的深入采访。研究结果表明,自新冠肺炎大流行开始以来,在我们选定的国家,提高认识的计划取得了一些势头,但网络安全心态没有改善。这归因于运动频率低、质量差,再加上缺乏培训、教育和生活经验。该文件强调,有必要提高方案的频率和质量,以便对当地网络安全心态的发展产生更大的影响。
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引用次数: 1
A spatial data integration and visualization approach for occupational health and safety risks management: Application to Algerian electricity and gas company 职业健康安全风险管理的空间数据集成和可视化方法——在阿尔及利亚电力和天然气公司的应用
IF 1.3 Q2 Computer Science Pub Date : 2023-02-03 DOI: 10.1002/isd2.12265
Hayat Haroun, Abdessamed Réda Ghomari

In the safety 4.0 era, occupational health and safety (OHS) related data has become one of the most valuable assets for organizations. Risk Management in the OHS field is a data-driven process. However, geospatial data has not been fully considered and few works have used visualization for decision-making purposes. Our research was conducted using a design science research methodology. It is a methodology for creating and evaluating IT artifacts to solve identified organizational problems. We used Wang's safety intelligence framework and the recommendations of the ISO 45001 model from extant literature to inform the Design. While creating our artifact, we chose to make an inventory of occupational risk prevention practices in Algeria. A qualitative study using interviews with experts in the field consolidated the requirements for such a system. The key findings from the analysis of collected data state that the development of safety data-driven decision-making requires top management support and involvement, which is in line with previous studies. A second concern is the availability of spatial data. The designed artifact is an approach called spatial data integration and visualization approach for occupational health and safety management systems (SDIVA-OHSMS). SDIVA-OHSMS provides a practical approach for organizations in charge of OHS services to implement OHS data-driven decision-making solutions highlighting spatial and semantic dimensions. The evaluation was performed through a representative case study within the Algerian electricity and gas company (Sonelgaz), employing expert opinion and software implementation. As a result, experts concluded that such systems could provide a more comprehensive and accurate view of occupational health issues and guide further prevention policies.

在安全4.0时代,职业健康安全(OHS)相关数据已成为组织最有价值的资产之一。职业健康安全领域的风险管理是一个数据驱动的过程。然而,地理空间数据尚未得到充分考虑,很少有工作将可视化用于决策目的。我们的研究采用了设计科学研究方法。它是一种用于创建和评估It工件以解决已确定的组织问题的方法。我们使用王的安全情报框架和现有文献中ISO 45001模型的建议来为设计提供信息。在创建我们的人工制品时,我们选择盘点阿尔及利亚的职业风险预防实践。一项利用与该领域专家访谈进行的定性研究综合了对这一系统的要求。对收集的数据进行分析的关键发现表明,安全数据驱动决策的发展需要最高管理层的支持和参与,这与之前的研究一致。第二个问题是空间数据的可用性。设计的工件是一种称为职业健康安全管理系统空间数据集成和可视化方法(SDIVA-OHSMS)的方法。SDIVA-OHSMS为负责职业健康安全服务的组织提供了一种实用的方法,以实施突出空间和语义维度的职业健康安全数据驱动决策解决方案。评估是通过阿尔及利亚电力和天然气公司(Sonelgaz)的一个代表性案例研究进行的,采用了专家意见和软件实施。因此,专家们得出结论,这些系统可以更全面、准确地了解职业健康问题,并指导进一步的预防政策。
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引用次数: 0
The quality of health data before and after the implementation of the electronic health management information system for the fistula program in Tanzania 坦桑尼亚瘘管病项目电子健康管理信息系统实施前后的健康数据质量
IF 1.3 Q2 Computer Science Pub Date : 2023-01-20 DOI: 10.1002/isd2.12263
Edda Tandi Lwoga, Edwin Musheiguza

This study assessed the quality and challenges of health data before and after the implementation of the Hospital Information System (HIS) for the fistula program at the Comprehensive Community-based Rehabilitation Hospital in Tanzania. This was a mixed methods study. Data were collected at baseline and end-line (before and after the implementation of the HIS) study using quantitative Data Quality Assessment (DQA) checklists and individual interviews. At the baseline, the DQA checklists were assessed using files registered from 2017 to May 2019. At the end-line, the DQA checklists used data for a patient registered at the established HIS from June 2019 to December 2020. Interviews with clinical and non-clinical staff were conducted at both baseline and end-line studies. The study found that data quality improved after the implementation of the HIS. At baseline, data completeness declined from 85% in 2017 to 44.9% in 2019 while accuracy declined from 44% in 2017 to 31% in 2019. At the end-line, data completeness and accuracy were >80% and 100% annually respectively. Data preciseness increased from 0% at baseline to 100% at the end-line. Both data completeness and accuracy had inconsistent tend over months, although preciseness could not be evaluated at baseline as no breakdown of indicators was reported. The major challenges related to data quality included language barrier, incompleteness of data, incorrect data entry, use of both manual and electronic systems, as well as unreliable electricity and network. In general, the HIS had improved rates of data quality in terms of completeness, accuracy, and preciseness of data as compared to the manual system. Policy-makers and hospital administrators should ensure that the HIS are integrated into national hospital information systems, build staff capacity, ensure reliable sources of electrical power, and regular training on data collection.

本研究评估了坦桑尼亚社区综合康复医院瘘管病项目医院信息系统实施前后健康数据的质量和挑战。这是一项混合方法研究。使用定量数据质量评估(DQA)检查表和个人访谈,在基线和终点线(HIS实施前后)收集数据。在基线时,使用2017年至2019年5月注册的文件对DQA检查表进行了评估。在最后一行,DQA检查表使用了2019年6月至2020年12月在已建立的HIS登记的患者的数据。在基线和终点研究中对临床和非临床工作人员进行了访谈。研究发现,HIS实施后,数据质量有所提高。基线时,数据完整性从2017年的85%下降到2019年的44.9%,准确率从2017年44%下降到2019的31%。在最后一行,数据的完整性和准确性 >;每年分别为80%和100%。数据精确性从基线时的0%提高到终点线时的100%。数据的完整性和准确性在几个月内都有不一致的趋势,尽管由于没有报告指标的细分,无法在基线评估准确性。与数据质量有关的主要挑战包括语言障碍、数据不完整、数据输入不正确、使用手动和电子系统以及电力和网络不可靠。总的来说,与手动系统相比,HIS在数据的完整性、准确性和准确性方面提高了数据质量。政策制定者和医院管理人员应确保HIS集成到国家医院信息系统中,建设员工能力,确保可靠的电源,并定期进行数据收集培训。
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引用次数: 0
Digital transformation experiences in the Balkan countries 巴尔干国家的数字化转型经验
IF 1.3 Q2 Computer Science Pub Date : 2023-01-11 DOI: 10.1002/isd2.12262
Valentina Ndou, Eglantina Hysa, Vanessa Ratten, Vera Ndrecaj
The current economic scenario is being characterized by the dawn of advanced digital technologies, such as the Internet of Things, Big Data, Business Analytics, Advanced Manufacturing, Industry 4.0/5.0, Cloud and Cyber-solutions and Artificial Intelligence, all of which represent a disruptive innovation that paves the way for radical changes in all activities by offering new innovative opportunities and solutions for thriving in a new competitive scenario. Consequently, a new paradigm has emerged, named “Digital Transformation” (DT), which highlights the sweeping changes that firms, organizations and society in general are undertaking to respond to digitization (Mariani & Wamba, 2020; Nambisan, 2017; Sjödin et al., 2020). Digital technologies are disruptive within organizations (both public and private) by way of enabling automation of data processing and timely and effective decision-making processes, as well as innovative ways to create value. Academics and practitioners alike have indicated a steadily growing interest toward analyzing and understanding the different and multifaceted dimensions, perspectives, sectors and dynamics that are intrinsic to DT (Nambisan et al., 2017; Ndou et al., 2021). It's worth noting that DT is a subject of considerable relevance for many different sectors, such as the tourism and health sector (Annosi et al., 2020; Ndou et al., 2022; Sikandar et al., 2022), as well as being pivotal in addressing social problems and in the improvement of the environmental sustainability; DTs impact the ways and mechanisms by which waste, pollution, production, and urbanism are managed and controlled (Feroz et al., 2021). Extensive studies report the unsettled impacts that DT has on business models and value creation (Ratten, 2014; Urbinati et al., 2018), for business practices and processes (Centobelli & Ndou, 2019; Guenzi & Habel, 2020; Hysa et al., 2020; Klein et al., 2020), product and service innovation, new customers and/or markets (Ferreira et al., 2017), capabilities and competencies to improve customer experience involvement in the innovation process (Nambisan et al., 2017) and business performance outcomes (Millán et al., 2021). DT is triggering a new competitive scenario and is part of a global race for innovation, skills, competencies, investment, and knowledge and research (OECD, 2020). However, leading successful DT is not an easy task because in some ways it challenges traditional linear approaches by which companies are faced with the new and iterative advances that are needed for the volatile digital economy (Li, 2020). The Covid-19 pandemic has caused an acceleration of digital technology adoption on a wider scale, forcing companies, customers, and society to make massive use of the technology. As a result, digital transformation is no longer simply an option but it is a competitive and innovative factor that is critical for public and private organizations, as well as for countries and regions. Also, the new pos
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引用次数: 0
A holistic understanding of information and communication technology for development through context, resilience, and sustainability: Evidence from a local agriculture extension information service in Ethiopia 通过背景、复原力和可持续性全面理解信息和通信技术促进发展:来自埃塞俄比亚当地农业推广信息服务的证据
IF 1.3 Q2 Computer Science Pub Date : 2023-01-06 DOI: 10.1002/isd2.12260
Muluneh Atinaf, Salehu Anteneh, Mesfin Kifle

There exists isolated work that focuses on context, resilience, and sustainability of information and communication technology for development (ICT4D). However, research on how the three concepts inform and influence one another to better meet the development goals and priorities is limited. More research is required to enhance our holistic understanding of ICT4D interventions in terms of the approaches applied to investigate context, resilience, and sustainability from socio-technical perspectives. This research explores the link among the triple concepts to fill the above void, drawing from qualitative data collected from multiple but networked stakeholders at a local agriculture extension information service. Data is processed in a way to understand: the context of the local development practices and stakeholders, the gaps in the design of information systems applied to support local development practices, and how local communities remain resilient in their information exchange practices. Building on the existing knowledge of context, resilience, and sustainability in ICT4D the research shows how the context of the local development practices inform resilience and in turn how resilience enables the continued operation of the local development practices (context), and how context and resilience lead to sustainable ICT4D interventions. The research contributes to theory by showing how the social and technical resources distributed in the social system and the stakeholders' networks can be unlocked to conceptualize the links between the triple concepts. It informs practitioners on how they can develop a holistic understanding of the socio-technical contexts of local developments and the socio-technical factors to design resilient ICT4D that will lead to sustainable digital interventions.

有一些孤立的工作侧重于信息和通信技术促进发展的背景、复原力和可持续性(ICT4D)。然而,关于这三个概念如何相互影响,以更好地实现发展目标和优先事项的研究有限。需要更多的研究来增强我们对ICT4D干预措施的整体理解,即从社会技术角度研究背景、复原力和可持续性的方法。这项研究利用从当地农业推广信息服务的多个但联网的利益相关者那里收集的定性数据,探索了三个概念之间的联系,以填补上述空白。处理数据的方式是理解:当地发展做法和利益攸关方的背景,用于支持当地发展做法的信息系统设计方面的差距,以及当地社区如何在信息交流做法中保持弹性。在ICT4D现有的背景、复原力和可持续性知识的基础上,该研究展示了当地发展实践的背景如何影响复原力,以及复原力如何使当地发展实践(背景)得以持续运作,以及背景和复原力如何导致ICT4D的可持续干预。该研究通过展示如何解锁社会系统和利益相关者网络中分布的社会和技术资源,以概念化三个概念之间的联系,为理论做出了贡献。它告知从业者如何全面了解当地发展的社会技术背景和社会技术因素,以设计有弹性的ICT4D,从而实现可持续的数字干预。
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引用次数: 2
Geographical variations in outreach of information and communication technology and rural development in West Bengal, India 印度西孟加拉邦信息和通信技术推广与农村发展的地理差异
IF 1.3 Q2 Computer Science Pub Date : 2022-12-27 DOI: 10.1002/isd2.12261
Sandip Satpati, Kaushal Kumar Sharma

The article investigates the Geographical variations in the outreach of information and communication technology (ICT) diffusion and its effects on rural development across 341 Community Development (CD) blocks of West Bengal. The study is based on secondary data. Secondary data has been collected from Districts Statistical Handbook, Primary Census Abstract, District Census Handbook, and Socio-Economic and Caste Census. The principal component analysis technique has been used for ICT diffusion index calculation. ArcMap 10.1 has been used for Mapmaking to understand the spatial intensity of the ICT index. The study finds that West Bengal falls within the least zone (0.07–0.18) of ICT diffusion in India due to multi-dimensional socio-economic factors. Only 35 CD blocks out of 341 are located in the high ICT diffusion zone (0.49–0.79) in West Bengal, which is 6.87 percent area to the total area. The study concluded that the higher the ICT diffusion higher is the rural development in West Bengal. The study recommends that the government invest more money in ICT in rural development.

本文调查了西孟加拉邦341个社区发展区信息和通信技术推广的地理差异及其对农村发展的影响。该研究基于二次数据。二级数据来自《地区统计手册》、《初级人口普查摘要》、《地区人口普查手册》和《社会经济和种姓普查》。主成分分析技术已被用于信息和通信技术扩散指数的计算。ArcMap 10.1已用于地图制作,以了解ICT指数的空间强度。研究发现,由于多方面的社会经济因素,西孟加拉邦属于印度信息和通信技术传播的最小区域(0.07–0.18)。341个CD区块中只有35个位于西孟加拉邦的ICT高扩散区(0.49–0.79),占总面积的6.87%。该研究得出的结论是,信息和通信技术的传播程度越高,西孟加拉邦的农村发展就越高。该研究建议政府在农村发展的信息和通信技术方面投入更多资金。
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引用次数: 0
Societal influences on career decision making: Perspectives of African women pursuing technology-related professions 社会对职业决策的影响:非洲女性从事技术相关职业的视角
IF 1.3 Q2 Computer Science Pub Date : 2022-12-13 DOI: 10.1002/isd2.12259
Kaluwa Siwale, Gwamaka Mwalemba
Several studies have explored the phenomenon of low participation of women in science, technology, engineering and mathematics (STEM) fields and careers. However, there remains very limited understanding of this phenomenon from an African woman's perspective. This is particularly concerning when considering the positionality of African women, in a form of deeply entrenched and systemic marginalization in relation to women from other parts of the world. It is these unique circumstances that warrant study specifically aimed at uncovering and elevating their experiences. This qualitative study has explored and highlighted the dynamics African women face when deciding to pursue a technology‐related profession or studies. An understanding of the experiences of African women can provide a different lens for examining the concept of a “leaky pipeline,” as a phenomenon that has been used to explain the shortage of women in STEM fields. The findings highlight both the motivations as well as challenges experienced by African women pursuing STEM profession and studies. Some of the motivations highlighted include personal interest or capability, as well as the family setting of an individual and status of STEM profession their contexts. The phenomenon of impostor syndrome was identified as one of the clear challenges experienced by African women. The findings also highlight the complexity of factors that act as both challenge as well as motivation. These include gender perception and stereotypes, access (or lack thereof) to role models, family influences, and exposure to technology at a young age. While the study accomplishes the aim of elevating experiences of African women pursuing STEM professions and studies, it is clear that further studies are necessary in this area in order to develop a rich understanding of these experiences in relation to the well‐known systemic issues confronting African women. This deep and nuanced understanding will play a crucial role in formulating meaningful and sustainable resolutions.
几项研究探讨了妇女在科学、技术、工程和数学领域和职业中参与度低的现象。然而,从非洲妇女的角度来看,对这一现象的理解仍然非常有限。当考虑到非洲妇女的地位时,这一点尤其令人担忧,因为与世界其他地区的妇女相比,非洲妇女处于一种根深蒂固的系统性边缘化状态。正是这些独特的情况值得专门研究,以揭示和提升他们的经历。这项定性研究探讨并强调了非洲妇女在决定从事技术相关专业或研究时所面临的动态。了解非洲妇女的经历可以为研究“泄漏管道”的概念提供一个不同的视角,这是一种被用来解释STEM领域妇女短缺的现象。研究结果突出了非洲女性从事STEM职业和研究的动机以及所面临的挑战。强调的一些动机包括个人兴趣或能力,以及个人的家庭环境和STEM职业的地位及其背景。冒名顶替综合症现象被认为是非洲妇女面临的明显挑战之一。研究结果还强调了挑战和动机因素的复杂性。其中包括性别观念和陈规定型观念、接触(或缺乏)榜样、家庭影响以及年轻时接触技术。虽然这项研究实现了提升非洲妇女从事STEM专业和研究的经验的目的,但很明显,有必要在这一领域进行进一步的研究,以便对这些经验与非洲妇女面临的众所周知的系统性问题有丰富的了解。这种深刻而微妙的理解将在制定有意义和可持续的决议方面发挥关键作用。
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引用次数: 0
Digital Transformation in Latin America: Challenges and Opportunities 拉丁美洲的数字化转型:挑战与机遇
IF 1.3 Q2 Computer Science Pub Date : 2022-11-23 DOI: 10.1002/isd2.12258
Robert M. Davison, Luiz Joia
Recognizing the importance of digital transformation in developing countries more broadly, we organized a joint special issue on digital transformation in Latin America in EJISDC and also our sister journal, the Information Systems Journal (ISJ). Latin America is home to approximately 10% of the world's population and possesses nearly 10% of its wealth. These data alone should be enough to justify the importance of the region and stimulate new research on the impact of digital technologies in transforming economies, societies, and organizations in Latin America. Besides, there are unique nuances to the digital transformation that is taking place in Latin America. In fact, being a developing region, it faces unique political, social, and economic issues that shape the digital transformation and make it distinct as compared with other regions around the world. This uniqueness demands original scholarly insights into the nature of digital transformation in Latin America, especially considering the observation that Information Technology (IT) implementation has been of paramount importance for the development of the region (see, for instance, Alderete, 2018; Avgerou, 2003, 2008; Avgerou & Walsham, 2017; Markus & Rowe, 2018). Indeed, the digital transformation potential for the development of regions such as Latin America is no longer in doubt, as several scholars have expounded on the developmental impacts accrued from IT endeavors (see, for instance, Davison et al., 2000; Guim on de Ros & Agapitova, 2013; Joia & Zamot, 2002; Macadar & Reinhardt, 2002; Mariscal, 2005; Markus & Rowe, 2018; Romo-Rodríguez, 2005; Silva & Figueroa, 2002; Unwin & Unwin, 2009; Walsham, 2017). Thus, it is important that scholars identify and investigate the research questions that address the digital transformation paradigm in Latin America. Undoubtedly, there are unique aspects to the Latin American culture and context that are well worth investigating, modeling, and using as a basis for theory development on digital transformation in emerging markets. These theories may extend existing theories adapted specifically to the Latin American context, or they may be entirely new theories that are needed to explain organizational or socioeconomic phenomena in the region (Zheng et al., 2018). That way, the main objective of this special issue of EJISDC is to address the potentialities of digital transformation for development in Latin America as well as highlight the possible obstacles to implement the same in the public and business administration areas in the region. Therefore, that special issue presents papers that take the Latin American context into account and shed light on the peculiarities of same on the success or failure of digital transformation initiatives in public and business administration in the region. That way, in the articles of that special issue, the context is paramount, being considered not only in a descriptive way but also to explain the results obtaine
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引用次数: 1
FinTechs and financial inclusion—Balkan experience: Digital perspectives on financial markets 金融科技与金融包容性——巴尔干经验:金融市场的数字视角
IF 1.3 Q2 Computer Science Pub Date : 2022-11-20 DOI: 10.1002/isd2.12257
Simona Andreea Apostu, Mirela Panait, Valentina Vasile, Gagan Deep Sharma, Razvan Vasile

The article aims to identify the stage of development of Fintech in the Balkan countries given the existence of numerous influencing factors Fintech is present in the Balkan countries, with a landscape colorfully generated by the different factors as the involvement of public authorities, the EU membership of only a few countries, the level of financial and digital education of the population. In order to highlight the variables influencing Fintech and financial inclusion in selected countries, specific indicators were used—internet usage and the share of bank assets in GDP, and several indicators regarding individuals performance, that is, online shopping, paid bills via internet, accessed a bank account online, paid utility bills using a mobile phone, made or received digital payments, account ownership and debit card ownership. The sample consists of all eight Balkan countries: Slovenia, Croatia, Bosnia and Herzegovina, Serbia, Montenegro, Albania, Macedonia, Bulgaria, and Romania. For testing the hypothesis in the analysis are used: descriptives, ANOVA, cluster analysis and principal components analysis. The results demonstrated that Balkan countries are not homogenous regarding Fintech and financial inclusion, the differences being generated both by the public policies in the financial field but also by IT development and by the population openness for using the new financial services and products. For these reasons, the authors identified economic policy measures that can be applied to increase financial inclusion in these countries given the facilities offered by Fintech and the digitization of financial products.

本文旨在确定巴尔干国家金融科技的发展阶段,因为存在许多影响因素。金融科技在巴尔干国家存在,公共当局的参与、少数国家的欧盟成员国身份、人口的金融和数字教育水平等不同因素丰富多彩。为了突出某些国家影响金融科技和金融包容性的变量,使用了特定的指标——互联网使用率和银行资产在GDP中的份额,以及关于个人表现的几个指标,即网上购物、通过互联网支付账单、在线访问银行账户、使用手机支付水电费,进行或接收数字支付、账户所有权和借记卡所有权。样本包括所有八个巴尔干国家:斯洛文尼亚、克罗地亚、波斯尼亚和黑塞哥维那、塞尔维亚、黑山、阿尔巴尼亚、马其顿、保加利亚和罗马尼亚。为了检验分析中的假设,使用了描述性分析、方差分析、聚类分析和主成分分析。结果表明,巴尔干国家在金融科技和金融包容性方面并不同质,这种差异既源于金融领域的公共政策,也源于信息技术发展和人口对使用新金融服务和产品的开放性。出于这些原因,作者确定了可以应用于提高这些国家金融包容性的经济政策措施,考虑到金融科技提供的便利和金融产品的数字化。
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引用次数: 4
The acceptance of telemedicine by physicians in Brazil: An institutional theory view 巴西医生对远程医疗的接受:一个制度理论视角
IF 1.3 Q2 Computer Science Pub Date : 2022-11-16 DOI: 10.1002/isd2.12254
Eduardo Moreira Palma PhD, Amarolinda Zanela Klein, Cristiane Drebes Pedron

Telemedicine comprises different health services held at a distance and is a promising practice for inclusive health care. However, there is still no consensus in the literature about the factors that influence the acceptance and dissemination of these practices. Thus, this study analyzes the factors that influence the acceptance of telemedicine, more specifically, of teleconsultations, by physicians, and seeks to understand how institutional factors act to disseminate or prevent their acceptance. An exploratory and qualitative study was carried out in Brazil, through interviews with physicians from different specialties and documents analyzes. We analyzed documents from public hearings on the regulation of telemedicine, and reports, discussions, and videos about teleconsultations. We conducted two coding cycles of data and we identified 12 factors influencing the acceptance of telemedicine/teleconsultations. Seven of these factors had previously been identified in the literature, namely: Regulatory Factors, Level of Instruction and Preparation of Users, Resistance to Change, Technological Infrastructure, Value Perception, Organizational Characteristics, and Financial Support. Five other acceptance factors emerged from our empirical data: Corporatism, Possibilities by Medical Specialization, In-Person Physical Examination, Commoditization of Telemedicine, and Previous Doctor–Patient Relationship. Based on Institutional Theory, we associated all the acceptance factors identified to the three institutional pillars, as in the study by Scott in 2014: Regulative, Normative, and Cultural Cognitive, also identifying main themes to which these factors are related, in each one of the three institutional pillars, respectively: regulation, structure, and lack of knowledge.

远程医疗包括远距离提供的不同医疗服务,是包容性医疗的一种很有前途的做法。然而,关于影响这些做法的接受和传播的因素,文献中仍然没有达成共识。因此,本研究分析了影响医生接受远程医疗的因素,更具体地说,是远程咨询,并试图了解制度因素如何传播或阻止他们接受远程医疗。在巴西进行了一项探索性的定性研究,通过采访不同专业的医生并分析文件。我们分析了远程医疗监管公开听证会的文件,以及关于远程咨询的报告、讨论和视频。我们对数据进行了两个编码周期,确定了影响远程医疗/远程咨询接受度的12个因素。文献中已经确定了其中七个因素,即:监管因素、用户的指导和准备水平、对变革的抵抗力、技术基础设施、价值感知、组织特征和财务支持。我们的实证数据中还出现了其他五个接受因素:团体主义、医疗专业化的可能性、亲自体检、远程医疗的商业化和以前的医患关系。基于制度理论,我们将确定的所有接受因素与三个制度支柱联系起来,正如斯科特在2014年的研究中所做的那样:规范性、规范性和文化认知性,还确定了这些因素与三大制度支柱中的每一个支柱相关的主要主题:规范、结构和知识缺乏。
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引用次数: 1
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Electronic Journal of Information Systems in Developing Countries
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