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Tuesday, July 10, 2018

Technology Acceptance Model (TAM) with the Sales Force Automation System (SFA)


Technology Acceptance Model (TAM) with the Sales Force Automation System (SFA)

Abstract

      This study has been carried out to explore the application of Technology Acceptance Model (TAM) with the Sales Force Automation System (SFA) of Darley Butler & Co., Limited. Darley Butler mainly being a distribution company island-wide had a system of manual re-distribution tracking via company employed sales force. Due to many limitations with the system it was automated with an introduction of a Personal Digital Assistant (PDA) to the sales force. Along with the selection of proper devices i.e. PDA unit and printing solutions, technology acceptance among the uses had been a major challenge. However, with its usefulness, ease of use and extensive training the company was able to make it a success.  

Advancement in information communication technology (ICT) is an important driver in achieving competitive advantage for organizations in today’s fast moving world. Though it is vital and inevitable the adoption and diffusion of ICT could be seen as a major challenge faced by the nations/organizations.
The user acceptance of technology could be viewed as the demonstrable willingness within a user or a group to employ information technology for the tasks it is designed to be supported. Thus, the concept is not being applied to situations in which users claim they will make use of it without providing evidence of use, or to the use of a technology for the function which is unintended by the designers or procurers (for instance using an internet connection for personal work within a work situation). Obviously there is a degree of uncertainty here since actual usage is always likely to deviate to certain extent from idealized, intended usage, but the essence of acceptance theory is that such deviations are not significant, i.e. the process of user acceptance of any information technology for intended purposes can be modeled and predicted.
Lack of user acceptance is a significant impediment to the success of new information systems. Indeed, users are often reluctant to use information systems which, if used, would result in extraordinary performance gains. Therefore, user acceptance has been viewed as the pivotal factor in determining the success or failure of any information system project.
Thus, this assignment is focused towards evaluating the application of ICT and its acceptance at Darley Butler & Co., Ltd. during the execution of Sales Force Automation System (SFA). Though the system had enormous in built advantages in terms of productivity and accuracy obtaining user acceptance has been a huge challenge.     
Darley Butler & Company Limited is established way back in 1848. Then business activities were diversified, and covered estate agencies, commission agents, imports/exports, ship chartering, etc. In 1920 the partnership was converted to a limited liability company, and continued its business of being a primary exporter of tea and local produce. However with the decline in the export business, the company shifted its focus to imports, local sales and distribution of consumer products. With the acquisition in 1967, the company became a wholly owned subsidiary of E B Creasy & Company PLC, which is listed in the Colombo Stock Exchange.
Today the Company's core business is marketing a range of FMCG categories that are well known brands in the country like, NINJA, DENTA, BIC, COW & GATE, AMRITHA, HACKS, CANDYMAN, LAXAPANA etc. To maximize distribution of these products, the company relies on its key strength which is its current distribution infrastructure consisting of 132 professionally trained Consumer Sales Representatives, and 20 Sales Management and Supervisory staff and the services of 65 long-standing Distributors located throughout the country. In order to successfully market the brands, the company has a team of Brand Managers who have hands-on experience in handling FMCG categories, and are well-versed in the sphere of brand management.
The company which has gone through several phases of evolution has today emerged as an aggressive marketing organization. The medium and long-term strategic goals of the company are to identify opportunities in high growth mass market consumer categories, and enter those markets offering high quality and reasonably priced products.
Darley Butler is the sole distributor of all the products manufactured and imported of the group. Before 2005, the distribution process was based on a manual system. Distributors island-wide collects the goods from head office either on cash or credit. Thereafter the company’s Sales Representatives raise manual invoices to the retailers and wholesalers in order to re-distribute the goods all over the island. All the manual invoices are required to be forwarded to the head office weekly. Then the data entry operators were manually feeding all sales records to the computer system for the purpose of providing management information.
The process of system feeding of sales data and providing management information took 3-4 weeks. Simply the last month’s sales information was provided for the management decision making at the end of the next month. Due to this decision making delay, human errors and late detection of the malfunctions during the selling process, it was decided to automate the re-distribution process island-wide.

Further to the decision of SFA system, selecting the appropriate infrastructure was one of the critical factors. A suitable device i.e. a Personal Digital Assistant (PDA) had to be selected complying with requirement and the budgetary allocations. The main purpose of the PDA is to act as an electronic organizer/tool or day planner that is portable and capable of sharing information in respect of the tasks performed with PC or software in respect of re-distribution. It's considered to be an extension of the PC, not a replacement. Finally the brand PALM was selected initially for a price of Rs. 18, 000/= for the process.  
Battery life (power) of the PDA was another main concern since it required at least 10 hours battery life. The PALM TOP has been able to survive for average 12 hrs, after fully being charged before the beginning of the session.
As the process required a bill or an invoice to be issued to the retailer/wholeseller, decision of selecting a printing solution was required. A dot-matrix printer was selected instead of a thermal printer and the printing was made via Bluetooth.
Finally the training of staff of both the company and the distributors towards the acceptance of technology were to be made. All staff involved was made groups of 10 each and an intensive training was made on the system and handling the PDA. Finally it was executed along with on the job training and monitoring on regional basis.
The system required some prerequisites to be met before starting up the day for sales re-distribution. The IT department of the company forwards the data in respect of the days’ plan to each distribute point, where the Sales Representative require to synchronies the PDA before leaving to the route. Then the Sales Representative carryout his days work as per the plan downloaded and when winding up the day he require to synchronies the PDA again in order to upload the day’s data to the system. Thereafter the IT department is carrying out the necessary data processing to provide management information.    
   Application of TAM with Darley Butler SFA and  its Critical success factors in terms of Ease of use and usefulness    
As indicated above the main challenges faced by the IT department is the selection of the device/PDA with adequate power throughout the process, printing solution and obtaining user acceptance towards the system from members involved. Out of which managing staff resistance towards the system has been the major challenge. The entire field staff from top to bottom was reluctant to accept initially due to the failure of Unileves’ during their automation process by that time. Further the Sales Representatives were quite averse on the system on top of its ease of use and usefulness, as the avenues available to manipulate the selling system will be minimal during process of monthly target achievement. Therefore in order to build the confidence towards its ease of use and usefulness, the IT team had to conduct intensive training to all users including company and distributors. Finally they were able to make it a reality by realizing and being convinced its positive attributes.   
§  Storage of Information
PDA is able to store all the selling information that is required to proceed the re-distribution for the day. When the daily data is being synchronized it gives all information of the route to be covered for the day to achieve its daily target. Sales Representatives does not require to manually go through their route plan, previous visits, last selling records, credit terms, previous credits to be collected, amount of free issues and discounts to be extended to retailers, terms in accepting stock returns, authorized and unauthorized retailers etc. This makes life easy in performing the daily sales and collection.
§  Make to-do lists
PDA contains data that are required from the beginning of the day to end from each point. It makes life easy in re-distribution.
§  Take notes
It allows to note- down remarks and concerns during the day’s process to be referred during the next visit allowing the staff to organize their future plans.
§  Track appointments (date book, calendar) and Remind appointments (clock, alarm functions)
PDA allows tracking the special appointments made to other outlets and drop alerts during the days’ process and acts as a diary/calendar.
§  Perform calculations
PDA allows auto calculations. When the order is feed in to the PDA it automatically calculates the amounts payable, discounts allowed and the free issues to be granted. Representatives do not require to manual calculations or refer any memos on discount structures and free issues. This makes re-distribution faster and free of manual calculation errors.      
§  Quality of work life
PDA carries a personality. Representatives were carrying manual bill books, pens, calculators and carbon copies etc. in performing their duties before. When the PDA is being introduced, it carries only the devise and transactions are made using the stylus. This certainly carries a personality to the company representatives and enhances work quality.   
   Management reports and reviews
When the day’s sales/data are synchronized back to the system at the day end, it allows the management to review the information for decision making by the next day morning. This allows fast decision making and obtaining corrective measures if any deviations or errors were made during the re-distribution process. Further this enhances the data accuracy and making the monthly targets feasible.     
§  Monitoring malfunctions and obtaining corrective measures
As indicated above, the system allows analyzing the previous day’s data and is available in the next day for reviewing. With the previous method, the company couldn’t identify any malfunctions during the re-distribution process unless being visited the retailers and wholesalers personally and by checking the bills raised manually. With the introduction of the PDA as data are available on the next day, it allows the management to review the same and identify errors and take corrective measure immediately.     
§  Easy mentoring by field managers
Other than the management located in head office the Field Managers also given the facility to monitor re-distribution data and this makes further easy monitoring and decision making.
 Easy in reviewing monthly performance
Unlike the previous method, the data on re-distribution will be finalized by the month end, will be processed for the provision of management information by the first week of the next month. Whereas in the previous manual invoicing systems, the information was available for management decision making only at the end of the next month. This could be considered as one of the main advantage of the implementation of the SFA and gaining the user acceptance towards technology.
   
§  Easy of updating information and information circulation
SFA system could be made available with the latest information, decisions or the changes affected towards the re-distribution process. For instance if any prices changes, discount and free issue structure changes could be updated as soon as decisions are made and dispatched to the field staff through the process of synchronizing. This keeps the system live, realistic and accurate to meet the market competition.  
§  Internally developed software
The SFA system software is maintained by the IT department of the company. Therefore any changes could be effected immediately. Also the information requirement and report structures could be always modified and tailor maid as per the specific needs of the management to make the decision making process more effective.
   Top management commitment
The top management commitment offered throughout the process was a blessing. As the perceived usefulness they realized is highly positive, the implementation process was a success.
 Proper selection of tools and devices
Due to the proper selection of the devices the SFA system was perceived as easy to use by the users. Though the users were reluctant toward the new system initially, after being properly trained before to the implementation and on the job they were made positive towards accepting the technology.    
§  Extensive on the job training
Intensive and well organized training given to all the users of the company and the distributors had a high impact toward the perceived usefulness and the ease of use. Whereby they realized that, it is more beneficial to enhance the quality of work life.

§  IT field staff in trouble shooting
Further company deployed its own team in order to the trouble shoot while it is running. This helping hand was able to build more confidence among the users, thus making the technology being accepted by them.   
§  Simplicity of technology
The simplicity of the technology and the easy of handling the devise was a great help. The Sales Forces being employed by the company are mainly G.C.E O/L qualified and also from all over the island. Thus some do not have a proper education of the computer technology. The touch system and handling via stylus made the life easy of the user. As a result the newcomers were trained on the system within 3-5 days before being deployed to the field, thus perceived ease of use in the mind of the user was made positive.         
 To provide a better life and to create competitive during the re-distribution process the Darley Butler & Co., Limited, took the initiative of introducing the Sales Forces Automation System with the unvalued talent and the commitment of its IT team and the rest of the support services. Thus they were able to make it a reality and are well performing since today.  
In light of the TAM model, the main factors that contributed immensely towards its success are discussed in part 3. It is clearly evident that the success of any system implementation is heavily depends on the how the user is accepting the same. Thus in technology acceptance the perceived usefulness and the ease of use acts as main two variables that affects the attitude towards same.    


Wednesday, July 4, 2018

Acceptance to Use a Corporate Communication System


Acceptance to Use a Corporate Communication System
ABSTRACT
This aims to propose a model based on Technology Acceptance Model (TAM) to investigate acceptance of Microsoft Lync as an office communication system and its’ adoption by the employees of IFS R&D International(Pvt) Ltd in Sri Lanka. The study includes identification of the appropriate variables and their application to the context of this study. The acceptance model was developed based on TAM theory.
1.      Introduction to the Company and its’ Business Process
     IFS(Industrial and Financial Systems) is a globally recognized leader in developing and delivering business software for enterprise resource planning (ERP) based in Sweden. It was founded in 1983 and currently has over 2,600 employees. IFS supports more than 2,200 customers worldwide from local offices and through partners in more than 60 countries. Since 1997, all the product development and customer support operations have been outsourced to Sri Lanka. Currently, the operations in Sri Lanka consist of Development and Support Services, Research and Development and Corporate Services. Research and Development (R&D) Department is engaged in developing the application and providing fixes to the application bugs reported by customers. The Development Services group collaborates with identified IFS consulting companies globally, performing customizations and second line customer support remotely from Sri Lanka. The group currently has around 10 teams dedicated to specific customer projects managed by consulting offices in the USA, UK, Netherlands, Scandinavia, Finland, Germany, Japan, Middle East and Africa. The Development Services teams mainly focus on fulfilling specific customer requirements that are not directly supported by core release(s) of IFS Applications. Also the teams analyze reported customer problems to identify causes and provide solutions with the support of R&D.
2.      Importance of communication in Current Business Process
     Once ERP application is implemented and gone live at customer’s site, any queries that arise will be forwarded to IFS through LCS (Life Cycle Support) system or by emails.  Business Analysts should then attend the customer inquiries and analyze them to see whether they are being core application bugs or caused due to any customization related problem. In case of a customization related matter, it is resolved within the Development Services department with the support of software engineers or else it is reported to R&D. In both instances, software engineers and Business Analysts at R&D should be guided to recreate the problem in their respective development environments in order to resolve the issue. In most of the times, communication with the regional consultants and product architects based in Sweden is necessary to proceed with the product solutions.  Therefore, both external and internal communications play a key role in successful delivery of customer solutions at IFS. The effective and faster internal communication enables to provide faster service to the customers. Earlier the communication was done mainly through emails and telephones, but it lacked the visual component, real-time desktop sharing and conferencing facility. Therefore, with the growth of the business, need for an effective internal communication system was raised in order to provide effective and efficient customer service.
3.      Microsoft Lync as an Internal Communication System
     Microsoft Lync is an enterprise communication software. Unlike Yahoo messenger, Windows Live Messenger, Skype, it contains a different feature set targeted toward corporate environments. Lync provides a user interface based on identity and presence that brings together voice, instant messaging (IM), audio, video, and web conferencing. According to Wikipedia 2014, features of MS Lync can be listed as follows,
·         Users can chat, share photos, files and join a web conference with voice audio and video.
·         Availability of contacts based on MS Outlook contacts stored in a Microsoft Exchange Server
·         Lync-Skype linkage enables to communicate directly with customers and partners on Skype
·         Users can organize polls and all participants can vote and see results using Polling List.
·         Desktop/ Windows applications sharing allows participants to see and simultaneously work on a Windows /specific application screen
·        A number of client types are available for MS Lync including mobile clients.
     Due to above capabilities, MS Lync has been identified as an effective communication system and Corporate Services Department wanted to test its’ acceptance among employees of several teams in the Development Services and R&D departments before being introduced throughout the company. Based on TAM model, the aim of this study is to gather user perceptions of the usefulness and ease of use of the system during its’ pilot implementation and to identify the relevant factors that support the acceptance or rejection of the system
4.      Discussion
    Based on the application of Technology Acceptance Model in this study, it appears that TAM offers a very practical model that can be used to predict the degree of actual use of a system which is unfamiliar to users after being introduced to it.
    In this particular study, users unfamiliar with MS Lync were expected to rate their perceptions of the MS Lync after being shown a demonstration of its capabilities through a pilot implementation. Users' initial perceptions of MS Lync's usefulness and ease of use were influential on changing their attitude and intentions to use it. Their intentions to use the system could accurately predict the actual use of the system as user behavioral intentions always act as a strong predictor in system usage according to TAM theory.  Gathering of results for the identified item scales under the selected constructs like perceived usefulness, perceived ease of use, users’ attitude towards using, behavioral intentions  provided Corporate Services Department with implications for better implementing its’ internal communication system.
5.      Conclusion
It’s found that user perceptions of a system are formed very early and they can have a strong influence on whether users will actually use that system in the future. In this study, the pilot implementation of the system among few selected teams in the organization provided an opportunity to understand the initial user perceptions of the system and accordingly predict its’ acceptance before its’ actual organization wide implementation. With TAM, designers, developers, or purchasers can more accurately assess whether any system will be accepted by users by gathering their perceptions of a system's usefulness, ease of use and take required actions to encourage end user acceptance of that system. Therefore in conclusion, TAM can be considered as an effective means of assessing and predicting system acceptability.


Tuesday, July 3, 2018

An Analysis of Cyberbullying Sensitivity Levels of University Students of Sri Lanka

While current communication technologies such as mobile phones, the internet and social network sites provide new opportunities for learning and interaction, they may also pose a threat to personal security. The rapid increase in access to information and communication technologies by young people can also cause those technologies to be used for bullying their peers leading to cyberbullying. The purpose of this study is to determine the cyberbullying sensitivity levels of university students and their perceived social supports levels, and analyze the variables that predict cyberbullying sensitivity. In addition, whether cyberbullying sensitivity levels and social support levels differed according to gender was also investigated.

The aggregate level of perceived social support of the university students were identified based on three main variables. They are family support, friends and support from the external environment. Data was collected through a questionnaire and the responses were scored on a five point Likert scale. The population of the study comprised of government university students of Sri Lanka. Among them 50 students voluntarily participated in this study. Thereafter the predicting factors that affect cyberbullying sensitivity were recognized through a stepwise regression.

The findings of this research show that the cyberbullying sensitivities of the students were high but their levels of the perceived social support were low. However the cyberbullying sensitivities of the female students are higher than the male students. Further the levels of social support did not differ according to the gender. Among the factors friends support was found to be the most impactful variable.

With the development of technology the means of communication have changed rapidly in the past few years. Today the internet and social media are frequently used to stay connected with people rather than face-to-face relationships. More than the adults the youth are attached to cyber communication as an integral part of their daily life. For the youth online communication has assisted to expand their social circle. Therefore youth are actively using the internet as a very convenient and important form of social interaction.
In Sri Lanka the access of young people to the internet have rapidly increased in recent years. Total internet connections grew by 68.4 percent during 2014 largely due to the growth of mobile internet usage. In 2013 internet connections grew by 47 percent, increasing internet penetration (connections per 100 persons) to 9.8 percent.

In the case of Sri Lanka social media has grown at an alarming rate. There are over 2.3 million users of social media from the total population of 21 million.  That means 11.5 percent of the Sri Lankan population use Facebook. When a gender breakup is considered around 1.4 million are males and the rest would be female.  It is estimated that on average they spend about 34 minutes a day on social media and the age group of 25-34 makes up 33 percent of the entire base.

While such developments have provided great opportunities it also brings new problems related to
social and individual development of young people. One of those main problems is cyberbullying, which is expressed as purposeful and repeated misuse of technology to scare and harm others. In the Sri Lankan context the rate of cybercrimes have increased rapidly according to the Computer Emergency Response Team. There were 900 incidents related to cyber offences reported from January till end of May, while in 2014 there were 2250 reported incidents of that nature. In 2012 and 2013 the reported incidents were 1100 and 1200 respectively. Based on the given statistics the number of offences have almost doubled from 2013 to 2014.
                                                                                     
While most of the studies in the literature focuses on the influences of cyberbullying on victimhood, cyberbullying sensitivity of people is mostly ignored. Therefore, the aim of this study is to investigate
cyberbullying sensitivity levels of university students, who are among the potential victims of cyberbullying and whether this could be used to predict cyberbullying sensitivity
The effects of new technologies which have developed rapidly during the recent years
have affected every institution of the society, and the use of new technological products such as cell phones, the Internet and social network sites have become very much popular among  the younger crowd. From this crowd it is essential to understand how this had impacted on university students as they are more educated and updated in terms of using such technology. While these communication technologies provide new opportunities to learn and interact, they could also form a threat to personal security. One of those major threats is cyberbullying.
When the cyberbullying sensitivity levels of university students were analyzed it could be concluded
that the cyberbullying sensitivity levels of students were high. The reasons could be due to the fast spread of the internet and other social media platforms among the youth and the convenience of access through mobile communication. On the other hand the students do not agree that the level of perceived social support was adequate. Since the virtual world provides more freedom, it promotes motivation for indecent behaviors. People are able to hide their identities easily during interaction. Also it frequently occurs outside university space. As the threat of cyberbullying involves privacy and relationships individuals are more prone to recognize cyberbully as a concern. Further the cyberbullying sensitivity of female students was found to be higher than the male students. But however even though social support is vital to decrease the negative effects of bullying students have stated that the level of social support they perceive is low. Both the male students and female students have recognized this fact.

Secondly the level of perceived social support do not differ based on the gender. A significant differentiation in favor of female students was found in the cyberbullying sensitivity of male and female students when the gender variable was considered. Higher levels of sensitivity among the female students was related to witnessing or experiencing cyberbullying. 

Monday, July 2, 2018

Human grievances when implement the technological change

 Human grievances when implement the technological change
Difficult in manage outsource locations and delay in supplier payments
Operation mechanisms are comparatively complicated, even though there are two manufacturing locations many outsource locations produce the goods to ship. To some outsource locations materials are provide by the company and other outsource locations source their material themselves. So two different cost structures are there with two different purchasing mechanism and sometime one outsource locations are follow both ways to provided goods to company. Such situations are not address by the system previously hence many disparage situations were occurs. Hence suppliers are dishearten due to hold of their payments and it will tend to create many disparate situations.

   Delaying the shipments to the customers
Eventhough the intention of implement ERP system to facilitate and provide better services to overseas customers, it was experience there are many disputes occurs within the system when cargo dispatch from the factory. Due this reason many containers were unable to load on the planed vessels and claim for delay shipments by customers. When tailored the system many work in progress stores were define to get the correct cost absorption to the product, hence all products should pass these relevant locations to accomplish as finish good. But due to many inter dependencies within the system it was congested without appear the sufficient finish good stock in loading warehouse, and general users cannot identify the exact module where it got stuck.  

     Depressed workforce and tendency to leave the organization.
More talent people are heavily depressed the situation irrespective of their age limit but more young executives are leave the origination due to this unwanted pressure and old chaps were remain without voicing & challenge the situation. Later it realize there are few young people remain in the organization who earn the knowledge & experience by on the job training that can rectify the situation by identifying the exact details penetrate the system in depth. But this process took comparatively long period and it setup some organizational hierarchy as well.
System authority structure not accord with the actual work authority structure. Redefine the real work authorities are much hard and harmful for the business continuation with human factors. The emotional cycle of change which shows here, explain the same like it explain in TAM (Technology Acceptance Model) model. It shows human stability how affect with new operational platforms especially on technology moves. When it change the adopted life & working pattern such resistance occurs naturally as a human behavior. What it can do to minimize the damage reduce and manage the emotional & behavioral levels. The other way is reduce the time for adoption the change. To manage above two factors following three major undertakings are vital on the change.
1.      Well enough training to real users who perform the job on floor
2.      Proper leadership with well awareness of the change requirement
3.      Flawless communication to explain the broad need of the change.

In such system implementation, it may not enough to train only the performing part to users. They should have overall training of the entire system architecture to understand what action will have an impact on where in the system. High caliber leadership is really essential with the knowledge of change to balance and motivate the team of users. If such malfunction occurs he should able to get immediate remedial actions make ease to the users till they familiarizes to the system by themselves. Communication is nother vital parameter of successful implementation by informing to all users the real impotency of the system implementation. If all users aware the big picture of the implementation it will really help to achieve the required attitude from the users. Hence all internal variable can manage in order to shape up the external variables with a proper blen of above three factors.

  Conclusions
Technology Acceptance Model is very popular to explain the guess of system use specially technology base systems. Here the experienced with describe example manage the people grievances is most important. The TAM is give good enough platform to pre study the possible and potential issues that can be arise. Further the external variable are not uniform and it vary place to place and situation to situation. Hence the effective factors should read before decisions of systems implementation in depth and detail to avoid any malfunctions after implementation of such systems. Even the same system with same users may behave differently in changed environments. External factors  

Friday, June 29, 2018

NON-ACCEPTANCE OF ELECTRONIC MEDICAL/HEALTH RECORDS SYSTEM


NON-ACCEPTANCE OF ELECTRONIC MEDICAL/HEALTH RECORDS SYSTEM 

1.    Introduction

This study is based on the Technology Acceptance Model (TAM). The expectation of the study is to identify an information technology system, which was not accepted by people, and to identify the reasons for such non-acceptance by using TAM.

The information technology system selected as rejected by people, particularly by Medical Practitioners, is the ‘Electronic Medical/Health Records System’ and this study elaborates the reasons as to why the Electronic Medical/Health Records System was rejected by Doctors, by means of TAM.

2.    Theoretical Review

Technology Acceptance Model (TAM) is a theoretical framework that explains and predicts the user acceptance of information technology. It suggests that when users encounter a new information system innovation there are two main factors which will influence how and when they will use it.

One is Perceived Usefulness (PU), i.e., the degree to which a person believes that using a particular system would enhance his or her job performance. The other is Perceived Ease of Use (PEOU), i.e., the degree to which a person believes that using a particular system would be free from effort.

3.    Electronic Medical/Health Records System

Electronic Medical/health Records is a computerized medical information system, which collect, store and display patients’ information or an electronic record of health related information of individuals.

Traditionally health records of patients are paper based that involved with large amount of papers. Many shortcomings are there with this paper based medical records, such as, requirement of unnecessary space for document keeping, the possibility of missing important records, inability to maintain uniform record system, misinterpretations, repetition of same tests, wastage of resources and time etc.

On the other hand Electronic Medical/health Records system facilitates patients’ health and safety, quality of care instant availability of information, prompt identification of the illness, convenience treatment, save of money and resources, quick services, reduction of errors, improvement of communication of information to Doctors etc. which benefits both the patients as well as medical practitioners.

Though there are many advantages of the Electronic Medical/health Records system, medical practitioners are not willing to accept the implementation of the same.
4.    Reasons for non-acceptance of Electronic Medical/Health Records System

In this scenario, based on the TAM model, the reasons for non-acceptance of emerging technology, that is, Electronic Medical/Health Records System, are assessed mainly based on two assumptions;
            Perceived usefulness (PU)
            Perceived ease of use (PEOU)

4.1 Reasons for non-acceptance of Electronic Medical/Health Records System due to lack of Perceived usefulness:

§  More time consuming –

Medical Practitioners are supposed to spend more time when using an Electronic Medical/Health Records System, which they don’t prefer as it may reduce the number of patients they could treat per day. Further, more time consumption is required for data entering to the system, and getting familiarize with the system or learning.

§  Potential for mix-ups and confusion that can be frustrating, costly and even dangerous –

Though the use of Electronic Medical/Health Records System is said to be an advantage, some mistakes, errors, mix-ups of data etc, which are not only costly and frustrating but even dangerous are possible.  Thus, the Doctors as well as the patients are with some suspicion to resort to electronic records system. 

§  Compatible only with half of work but not compatible for all the work of Doctors –

 Electronic Medical/Health Records System can be used only for certain work of Doctors, but not for all the work. Therefore they are of the feeling that no point of moving to an electronic system that supports only few of their functions.

§  Possibility of fraudulent billing –

Parties can intentionally engage in malpractices such as generation of fraudulent bills. Such aspects hinder the trust among the Doctors and patients about electronic system.

§  Similar to other computerized systems, electronic records are also vulnerable to crashes, errors or defects –

Crash, error or defect occurred in the electronic system can trouble the smooth happening of patient care, may be even for considerable period, which can ultimately create negative or dangerous results. Unlike other computerized systems, since the patient care is a sensitive issue much concern should be to avoid such possibilities. Disruptive acts of external parties may cause enormous troubles and damages.

§  Requirement for large amount of investment –

A Doctor having a small or medium scale patient care center may find difficultly of affording the high investment required to establish Electronic Records System. 

§  Possibility of negatively affecting the relationship between the Doctors and Patients - 

The belief among the Medical Practitioners seems to be that with the introduction of an Electronic System the communication or the relationship among the Doctors and patients will be weakened or damaged. 


§  Security or privacy concerns –

By nature humans are more concern about their security and privacy. And when moving to an electronic system one of the major worries are security and privacy.


4.2 Reasons for non-acceptance of Electronic Medical/Health Records System due to lack of Perceived ease of use:

§  Necessity to be familiar with computers / lack of technical competency of the staff –

Medical Practitioners or Physicians are relatively less familiar with computers. Thus, they resist to the Electronic Medical/Health Records System, which requires sound computer literacy to operate smoothly.   Not only Doctors, but Nurses as well as patients will have to struggle with unfamiliar screens. 

§  System complexity –

Electronic Records System is a complex one, where all parties are in need to spent considerable time to be familiarize with and understand such system, prior to starting its successful operation.

§  Requirement to totally rely on the vendor –

An Electronic Medical Records System will be designed and developed by an external third party vendor, on whom it is necessary to rely on for each and every aspect. In a certain way, some sort of a risk. Any amendments or developments identified in the electronic system can only be incorporated through the vendor.

§  Lack of managerial support -

Managerial support is an essential factor to make success an effort. Thus, the support from the management of the Medical Institutions is a must to successfully implement Electronic Medical/health Records system. Proper leadership is another compulsory factor in need.

§  Lack of belief in an Electronic Medical/health Records system –

Lack of trust or belief in the society on an Electronic Medical/health Records system is also a major hindrance to realization of such system.

 5.   CONCLUSION
                 
Despite the considerable number of advantages of implanting an Electronic Medical/health Records System, it has not been a success mainly due to external variables, divided into two as lack of perceived usefulness and lack of perceived ease of use, for which reasons are elaborated above.

As a result the attitude toward using Electronic Medical/health Records System was not favorable. Thus, the particular Electronic Medical/health Records System has not been purchased by many, which shows poor behavioral intention to use.

Ultimately the actual usage of the Electronic Medical/health Records System was very much less.

By way of avoiding or overcoming the identified reasons for lack of perceived usefulness and perceived ease of use, the actual system use of Electronic Medical/health Records System can be improved.

JAT Holdings PLC

  ABSTRACT   This report presents a comprehensive analysis of five consecutive annual reports of JAT Holdings PLC, a leading company...