AIS Logo
Living knowledge for digital leadership
All AI Governance & Ethics Digital Transformation & Innovation Supply Chain & IoT SME & IT Management Platform Ecosystems & Strategy Cybersecurity & Risk AI Applications & Technologies Healthcare & Well-being Digital Work & Collaboration
To Use or Not to Use! Working Around the Information System in the Healthcare Field

To Use or Not to Use! Working Around the Information System in the Healthcare Field

Mohamed Tazkarji, Craig Van Slyke, Gracia Hamadeh, Iris Junglas
This study investigates why nurses in a large hospital utilize workarounds for their electronic medical record (EMR) system, even when they generally perceive the system as useful and effective. Through a qualitative case study involving interviews with 24 nurses, the research explores the motivations, decision processes, and consequences associated with bypassing standard system procedures.

Problem Despite massive investments in EMR systems to improve healthcare efficiency and safety, frontline staff frequently bypass them. This study addresses the puzzle of why employees who accept and value an information system still engage in workarounds, a practice that can undermine the intended benefits of the technology and introduce risks to patient care and data security.

Outcome - Nurses use workarounds, such as sharing passwords or delaying data entry, primarily to save time and prioritize direct patient care over administrative tasks, especially in high-pressure situations.
- The decision to engage in a workaround is strongly influenced by group norms, habituation, and 'hyperbolic discounting,' where the immediate benefit of saving time outweighs potential long-term risks.
- Workarounds have both positive and negative consequences; they can improve patient focus and serve as a system fallback, but also lead to policy violations, security risks, and missed opportunities for process improvement.
- The study found that even an award-winning, well-liked EMR system was bypassed by 23 out of 24 nurses interviewed, highlighting that workarounds are a response to workflow constraints, not necessarily system flaws.
EMR, Workarounds, Healthcare Information Technology, Password Sharing, Workaround Consequences, Nursing, System Usage
Navigating “AI-Powered Immersiveness” in Healthcare Delivery: A Case of Indian Doctors

Navigating “AI-Powered Immersiveness” in Healthcare Delivery: A Case of Indian Doctors

Ritu Raj, Rajesh Chandwani
This study explores how AI-powered immersive technologies, like virtual and augmented reality, are being adopted by doctors in India. Using a qualitative approach involving 84 doctors, the research investigates the factors influencing their adoption of these new tools and how this technology is reshaping their professional identity.

Problem As AI and immersive technologies become more prevalent in healthcare, there is a gap in understanding what drives doctors to adopt them and how this integration affects their professional roles and sense of identity. Existing research often overlooks the unique challenges and identity shifts that occur when technology begins to take on tasks traditionally performed by highly skilled professionals.

Outcome - The adoption of AI-powered immersive technologies by doctors is influenced by three key areas: specific technology capabilities (like enhanced surgical planning and training), individual perceptions (such as feeling present in the virtual environment), and organizational support (including collaborative frameworks and skill development opportunities).
- Contrary to showing resistance, doctors display a spectrum of adoption behaviors, leading to the identification of four distinct professional identities: Risk-Averse Adopters, Pragmatic Adopters, Informed Enthusiasts, and Technology Champions.
- The integration of these technologies is redefining the professional identity of doctors, moving them towards hybrid roles that combine traditional clinical expertise with technological fluency.
- Ethical and privacy concerns, particularly regarding patient data, as well as questions about accountability when AI is involved in decision-making, are significant factors influencing doctors' perceptions of these technologies.
AI-powered Immersive Technology, Identity, Healthcare, Adoption, Grounded Theory, Professional Identity, Technology Adoption
Beyond Technology: A Multi-Theoretical Examination of Immersive Technology Adoption in Indian Healthcare

Beyond Technology: A Multi-Theoretical Examination of Immersive Technology Adoption in Indian Healthcare

Rajeev Kumar Ray, Navneet Kumar Singh, Shikha Gupta, Amit Singh, Devi Prasad Dash
This study examines the key factors driving the adoption of immersive technologies (like VR/AR) in the Indian healthcare sector. Using the Technology-Organization-Environment (TOE) and Diffusion of Innovation (DOI) theoretical frameworks, the research employs the grey-DEMATEL method to analyze input from healthcare experts and rank the facilitators of adoption.

Problem Healthcare systems in emerging economies like India face significant challenges, including resource constraints and infrastructure limitations, when trying to adopt advanced immersive technologies. This study addresses the research gap by moving beyond purely technological aspects to understand the complex interplay of organizational and environmental factors that influence the successful implementation of these transformative tools in a real-world healthcare context.

Outcome - Organizational and environmental factors are significantly more influential than technological factors in driving the adoption of immersive healthcare technologies.
- The most critical facilitator for adoption is 'Adaptability to change' within the healthcare organization, followed by 'Regulatory support' and 'Leadership support'.
- External factors, such as government support and partnerships, play a crucial role in shaping an organization's internal readiness for new technology.
- Technological aspects like user-friendliness and data security, while important, ranked lower in prominence, suggesting they are insufficient drivers of adoption without strong organizational and environmental backing.
Immersive Technology, Healthcare, Technology Adoption, Organizational Factors, Environmental Factors, Grey DEMATEL
The Impact of App Updates on Usage Frequency and Duration

The Impact of App Updates on Usage Frequency and Duration

Pengcheng Wang, Zefeng Bai, Kambiz Saffarizadeh, Chuang Wang
This study analyzes the actual usage data of mobile app users to determine how different types of updates affect engagement. Using a causal analysis method, the researchers compared the impact of introducing new features versus fixing bugs on both socially-oriented and self-oriented applications. The goal was to understand if all updates are equally beneficial for keeping users active.

Problem App developers frequently release updates with the assumption that this will always improve user engagement and app success. However, there is conflicting evidence on this, and it's unclear how different update types (new features vs. bug fixes) specifically impact user behavior for different categories of apps. This knowledge gap means developers might be investing resources in update strategies that could inadvertently harm user engagement.

Outcome - App updates, in general, lead to an increase in both how often users open an app and the duration of their usage.
- For socially-oriented apps (e.g., messaging apps), updates that introduce new features can significantly reduce user engagement compared to updates that only fix bugs.
- For self-oriented apps (e.g., content consumption apps), introducing new features does not have the same negative impact on user engagement.
- Developers of social apps should prioritize bug fixes or use careful strategies like progressive rollouts for new features to avoid disrupting user habits and losing engagement.
App Updates, App Success, User Engagement, Mobile Applications, Usage Behavior, Difference-in-Differences, App Markets
IBM Watson Health Growth Strategy: Is Artificial Intelligence (AI) The Answer

IBM Watson Health Growth Strategy: Is Artificial Intelligence (AI) The Answer

Abhinav Shekhar, Rakesh Gupta, Sujeet Kumar Sharma
This study analyzes IBM's strategic dilemma with its Watson Health initiative, which aimed to monetize artificial intelligence for cancer detection and treatment recommendations. It explores whether IBM should continue its specialized focus on healthcare (a vertical strategy) or reposition Watson as a versatile, cross-industry AI platform (a horizontal strategy). The paper provides insights into the opportunities and challenges associated with unlocking the transformational power of AI in a business context.

Problem Despite a multi-billion dollar investment and initial promise, IBM's Watson Health struggled with profitability, model accuracy, and scalability. The AI's recommendations were not consistently reliable or generalizable across different patient populations and healthcare systems, leading to poor adoption. This created a critical strategic crossroads for IBM: whether to continue investing heavily in the specialized healthcare vertical or to pivot towards a more scalable, general-purpose AI platform to drive future growth.

Outcome - Model Accuracy & Bias: Watson's performance was inconsistent, and its recommendations, trained primarily on US data, were not always applicable to international patient populations, revealing significant algorithmic bias.
- Lack of Explainability: The 'black box' nature of the AI made it difficult for clinicians to trust its recommendations, hindering adoption as they could not understand its reasoning process.
- Integration and Scaling Challenges: Integrating Watson into existing hospital workflows and electronic health records was costly and complex, creating significant barriers to widespread implementation.
- Strategic Dilemma: The challenges forced IBM to choose between continuing its high-investment vertical strategy in healthcare, pivoting to a more scalable horizontal cross-industry platform, or attempting a convergence of both approaches.
Artificial Intelligence (AI), AI Strategy, Watson, Healthcare AI, Vertical AI, Horizontal AI, AI Ethics
Rethinking Healthcare Technology Adoption: The Critical Role of Visibility & Consumption Values

Rethinking Healthcare Technology Adoption: The Critical Role of Visibility & Consumption Values

Sonali Dania, Yogesh Bhatt, Paula Danskin Englis
This study explores how the visibility of digital healthcare technologies influences a consumer's intention to adopt them, using the Theory of Consumption Value (TCV) as a framework. It investigates the roles of different values (e.g., functional, social, emotional) as mediators and examines how individual traits like openness-to-change and gender moderate this relationship. The research methodology involved collecting survey data from digital healthcare users and analyzing it with structural equation modeling.

Problem Despite the rapid growth of the digital health market, user adoption rates vary significantly, and the factors driving these differences are not fully understood. Specifically, there is limited research on how consumption values and the visibility of a technology impact adoption, along with a poor understanding of how individual traits like openness to change or gender-specific behaviors influence these decisions.

Outcome - The visibility of digital healthcare applications significantly and positively influences a consumer's intention to adopt them.
- Visibility strongly shapes user perceptions, positively impacting the technology's functional, conditional, social, and emotional value; however, it did not significantly influence epistemic value (curiosity).
- The relationship between visibility and adoption is mediated by key factors: the technology's perceived usefulness, the user's perception of privacy, and their affinity for technology.
- A person's innate openness to change and their gender can moderate the effect of visibility; for instance, individuals who are already open to change are less influenced by a technology's visibility.
Adoption Intention, Healthcare Applications, Theory of Consumption Values, Values, Visibility
Enhancing Healthcare with Artificial Intelligence: A Configurational Integration of Complementary Technologies and Stakeholder Needs

Enhancing Healthcare with Artificial Intelligence: A Configurational Integration of Complementary Technologies and Stakeholder Needs

Digvijay S. Bizalwan, Rahul Kumar, Ajay Kumar, Yeming Yale Gong
This study analyzes over 11,000 research articles to understand how to best implement Artificial Intelligence (AI) in healthcare. Using topic modeling and qualitative comparative analysis, it identifies the essential complementary technologies and strategic combinations required for successful AI adoption from a multi-stakeholder perspective.

Problem Healthcare organizations recognize the potential of AI but often lack a clear roadmap for its successful implementation. There is a research gap in identifying which complementary technologies are needed to support AI and how these technologies must be combined to create value while satisfying the diverse needs of various stakeholders, such as patients, physicians, and administrators.

Outcome - Three key technologies are crucial complements to AI in healthcare: Healthcare Digitalization (DIG), Healthcare Information Management (HIM), and Medical Artificial Intelligence (MAI).
- Simply implementing these technologies in isolation is insufficient; their synergistic integration is vital for success.
- The study confirms that the combination of DIG, HIM, and MAI is the most effective configuration to satisfy the interests of multiple stakeholders, leading to better healthcare service delivery.
AI, Healthcare, Digitalization, Information Management, Configurational Theory, Stakeholder Interests, fsQCA
Design of PharmAssistant: A Digital Assistant For Medication Reviews

Design of PharmAssistant: A Digital Assistant For Medication Reviews

Laura Melissa Virginia Both, Laura Maria Fuhr, Fatima Zahra Marok, Simeon Rüdesheim, Thorsten Lehr, and Stefan Morana
This study presents the design and initial evaluation of PharmAssistant, a digital assistant created to support pharmacists by gathering patient data before a medication review. Using a Design Science Research approach, the researchers developed a prototype based on interviews with pharmacists and then tested it with pharmacy students in focus groups to identify areas for improvement. The goal is to make the time-intensive process of medication reviews more efficient.

Problem Many patients, particularly older adults, take multiple medications, which can lead to adverse drug-related problems. While pharmacists can conduct medication reviews to mitigate these risks, the process is very time-consuming, which limits its widespread use in practice. This study addresses the lack of efficient tools to streamline the data collection phase of these crucial reviews.

Outcome - The study successfully designed and developed a prototype digital assistant, PharmAssistant, to streamline the collection of patient data for medication reviews.
- Pharmacists interviewed had mixed opinions; some saw the potential to reduce workload, while others were concerned about usability for older patients and the loss of direct patient contact.
- Evaluation by pharmacy students confirmed the tool's potential to save time, highlighting strengths like scannable medication numbers and predefined answers.
- Key weaknesses and threats identified included potential accessibility issues for older users, data privacy concerns, and patients' inability to ask clarifying questions during the automated process.
- The research identified essential design principles for such assistants, including the need for user-friendly interfaces, empathetic communication, and support for various data entry methods.
Pharmacy, Medication Reviews, Digital Assistants, Design Science, Polypharmacy, Digital Health
Overcoming Legal Complexity for Commercializing Digital Technologies: The Digital Health Regulatory Navigator as a Regulatory Support Tool

Overcoming Legal Complexity for Commercializing Digital Technologies: The Digital Health Regulatory Navigator as a Regulatory Support Tool

Sascha Noel Weimar, Rahel Sophie Martjan, and Orestis Terzidis
This study introduces a new type of tool called a regulatory support tool, designed to assist digital health startups in navigating complex European Union regulations. Using a Design Science Research methodology, the authors developed and evaluated the 'Digital Health Regulatory Navigator (EU)', a practical tool that helps startups understand medical device rules and strategically plan for market entry.

Problem Digital health startups face a major challenge from increasing regulatory complexity, particularly within the European Union's medical device market. These young companies often have limited resources and legal expertise, making it difficult to navigate the intricate legal requirements, which can create significant barriers to commercializing innovative technologies.

Outcome - The study successfully developed the 'Digital Health Regulatory Navigator (EU)', a practical tool that helps digital health startups navigate the complexities of EU medical device regulations.
- The tool was evaluated by experts and entrepreneurs and confirmed to be a valuable and effective resource for simplifying early-stage decision-making and developing a regulatory strategy.
- It particularly benefits resource-constrained startups by helping them understand requirements and strategically leverage regulatory opportunities for smoother market entry.
- The research contributes generalizable design principles for creating similar regulatory support tools in other highly regulated domains, emphasizing their potential to enhance entrepreneurial activity.
digital health technology, regulatory requirements, design science research, medical device regulations, regulatory support tools
The App, the Habit, and the Change: Digital Tools for Multidomain Behavior Change

The App, the Habit, and the Change: Digital Tools for Multidomain Behavior Change

Felix Reinsch, Maren Kählig, Maria Neubauer, Jeannette Stark, Hannes Schlieter
This study analyzed 36 popular habit-forming mobile apps to understand how they encourage positive lifestyle changes across multiple domains. Researchers examined 585 different behavior recommendations within these apps, classifying them into 20 distinct categories to see which habits are most common and how they are interconnected.

Problem It is known that developing a positive habit in one area of life can create a ripple effect, leading to improvements in other areas. However, there was little research on whether digital habit-tracking apps are designed to leverage this interconnectedness to help users achieve comprehensive and lasting lifestyle changes.

Outcome - Physical Exercise is the most dominant and central habit recommended by apps, often linked with Nutrition and Leisure Activities.
- On average, habit apps suggest behaviors across nearly 13 different lifestyle domains, indicating a move towards a holistic approach to well-being.
- Apps that offer recommendations in more lifestyle domains also tend to provide more advanced features to support habit formation.
- Simply offering a wide variety of habits and features does not guarantee high user satisfaction, suggesting that other factors like user experience are critical for an app's success.
Digital Behavior Change Application, Habit Formation, Behavior Change Support System, Mobile Application, Lifestyle Improvement, Multidomain Behavior Change
Understanding Affordances in Health Apps for Cardiovascular Care through Topic Modeling of User Reviews

Understanding Affordances in Health Apps for Cardiovascular Care through Topic Modeling of User Reviews

Aleksandra Flok
This study analyzed over 37,000 user reviews from 22 health apps designed for cardiovascular care and heart failure. Using a technique called topic modeling, the researchers identified common themes and patterns in user experiences. The goal was to understand which app features users find most valuable and how they interact with them to manage their health.

Problem Cardiovascular disease is a leading cause of death, and mobile health apps offer a promising way for patients to monitor their condition and share data with doctors. However, for these apps to be effective, they must be designed to meet patient needs. There is a lack of understanding regarding what features and functionalities users actually perceive as helpful, which hinders the development of truly effective digital health solutions.

Outcome - The study identified six key patterns in user experiences: Data Management and Documentation, Measurement and Monitoring, Vital Data Analysis and Evaluation, Sensor-Based Functions & Usability, Interaction and System Optimization, and Business Model and Monetization.
- Users value apps that allow them to easily track, store, and share their health data (e.g., heart rate, blood pressure) with their doctors.
- Key functionalities that users focus on include accurate measurement, real-time monitoring, data visualization (graphs), and user-friendly interfaces.
- The findings provide a roadmap for developers to create more patient-centric health apps, focusing on the features that matter most for managing cardiovascular conditions effectively.
topic modeling, heart failure, affordance theory, health apps, cardiovascular care, user reviews, mobile health
Towards an AI-Based Therapeutic Assistant to Enhance Well-Being: Preliminary Results from a Design Science Research Project

Towards an AI-Based Therapeutic Assistant to Enhance Well-Being: Preliminary Results from a Design Science Research Project

Katharina-Maria Illgen, Enrico Kochon, Sergey Krutikov, and Oliver Thomas
This study introduces ELI, an AI-based therapeutic assistant designed to complement traditional therapy and enhance well-being by providing accessible, evidence-based psychological strategies. Using a Design Science Research (DSR) approach, the authors conducted a literature review and expert evaluations to derive six core design objectives and develop a simulated prototype of the assistant.

Problem Many individuals lack timely access to professional psychological support, which has increased the demand for digital interventions. However, the growing reliance on general AI tools for psychological advice presents risks of misinformation and lacks a therapeutic foundation, highlighting the need for scientifically validated, evidence-based AI solutions.

Outcome - The study established six core design objectives for AI-based therapeutic assistants, focusing on empathy, adaptability, ethical standards, integration, evidence-based algorithms, and dependable support.
- A simulated prototype, named ELI (Empathic Listening Intelligence), was developed to demonstrate the implementation of these design principles.
- Expert evaluations rated ELI positively for its accessibility, usability, and empathic support, viewing it as a beneficial tool for addressing less severe psychological issues and complementing traditional therapy.
- Key areas for improvement were identified, primarily concerning data privacy, crisis response capabilities, and the need for more comprehensive therapeutic approaches.
AI Therapeutics, Well-Being, Conversational Assistant, Design Objectives, Design Science Research
Exploring Algorithmic Management Practices in Healthcare – Use Cases along the Hospital Value Chain

Exploring Algorithmic Management Practices in Healthcare – Use Cases along the Hospital Value Chain

Maximilian Kempf, Filip Simić, Maria Doerr, and Alexander Benlian
This study explores how algorithmic management (AM), the use of algorithms for tasks typically done by human managers, is being applied in hospitals. Through nine semi-structured interviews with doctors and software providers, the research identifies and analyzes specific use cases for AM across the hospital's operational value chain, from patient admission to administration.

Problem While AM is well-studied in low-skill, platform-based work like ride-hailing, its application in traditional, high-skill industries such as healthcare is not well understood. This research addresses the gap by investigating how these algorithmic systems are embedded in complex hospital environments to manage skilled professionals and critical patient care processes.

Outcome - The study identified five key use cases of algorithmic management in hospitals: patient intake management, bed management, doctor-to-patient assignment, workforce management, and performance monitoring.
- In admissions, algorithms help prioritize patients by urgency and automate bed assignments, significantly improving efficiency and reducing staff's administrative workload.
- For treatment and administration, AM systems assign doctors to patients based on expertise and availability, manage staff schedules to ensure fairer workloads, and track performance through key metrics (KPIs).
- While AM can increase efficiency, reduce stress through fairer task distribution, and optimize resource use, it also introduces pressures like rigid schedules and raises concerns about the transparency of performance evaluations for medical staff.
Algorithmic Management, Healthcare, Hospital Value Chain, Qualitative Interview Study, Hospital Management, Workflow Automation
Designing Speech-Based Assistance Systems: The Automation of Minute-Taking in Meetings

Designing Speech-Based Assistance Systems: The Automation of Minute-Taking in Meetings

Anton Koslow, Benedikt Berger
This study investigates how to design speech-based assistance systems (SBAS) to automate meeting minute-taking. The researchers developed and evaluated a prototype with varying levels of automation in an online study to understand how to balance the economic benefits of automation with potential drawbacks for employees.

Problem While AI-powered speech assistants promise to make tasks like taking meeting minutes more efficient, high levels of automation can negatively impact employees by reducing their satisfaction and sense of professional identity. This research addresses the challenge of designing these systems to reap the benefits of automation while mitigating its adverse effects on human workers.

Outcome - A higher level of automation improves the objective quality of meeting minutes, such as the completeness of information and accuracy of speaker assignments.
- However, high automation can have adverse effects on the minute-taker's satisfaction and their identification with the work they produce.
- Users reported higher satisfaction and identification with the results under partial automation compared to high automation, suggesting they value their own contribution to the final product.
- Automation effectively reduces the perceived cognitive effort required for the task.
- The study concludes that assistance systems should be designed to enhance human work, not just replace it, by balancing automation with meaningful user integration and control.
Automation, speech, digital assistants, design science
Showing all 14 podcasts