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This paper aims to introduce the goal-oriented requirements extraction approach (GOREA). It is an elicitation approach that uses, specifically, healthcare business goals to derive the requirements of e-health system to be developed.

GOREA consists of two major phases: (1) modelling e-health business requirements phase and (2) modelling e-health information technology (IT) and systems requirements phase. The modelling e-health business requirements phase is divided into two main stages: (1) model e-health business strategy stage and (2) model e-health business environment stage. The modelling e-health IT and systems requirements phase illustrates the process of obtaining requirements of e-health system from the organizational goals that are determined in the previous phase. It consists of four main steps that deal with business goals of e-health system: (1) modelling e-health business process (BP) step; (2) modelling e-health business goals step; (3) analysing e-health business goals step; and (4) eliciting e-health system requirements step. A case study based on the basic operations and services in hospital emergency unit for checking patient against COVID-19 virus and taking its diagnostic testing has been set and used to examine the validity of the proposed approach by achieving the conformance of the developed system to the business goals.

The results indicate that (1) the proposed GOREA has a positive influence on the system implementation according to e-health business expectations; and (2) it can successfully fulfil the need of e-health business in order to save the citizens life by checking them against COVID-19 virus.

The proposed approach has some limitations. For example, it is only validated using one e-health business goal and thus it has to be authenticated with different e-health business goals in order to address different e-health problems.

Many e-health projects and innovations are not established based on robust system requirements engineering phase. In order to ensure the success delivery of e-health services, all characteristics of e-health systems and applications must be understood in terms of technological perspectives as well as the all system requirements.

This paper aims to set out the relationship between business process reengineering (BPR) and data warehouse (DW) and identify the advantages brought by the integration of DW technology in BPR projects.

This paper is primarily based on a case study which was conducted in a Tunisian hospital and allowed some lessons to be learned.

Introducing changes in the field of healthcare services has become a necessity to provide better satisfaction to patients and to offer faster services and of better quality. So, the BPR approach can be applied to introduce these changes and provide better satisfaction to recipients of services, i.e. the hospital patients. This study is based on a case study based on the BPR application for healthcare process in some services of Farhat Hached Hospital in Sousse, Tunisia. This case study has mainly contributed to a proposed DW for healthcare services.

The proposed DW and the new corresponding process have not yet been implemented in the real life of the considered services. The research work in this project allowed the provision of detailed and rational justifications for the information technology introduction in BPR applied in healthcare services and in particular to the implementation of the DW concept. In addition to the detailed justifications, the research paper provided the prerequisite for the success of the project as well as its technical specifications and appropriateness to the specifity to the local setting.

The lessons learned were related in one hand to the particularities of BPR projects using the DW technology and on the other hand to the advantages brought by the DW technologies in the BPR projects. The following questions are considered in this paper: what are the particularities of the BPR projects using the DW technology? What are the main contributions of the DW technology to BPR projects?

The purpose of this paper is to focus on the early development of eHealth service start-ups. To elaborate the research problem, the study addresses the following research questions: How do managerial experiences in eHealth service start-ups relate to the central findings of the recent empirically based stages-of-growth literature? What context-specific viewpoints should be considered when using the stage framework in relation to eHealth service start-ups?

In this explorative multiple case study, the authors test a growth framework describing the early stages of eHealth service firms through eight case studies. The authors utilise the critical incident technique and semi-structured interviews in the data collection.

When taking into account the key contradictions assessed in the study as well as context-specific features of eHealth businesses, the empirically based stage framework seems to be a useful starting point for reflecting on and predicting the challenges faced during the early development of eHealth service start-ups. Slow growth due to several factors and the essential role of the public sector were commonly emphasised elements of the context-specific viewpoints of the eHealth service business.

The results may be used in start-ups and intermediary organisations as a framework for predicting managerial challenges during the start-up stage of an eHealth service business.

Numerous universal models and frameworks have attempted to clarify management priorities during the early stages of business. However, context-specific viewpoints and their effects on start-ups have not been broadly studied. This study provides new insights into growth management in the eHealth context.

Despite widespread adoption of business process reengineering (BPR) for better delivery efficiency of public services, a structured approach continues to elude the most value-adding phase of BPR: business process redesign. From another viewpoint, the rising currency of Whole-of-Government (WoG) and “shared services” initiatives signal an unmissable trend toward resource reuse across public service agencies (PSAs) through business process standardization (BPS). This research invokes BPS into process redesign to produce a process redesign framework (PRF) and deploys the same to build a standard process model (SPM) for services of the government of Albania (GoA).

The methodology follows the design science research (DSR) paradigm, wherein best practices extracted from literature are synthesized with stakeholder inputs to design the PRF and SPM, both of which are then evaluated with case study research.

Adoption of PRF/SPM on a WoG basis will not only reduce service lead time but also enable a variety of public services to share the same process, thereby further saving costs for GoA. The research outputs will accelerate reengineering and subsequent digitalization of public service operations.

Implementing SPM will maximize resource reuse and help offer uniform and integrated public services to GoA's customers. It will also enable demand-driven staff mobilization across GoA agencies. The proposed PRF/SPM have limitations in that they consider only flow aspects of service processes with aspects of conversion being ignored.

This research fulfills the need for a systematic approach to process redesign and prepares GoA for a WoG treatment to its BPR efforts.

The purpose of this paper is to show that e‐procurement provides manufacturing firms with new and efficient solutions to drive significant value into their business, yet generally the use of internet technologies to accommodate e‐procurement systems remains in a formative stage. Previous research tends to focus on larger economies, so this paper provides a new perspective by presenting evidence from the Irish ICT manufacturing industry.

The research locale is justified on the basis that the ICT manufacturing sector has a greater propensity to adopt technologies such as e‐procurement. In addition, by conducting the research in a small peripheral economy, a gap in the knowledge base is being addressed. The exploratory research adopted a quantitative methodology with a questionnaire instrument being employed to investigate various e‐procurement activities within a sample of top performing ICT manufacturing firms.

Findings show that e‐procurement is developing as a function. Significant benefits are reported, including streamlined business processes and reduced business costs. Difficulties associated with implementation are minimal, but focus on integration issues.

Limitations of small sample size negate the ability to generalise. Thus a larger scale comparative study has been initiated to investigate e‐procurement more extensively in the ICT and other industry settings in Ireland.

It is concluded that to further the integration of e‐procurement, organisations should develop a dual focus on technical and people issues to instil a culture of staff development and continuous improvement.

This paper addresses a gap in knowledge by investigating e‐procurement in the top performing firms in Ireland's ICT manufacturing sector. A picture is provided of e‐procurement development in a peripheral economy and the foundation has been laid for more extensive research in the future.

The study examines the amplifying role of users in the e-healthcare sector and holistically show its current state and potential. The paper aims at contributing to the scientific literature with a comprehensive review of the current state of the art on the application of user innovation (UI) in the e-healthcare sector, as a solid step for discussing the potential, trends, managerial gaps and future research avenues in this field. Despite the crucial importance of the topic and increasing attention toward it in the last few years, there is a lack of comprehensive scrutiny on different angles of involving users in health technology innovations so far.

This study combines two methods of bibliometric analysis and extensive content analysis of 169 journal articles on Scopus and Web of Science to unfold five research questions regarding the mechanisms of involving users, innovations characteristics and the role of users throughout the innovation process.

A clear result of the applied methodology is the profiling of users involved in e-health innovations in seven categories. The results of this study shed light on the current practice of not involving users in all the stages of the innovation process of m-health, telemedicine, self-managing technologies, which is contrary to the best practices of the UI application.

Collection of relevant studies due to lack of comprehensibility of the keywords.

The offered propositions can act as a roadmap to potential research opportunities as well as to organize such innovations from a managerial perspective in particular healthcare organization managers and the middle managers operating at R&D sectors and policymakers.

This study is the first of its kind that digs out the application of UI strategies such as user-centered design in the context of e-healthcare and provides a bibliometric and extensive content analysis of the studies conducted in this theme over the years.

The purpose of this article is to describe the design and development of an e‐health strategy for the Spanish health care system. Using quality function deployment and benchmarking analysis as an analytical model, a strategy in e‐health care is proposed.

This article uses the case of a Spanish community to build a general framework for e‐health system development. Based on a multi‐disciplinary literature, and the specific needs of a community, the process of e‐health system development is analyzed and reduced into a series of phases that form an integrated method. Best practice managerial techniques are adapted to the healthcare industry and the inter‐relationships between them are mapped in a theoretical model that results in the desired outcomes.

This analysis produces a road‐map to e‐health system development consisting of several phases: analysis of the current situation of the system and determination of objectives; collection and analysis of customer expectations; development of an action plan through cross‐evaluation of customer and system needs; cost and strategic analyses; and evaluation and control systems. Managerial implications are provided.

The strategy proposed in this article is a prototype and an ongoing study in the Castilla‐La Mancha community.

The purpose of this research is to examine the potential of e‐health by focusing explicitly on the delivery of health care products and services. The examination of e‐health activity is guided by one broad research question, “What is the potential for constructing e‐health strategy as an innovative health technology?”. A great amount of attention has been given to e‐health activity in the present day. However important this form of e‐health is, this type of service simply does not face the same constraints that must be addressed by those actually delivering health care services.

The researchers employed a qualitative data collection technique to formulate more examples and cases to derive lessons for Jordan. Phone interviews in a random sample were conducted with corporate officers in Jordan in order to reveal the internal organizational structure and business trends, interface issues, marketing strategies, as well as comparing and contrasting the online health world to the traditional health care realm.

Internet‐related projects is a top priority for health care information technology executives in the present day, with a cautious approach toward “e‐health”, as many products have yet to mature, and that the “click and mortar” model may perhaps be the optimal strategy for e‐health in Jordan.

This paper reviews the e‐health trends to demonstrate the tremendous potential for health‐related commercial activity on the internet. However, the researcher examining the barriers facing e‐health to the Jordanian health system also pointed out almost insurmountable challenges.

Despite the apparent promise of e‐health, its instability is measured by its failure so far to systematically penetrate the organization of health care. Beyond the pragmatic negotiation of e‐health in the immediate context of clinical practice, there are wider issues about how the development/implementation of e‐health is funded, about its organization and management at the policy level; and about its potential medico‐legal risks.

It is hoped that the handful of ventures into cyber medicine appears to be coming from a few enterprising physicians who have set up medical practices on the Web.

The move toward e-health care in various countries is envisaged to reduce the cost of provision of health care, improve the quality of care and reduce medical errors. The most significant problem is the protection of patients’ data privacy. If the patients are reluctant or refuse to participate in health care system due to lack of privacy laws and regulations, the benefit of the full-fledged e-health care system cannot be materialized. The purpose of this paper is to investigate the available e-health data privacy protection laws and the perception of the people using the e-health care facilities.

The researchers used content analysis to analyze the availability and comprehensive nature of the laws and regulations. The researchers also used survey method. Participants in the study comprised of health care professionals (n=46) and health care users (n=187) who are based in the Dubai, United Arab Emirates. The researchers applied descriptive statistics mechanisms and correlational analysis to analyze the data in the survey.

The content analysis revealed that the available health data protection laws are limited in scope. The survey results, however, showed that the respondents felt that they could trust the e-health services systems offered in the UAE as the data collected is protected, the rights are not violated. The research also revealed that there was no significance difference between the nationality and the privacy data statements. All the nationality agreed that there is protection in place for the protection of e-health data. There was no significance difference between the demographic data sets and the many data protection principles.

The findings on the users’ perception could help to evaluate the success in realizing current strategies and an action plan of benchmarking could be introduced.

Health service quality is an important determinant for health service satisfaction and behavioral intentions. The purpose of this paper is to investigate requirements of e‐health services and to develop a measurement model to analyze the construct of “perceived e‐health service quality.”

The paper adapts the C‐OAR‐SE procedure for scale development by Rossiter. The focal aspect is the “physician‐patient relationship” which forms the core dyad in the healthcare service provision. Several in‐depth interviews were conducted in Switzerland; first with six patients (as raters), followed by two experts of the healthcare system (as judges). Based on the results and an extensive literature research, the classification of object and attributes is developed for this model.

The construct e‐health service quality can be described as an abstract formative object and is operationalized with 13 items: accessibility, competence, information, usability/user friendliness, security, system integration, trust, individualization, empathy, ethical conduct, degree of performance, reliability, and ability to respond.

Limitations include the number of interviews with patients and experts as well as critical issues associated with C‐OAR‐SE. More empirical research is needed to confirm the quality indicators of e‐health services.

Health care providers can utilize the results for the evaluation of their service quality. Practitioners can use the hierarchical structure to measure service quality at different levels. The model provides a diagnostic tool to identify poor and/or excellent performance with regard to the e‐service delivery.

The paper contributes to knowledge with regard to the measurement of e‐health quality and improves the understanding of how customers evaluate the quality of e‐health services.