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|Title:||Enterprise-wide systems enabling physicians to manage care.|
|Epworth Authors:||Wickramasinghe, Nilmini|
|Other Authors:||Lamb, Robert|
Primary Care Physician
Chair of Health Informatics Management, Epworth HealthCare, Victoria, Australia
|Citation:||Int. J. of Healthcare Technology and Management, 2002; 4(3/4): 288-302|
|Abstract:||In their conceptualisation of the principal/agent relationship, Jensen and Meckling  were not referring to a Knowledge Worker agent. Given the prevalence of knowledge workers in today's workforce, we extend agency theory to the context of a Knowledge Worker (KW) agent. In doing so, we argue that a key role for enterprise-wide systems, in such a context, is in facilitating the monitoring function. To test this, we investigate the dynamics of a critical principal - KW agent relationship in the healthcare industry; namely that between the managed care organisation and primary care physician. Our case study data reveals that enterprise-wide systems adopted went beyond just alleviating the agency problem, as we predicted, to enabling the KW agent to perform a new function - ''self-monitoring''. Our results are significant to agency relationships and the use of enterprise-wide systems with knowledge workers.|
|Journal Title:||International Journal of Healthcare Technology and Management|
|Affiliated Organisations:||Computer & Information Sciences, James J. Nance College of Business Administration, Cleveland State University, 1860 East 18th Street, Cleveland, OH 44114-3610, USA.|
Information Technology Management, College of Business Administration, University of Hawaii, Manoa, 2404 Maile Way, Honolulu, HI 96822, USA
|Appears in Collections:||Health Informatics|
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