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Title: Enterprise-wide systems enabling physicians to manage care.
Authors: Wickramasinghe, Nilmini
Other Authors: Lamb, Robert
Keywords: Knowledge Worker
Enterprise-Wide System
Goal Alignment
Managed Care
Primary Care Physician
Chair of Health Informatics Management, Epworth HealthCare, Victoria, Australia
Issue Date: 2002
Publisher: Inderscience Publishers
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 [1] 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.
DOI: 10.1504/IJHTM.2002.001144
ISSN: 1741-5144
Journal Title: International Journal of Healthcare Technology and Management
Type: Journal Article
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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