Information Technology and Operations Management

Use of the Internet can increase patients' understanding about their medical conditions and offers opportunities to strengthen the patient-physician relationship, increase patient satisfaction, and improve health outcomes. However, physicians vary widely in the extent to which they accept patient online medical information seeking and make it part of the patient-physician relationship. This paper explores factors impacting the extent to which physicians advocate (encourage, speak in favor, or are supportive of) patient internet use. Specifically, using social cognitive theory as a theoretical base, this study develops a model of the determinants of physician advocation of patient use of the internet for information about medical conditions and treatments. Survey data collected from a random sample of 179 physicians licensed to practice medicine in Florida is used to test the proposed model. Proxy efficacy for patient internet use, social efficacy for enlisting patient internet use, performance outcomes expectations, and personal outcome expectations are shown to be significant determinants of physician professional advocation of patient internet use. In addition to its direct impact, proxy efficacy is shown to influence intention to advocate patient internet use indirectly thru social efficacy and outcome expectations, demonstrating the key role of this construct in the proxy agency model. Self-efficacy, in contrast, is not found to be a significant factor. Overall, the results support the proposed model of technology use.

There is a growing need to better understand what influences user behavior for developing comprehensive IT security systems. This study integrates two prominent bodies of research, the theory of planned behavior used to frame the factors influencing user behavior and individual level climate perceptions used to frame organizational environment influences, to develop a multidimensional IT security user behavior model. The model is then used as the basis for a survey based research to empirically test the hypotheses whether the perceived IT security climate of an organization significantly influences the users beliefs regarding the use of IT security. The intent of the study is to extend the theory of planned behavior and IT security literature by investigating salient IT security beliefs and environmental influences on those beliefs. First, anti-spyware was identified as an appropriate target IT security artifact, and then incorporated into a multi-phased research approach. Second, a semi-structured interview process was used to elicit salient beliefs regarding use of the IT security artifact. Third, IT security psychological climate was conceptualized based on the extant literature on organizational climate, safety climate and IT security in order to examine the organizational environment influences on these beliefs. Finally, a survey was used to collect data to validate the constructs and test the hypothesized relationships.