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Spanish City Halls are making a great effort to develop citizen-targeted online services in an attempt to enhance their effectiveness and reduce expenses. Hence, citizens' engagement is essential for the adoption of e-Government services. In this research, an extended Technology Acceptance Model (TAM) is developed to test citizen engagement towards online e-Government services from a sample of 307 citizens who used the benefits adviser tool within a Spanish City Hall. To achieve this goal, a structuring equation model is developed and tested to confirm the explanatory power of citizen satisfaction on citizen engagement. The results obtained suggest that the core constructs of TAM (perceived usefulness, ease of use and attitude) significantly affect users' citizen engagement. This study also reveals a general support for citizen satisfaction as a determinant of citizen engagement in e-Government services. The implications of the findings are discussed and useful insights are provided on what policy to follow to establish the appropriate conditions to build citizens' engagement intent. [ABSTRACT FROM AUTHOR]

In an attempt to enhance their effectiveness, public health institutions are making a great effort to develop online health care services targeted to all citizens. The initial acceptance of these services by patients is important but their success depends on its continued use, that is, on patients' electronic loyalty (eLoyalty). In this research, an integrated model combining the Technology Acceptance Model (TAM) and the Seddon's Model is developed to test online health care services success from a sample of 256 healthcare end users. The results obtained suggest that quality perception dimensions (i.e. information quality and system quality) are antecedents of perceptual dimensions of individual benefits (i.e., perceived usefulness and satisfaction) and of organizational impact dimensions (i.e. eLoyalty). In other words, by promoting the idea that citizens can become more aware of health care services success and respond to them, they will benefit themselves and others. [ABSTRACT FROM AUTHOR]

The Spanish healthcare system has undergone important changes, particularly with respect to the development of new hospital services. Today, more than ever, the factors that define the nature and structured of the Spanish healthcare environment (e.g. demand, costs, system deregulation) are undergoing rapid change thus obliging hospital administrators to develop and implement flexible and adaptive strategies in order to survive in an increasingly challenging environment facing hospital management. This work examines how the existence of some learning practices is linked to knowledge transfer and how this component is linked to relational capital. These relationships are examined through an empirical investigation of 54 doctors and 62 nurses belonging to 44 Hospital-in-the-Home Units. In an applied sense, the findings provide homecare practitioners with identifiable factors, which enable two learning models (conceptual and operational) and address the relevant issues by changing strategies at both the individual and organisational levels. [ABSTRACT FROM AUTHOR]

While the information technologies provide organizational members with explicit concepts, such as writing instruction manuals, the 'organizational memory' provides individuals with tacit knowledge, such as systematic sets, routines and shared visions. This means that individuals within an organization learn by using both the organizational memory and the information technologies. They interact to reduce organizational information needs contributing to improve organizational innovativeness. However, the utilization of the organization memory or the technology infrastructure does not guarantee that appropriate information is used in appropriate circumstances or that information is appropriately updated. In other words, previous memories reflect a world that is only partially understood and assimilated, which might lead individuals to doing the wrong things right or the right things wrong. This paper examines the relative importance and significance of the existence of unlearning to the presence and nature of 'organizational memory and technology'. We further examine the effect of the existence of organizational memory and information technology on conditions that promote organizational innovativeness. These relationships are examined through an empirical investigation of 291 large Spanish companies. Our analysis found that if the organization considers the establishment of an unlearning culture as a prior step in the utilization of organization memory or the technology infrastructure through organizational innovativeness, then organization memory and technology have a positive influence on the conditions that stimulate organizational innovativeness. [ABSTRACT FROM AUTHOR]