Employees support during the implementation of planned organizational changes is important to ensure
successful change. Therefore, this study attempts to explain the phenomenon of behavioral support for
change by integrating Lewin's Three Steps Model and Theory of Planned Behaviour. The literature
review of planned organizational change models developed by previous researchers based on the Three
Steps of Lewin Change Model was undertaken before the change model for this study was developed which involved three phases of change namely motivation to change, commitment to change, and
behavioural support for change. Based on that model, the Theory of Planned Behaviour was used to
explain the relationship between the variables where perceived benefits of change (attitude), supervisor
support (subjective norms) and change self-efficacy (perceived behavioural control) was predicted to
influence commitment to change (behavioral intention), which in turn affects individual behaviour to
support change (behavior). Subsequently, this study proposes a conceptual model based on the latest
literature to be implemented in depth empirical studies to test the proposed model.
The purpose of this study is to explore the determinants of telemedicine acceptance in selected public hospitals in Malaysia and to investigate the effect of health culture on the relationship between these determinants and telemedicine acceptance. Data were gathered by means of a survey of physicians and nurses as the main group of users of telemedicine technology from hospitals that are currently using telemedicine technology. The results indicated that government policies, top management support, perception of usefulness and computer self-efficiency have a positive and significant impact on telemedicine acceptance by public hospitals in Malaysia. The results also confirmed the moderating role of health culture on the relationship between government policies as well as perceived usefulness on telemedicine acceptance by Malaysian hospitals. The results are useful for decision-makers as well as managers to recognize the potential role of telemedicine and assist in the process of implementation, adoption and utilization, and, therefore, spread the usage of telemedicine technology in more hospitals in the country.
WHO's Declaration of the "Health for All" (HFA) goal was pronounced in 1978 in Alma Ata, and it was planned that HFA would be achieved through primary health care programmes and approaches by 2000. However, it is now 2002 and despite the technological advancements in medicine, science, and ICT, Health for All is far from reality. Instead, more and more conflicts are emerging with lethal consequences, such as, bioterrorism, biological agent abuse, global-terrorism, and environmental destruction is occurring at a greater scale that we have witnessed before. We may have the latest technology and knowledge today, but ironically, we are using them to inflict more suffering and pain in the world. In the Asia-Pacific, the past 30 years has seen dramatic advancement and lifestyle changes. We are now paying a high price for such progress in terms of risk factors to the health of the population, such as, ageing diseases, obesity, smoking, diabetes, hypertension, and related conditions. The social, political, economic and environmental factors appeared to have deterred and negated WHO's HFA goal to attain basic human rights and health care for all. The HFA will not be achieved in the future if we do not learn from history and start taking measures now.