Drivers of physicians’ satisfaction and continuance intention toward the cloud-based hospital information system

Abstract

PurposeThe purpose of this study is to propose an integrated model based on expectation-confirmation model (ECM) and technology acceptance model (TAM) to examine whether environmental, human, organizational and technology factors as the antecedents to physicians’ beliefs can affect their satisfaction and continuance intention of the cloud-based hospital information system (HIS).Design/methodology/approachSample data for this study were collected from physicians at six hospitals in Taiwan. A total of 600 questionnaires were distributed, and 471 (78.5 per cent) usable questionnaires were analyzed using structural equation modeling in this study.FindingsThis study proposes a solid research model that is based on ECM and TAM, four types of factors, environmental factor, human factor, organizational factors and technology factors, as antecedents to physicians’ continuance intention of the cloud-based HIS have been examined. This study’s results strongly support the research model with all hypothesized links being significant, and control variables have no confounding effects on physicians’ continuance intention of the cloud-based HIS.Originality/valueThis study contributes to physicians’ continuance intention toward the cloud-based HIS based on ECM, TAM, technology-organization-environment framework and human-organization-technology fit framework, and reveals deep insights into the evaluation of determinants in the field of physicians’ continuance intention of the cloud-based HIS. Accordingly, it is particularly worth mentioning that IS and non-IS determinants are simultaneously evaluated and taken into consideration in this study’s theoretical development of physicians’ continuance intention of the cloud-based HIS to acquire a more comprehensive and robust analysis.