Adoption Intention Research Articles

Taxpayer's Perception on the Adoption of E-Filling System in Tanzanian Cities

Electronic filing system (e-filling) is a recent phenomenon in Tanzania. The Tanzanian Government, through its revenue authority, TRA, in the year 2020 introduced a tax e-filling system for the effective collection of various types of taxes. Since the inception of the tax e-filling system in Tanzania, only a few studies have focused on retailers' perceptions of using such a system. This study adopted a descriptive survey design conducted in Tanzanian cities using a set of closed-ended questionnaires to a random sample of 423 taxpayers. The main finding of the study showed that perceived usefulness and user satisfaction significantly influence users' adoption intention of e-filling ([β = 0.396, p < 0.000; β = 0.343, p < 0.000, respectively]). Additionally, the study indicated a broad discrepancy between the advantages of tax e-filling to taxpayers, hence downplaying its usage/adaptability. The study recommended that awareness-raising campaigns and training be initiated to understand the tax e-filling system better. Policy-wise, the study contributes to the Income Tax Act, Cap. 332 R.E., 2019, the Tanzania Development Vision 2025, and the National Strategy for Growth and Reduction of Poverty I & II.

Impact of metaverse technology on hospitality and tourism industry: an interplay of social media marketing on hotel booking in India

Purpose This paper aims to explore the impact of metaverse technology on the hospitality and tourism industry. The introduction of metaverse technology has revolutionised the way the hospitality and tourism industry works. In the present study, the authors have investigated the role of social media marketing in the adoption of metaverse technology in hotel booking in India. Design/methodology/approach An extended technology acceptance model was proposed for an empirical investigation in the Indian context. Sample of 344 respondents was collected across India using a purposive sampling technique for the purpose of data analysis. The structural model analysis is used to analyse the data collected from the respondents using the SmartPLS software to check the structural and the measurement fit of the model. Findings The adoption intentions were largely influenced by the utility, attitude (ATT) and ease of use of the technology, and social media marketing plays a major role in influencing the perceived usefulness (PU) and ease of use (PEU). The study finds positive ATTs of the customers for using metaverse technology for booking their hotels. PU and PEU significantly influence the ATT of the consumer indicating the traveller’s perception of the usefulness and ease of metaverse technology influence their ATTs towards adoption. Originality/value Influence of metaverse technology is at a nascent stage in India specifically for hotel booking and tourism. The authors have used discriminant validity by using the criteria for both the square root of the average variance extracted and heterotrait–monotrait ratio tests, and the results suggest that the constructs in the research are distinct from other.

Determinants of Islamic fintech adoption: a systematic literature review

Purpose Sharia-compliant financial technologies (Islamic fintech) are becoming increasingly popular among Muslims and non-Muslims. As the Islamic fintech landscape continues to grow and transform, it is crucial to understand the factors that influence the acceptance or adoption of Islamic fintech services from the past literature. Therefore, this paper aims to conduct a systematic literature review (SLR) to investigate and compile factors that could influence a user to adopt Islamic fintech. Design/methodology/approach The current study adopted the systematic literature review approach using Preferred Reporting Items for Systematic Reviews and Meta-Analyses technique to examine research on Islamic fintech adoption. A set of inclusion criteria was applied to filter out irrelevant documents and ensure the selection of only the most relevant ones. The criteria were limited to quantitative journals published in English between 2012 and 2022, as identified in Scopus outlets. Findings Despite the existence of various theoretical frameworks, the technology acceptance model and Unified Theory of Acceptance and Use of Technology 2 frameworks have gained prominence as the most frequently applied frameworks in examining Islamic fintech adoption. In addition, trust is the most important self-developed construct for the adoption of Islamic Fintech. Research limitations/implications The current study does not segregate the intention, actual usage and retention, as the author is interested in understanding the overall adoption of Islamic fintech services. To obtain more specific analysis results, future research could potentially separate the three types of adoption exposure, i.e., consumer acceptance, intention and retention. Next, future studies can also expand their analysis and gain a better understanding of the research topic by exploring alternative data sources such as Web of Science, ERA or JSTOR. Originality/value To the best of the author’s knowledge, this study makes a significant contribution to the literature by providing the first systematic literature review of factors influencing fintech adoption from an Islamic perspective.

Research on the Role Type of Artificial Intelligence and Consumers' Adoption Intention

With the rapid development of AI, People's interaction with artificial intelligence is increasing gradually, and AI has been able to further understand human feelings and dialogue. This article discusses that the different AI role type can cause people's different degree of belonging, and people have a strong sense of belonging to the friend AI. If consumers have a higher risk perception of AI, people will have more feelings of rejection of AI, and consumers will prefer their own subjective decision-making, so it is difficult to AI robot have more sense of belonging. With more and more interactions between humans and AI, studying the impact of AI role types on consumers' willingness to recommend adoption could help in the application of AI in enterprises.

AR-enabled safety precautions and employee volunteerism in fast-food restaurants: the pivotal role of adoption intention

ABSTRACT This paper highlights the potential effect of safety practices on employee citizenship behaviour through work engagement. Further, this paper examines the moderation effect of augmented reality (AR)-based safety at work app adoption intention. The study sample included a total of 358 fast-food restaurant employees in the Riyadh and Al-Madinah regions of Saudi Arabia. SmartPLS findings proved that AR-based workplace safety app adoption intentions strengthened the linkages between safety practices, employee citizenship behaviour, and work engagement. The study offers useful insights for food and beverage marketers who are willing to boost their innovation capacities to support their survival in global supply chains, as AR adoption is beneficial for enhancing employee engagement and promoting a safety culture.

Adoption Intention of Employees Towards AI in Technology

The rapid advancement of artificial intelligence (AI) technology has led to its increasing adoption by businesses, promising transformative changes across various industries. However, despite its potential benefits, many organizations are still in the early stages of AI adoption, grappling with complexities and uncertainties surrounding its integration into operations. Concerns about the future of work, including issues related to data privacy, human value, biases, and transparency, have accompanied the rise of enterprise AI. Nevertheless, there is also optimism regarding AI's potential to enhance decision-making, stakeholder relationships, and innovation. Top management support plays a crucial role in facilitating AI adoption within organizations, with strong leadership seen as essential to overcoming adoption-related challenges. The technology-organizational-environment (TOE) framework provides a useful lens for understanding the adoption of AI within socioenvironmental and technological contexts. Despite significant progress in understanding AI adoption from an organizational perspective, the perspectives of employees remain relatively understudied. This research aims to address this gap by exploring how employees' cognitive and affective attitudes toward AI influence their behavioral responses during the pre-adoption phase. By utilizing the cognitive appraisal theory, this study seeks to uncover the factors shaping employees' attitudes toward AI and their intentions to use or leave organizations. Understanding these dynamics is essential for promoting a conducive environment for AI adoption and fostering creativity and innovation in the workplace. Additionally, this study utilized a Google Form questionnaire to collect data from employees.

Adoption patterns of profit-sharing based deposits: empirical evidence from a Muslim majority country

Purpose This paper aims to examine the antecedents of adoption intention of profit-sharing investment deposits (PSID) among Moroccan customers. Design/methodology/approach Applying an extended version of diffusion of innovation (DOI) theory and using a non-probability sampling technique with convenience approach, a quantitative survey was developed and administered to 171 Islamic banking users. Structural equation modeling was then used to evaluate the significance of relationships between the various variables under study using SPSS 21.0 and AMOS 26.0 statistical packages. Findings Empirical findings of the structural analysis indicated a significant direct relationship between adoption intention and six out of seven variables: perceived relative advantage, perceived compatibility, perceived complexity, perceived risk, religiosity and social influence, all of which had a significant effect on Moroccan customers’ intention to invest their funds in profit-sharing based deposit instruments, whereas customer awareness exerted an insignificant positive effect. Research limitations/implications The absence of a longitudinal study tracking the actual adoption behavior is the main limitation of this study. Furthermore, data were collected solely from Islamic banking users. Finally, despite being insightful, the empirical findings should be generalized with caution since the sample was purposely selected by the banks’ management. Practical implications This study implied that participatory banks should pay substantial attention to risk perceptions, as PSID adoption intention is typically inhibited by high perceived risks associated with these products. Moreover, this study provides great indications to Moroccan regulators and policymakers on a number of issues related to this emerging business. Originality/value To the best of the authors’ knowledge, this paper represents the first attempt to confirm the effectiveness of the Rogers’ DOI in examining the intention to adopt a financial innovation in the Moroccan context. It is also the first of its kind to address customers’ apprehensions regarding profit-sharing investment products.

Optimizing Electric Vehicle Battery Management Systems for Enhanced Performance and Efficiency in the Automotive Sector

Automotive means of transportation has become the major and cheapest means transportation in Nigeria. This fact has put more pressure on manufacturers to provide customers with high quality Automobiles with the aim of making profits. Nowadays, manufacturers are faced with a major problem in the management of information within a manufacturing plant and creation of effective relationship with customers. As an approach to solving these problems, a detailed analysis is carried out on the existing system to find out the strength and weaknesses of the existing system. And based on the requirements generated, the new system is designed. An Object Oriented design approach is used to describe the various units (modules) that make up the system in terms of classes and objects. The design and development of an Automotive Plant Management system for a manufacturing company is a project developed with PHP, MySQL, Ajax, HTML, JavaScript and Jquery Plugins, it provided better and more efficient management of information generated from Human Resource, Inventory, Company Finance and also Customer Relationship Management In recent years, the surge in the adoption of electric vehicles has played a vital role in reducin fossil fuel consumption and greenhouse gas emissions. However, limited cross-national research has been conducted on the determinants of electric vehicle adoption in developing and developed countries. This study examines the factors influencing the intention to adopt electric vehicles in India (378 participants) and Spain (265 participants). This study develops an integrated model that combines the unified theory of acceptance and use of technology (UTAUT2) and the value-belief-norm (VBN) model while accounting for the impact of national culture. The model is tested using structural equation modeling. The results indicate the integrated UTAUT2-VBN model is a valuable tool for explaining the differences in adoption intention across cultures. Moreover, the national cultural system plays a significant moderating role in most relationships within the model. This study offers valuable insights into the factors influencing electric vehicle adoption in different cultural contexts, which can inform policies and strategies to promote sustainable transportation.

Determinants of the adoption of fungus-resistant grapevines: Evidence from Switzerland

Abstract The adoption of fungus-resistant grapevines may be a key strategy for substantially reducing fungicide use in pesticide-intensive viticulture. In a representative survey conducted among 436 grapevine growers in Switzerland, we elicited growers’ expected share of land devoted to fungus-resistant varieties in ten years. More specifically, using regression analyses, we explore the main predictors behind the stated adoption intentions. We find that one-third of new plantings in the next decade will be fungus-resistant varieties. As a result, the expected share of land devoted to fungus-resistant varieties in ten years is 27.4% (compared to 10.2% in 2022), thus increasing by 169%. Farmer- and farm characteristics explain most of the adoption dynamics, especially growers’ beneficial health perceptions about fungus-resistant varieties, which correlate positively with their expected land share devoted to these varieties. Moreover, non-organic grapevine growers are particularly likely to increase their land devoted to these varieties. These findings have important implications for agricultural policy and industry in Europe and elsewhere, facilitating the expected plantation increase using a policy mix tailored to farmer- and farm-level characteristics.

Accelerating Sustainability Environment: Understanding Electric Vehicles (EVs) Adoption with Expanded Technology Acceptance Model (TAM)

This research endeavors to implement and evaluate an expanded version of the TAM by incorporating perceived risk and utilizing the consolidative framework of beliefs-attitude-intention. This approach aims to gain insights into and forecast consumers' inclination towards adopting EVs. This study delves into the various factors that impact the uptake of electric vehicles, employing a purposive sampling strategy to target individuals aged 17 and above with a valid driving license and owning EVs. After a rigorous screening process, 247 out of 400 responses were analyzed. The survey comprised two sections: the first gathering demographic and vehicle ownership details, and the second assessing six cognitive dimensions related to EV adoption, including PEOU, PEU, PER, ATU, and AIU to adopt EV technology. Utilizing SPSS and AMOS software for data examination, the study applied SEM analysis to investigate the relationships between these dimensions with Maximum Likelihood Estimation. The research identifies the significant impact of perceived risks on adoption intentions, emphasizing the need for strategies to mitigate these apprehensions, especially in emerging markets like Indonesia. The findings underscore the importance of holistic approaches in promoting EV adoption, which involve highlighting the benefits and addressing potential barriers and concerns that consumers may have. By effectively managing perceptions of usefulness, ease of use, and risks, stakeholders can work towards fostering a more positive attitude towards EV technology and ultimately encouraging greater adoption of sustainable transportation options.

EVs Adoption in Alternative Business Models (ABMs): Psychological Perspective and Empirical Analysis of Indian Customers

Electric Vehicles (EVs) are prominent for achieving sustainable mobility in the future. By drawing on extant literature, we propose a conceptual framework and develop hypotheses based on Novelty seeking (NS), Perceived Behavior Control (PBC), Openness to new Experience (ONE), Risk appetite (RA), and Adoption Intention (AI) of consumers in ABMs. The analysis of data reveals that both NS and PBC are positively related to the ONE which, in turn, impacts the AI of EVs in ABMs in a significantly positive manner. The study also proves that RA moderates the relationship between ONE and AI in such a manner that a higher level of RA makes the relationship between ONE and AI stronger. We contribute to the literature on sustainable mobility by exploring the role of psychological factors in determining AI of Indian customers towards EVs in ABMs and the study has important implications for researchers, practitioners, and policymakers.

Customer satisfaction leading the intention to adopt battery electric vehicles with the moderating role of government support and status symbol

In response to the ongoing efforts to reduce pollution, the Chinese government is encouraging the use of battery electric vehicles (BEVs). People in China as a whole intend to supplement the government's initiative. Thus, this study aims to determine adoption intention for BEVs through environmental concerns, technophilia, social norms, price and battery cost, self-esteem, range confidence, satisfaction toward adopting BEV, financial incentives, non-financial policies, and status symbol by using the theory of planned behavior (TPB). PLS-SEM was followed, and data was collected through questionnaires using purposive sampling. A total of 508 questionnaires were used in the final analysis. Multiple regression was used for hypotheses testing. Environmental concerns, technophilia, social norms, self-esteem, and range confidence significantly enhance satisfaction toward adopting BEVs. Meanwhile, price and battery cost significantly decrease customer satisfaction towards adopting BEVs. Satisfaction towards adopting BEVs, government support (i.e., financial incentives, non-financial policies), and status symbols are leading to the intention to adopt BEVs. Government support is significantly moderate, but the status symbol does not moderate between satisfaction towards adopting BEVs and adoption intention for BEVs. This research suggests that policymakers and manufacturers focus on studying factors determining the intention to adopt BEVs. This initial research integrates environmental concerns, technophilia, social norms, price and battery cost, self-esteem, range confidence, satisfaction towards adopting BEVs, financial incentives, non-financial policies, status symbol, and adoption intention for BEVs in a single framework in light of TPB.

Predicting customer intention to adopt mobile commerce in Jordan

BACKGROUND: The progress made in wireless communications has led to a higher adoption of mobile devices among users and has spurred the development of mobile commerce technology. OBJECTIVE: This research examines the factors influencing the intention to adopt mobile commerce in Jordan. These factors include perceived usefulness, perceived ease of use, trust, social influence, personal innovation, and mobility. METHODS: The study relied on Technology Acceptance Model (TAM), incorporating additional variables to suit the Jordanian context. The researchers gathered data from 540 users, and the research hypotheses were evaluated using smartPLS analysis. The study utilized a convenience sample due to the absence of a comprehensive list of names of mobile commerce users. RESULTS: The results reveal that perceived usefulness, trust, social influence, personal innovation, and mobility play a significant role in influencing adoption intentions of mobile commerce. Furthermore, the study finds that mobility significantly affects the perceived usefulness of mobile commerce. In contrast, perceived ease of use does not show a statistically significant relationship on the intention to adopt mobile commerce. CONCLUSIONS: The outcomes of this research provide valuable insights for companies, service developers, and mobile marketers, enabling them to enhance the adoption rate of this service among individuals.

Not All about the Money: The Role of Financial Information in Promoting Residential Rooftop Photovoltaics

This study investigates the role of financial information in shaping the intention to adopt (ITA) Residential Rooftop Photovoltaic (RPV) systems in Israel—a country with a surprisingly low RPV adoption rate given the high solar irradiance, and significant governmental support for RPV. We used an online survey of 899 respondents to examine how different presentations of RPV revenues impact both RPV deal comprehension and ITA. Our results align with existing literature on the roles of early technology adopters and pro-environmental characteristics while introducing two novel findings. First, households value their roofs—especially flat ones used for leisure. This negatively impacts ITA. Second, we found a positive correlation between trust in government entities and ITA, underscoring the importance of trust in institutions. Although financial information does enhance RPV deal comprehension, it does not significantly influence ITA. This study concludes that RPV penetration should not be promoted solely by financial incentives, but also by other motivations like environmental concerns, novelty seeking, and improved institutional trust.

Analyzing consumer perceptions and adoption intentions of central bank digital currency: a case of the digital rupee

PurposeThis paper aims to comprehensively analyze the factors influencing the adoption intentions of the digital rupee, a digital currency, among users in India.Design/methodology/approachDrawing upon the Technology Acceptance Model (TAM), the study examines the relationships between cognitive beliefs (perceived usefulness, perceived ease of use, perceived trust, perceived self-efficacy, perceived cost and awareness), affective belief (attitude) and adoption intention of the digital rupee. The study uses a structured questionnaire to collect primary data from 1,707 respondents, which are then analyzed using structural equation modeling.FindingsThe results indicate that perceived usefulness and perceived ease of use significantly impact users' attitudes toward the digital rupee, as well as their adoption intentions. The findings further reveal that perceived trust, perceived self-efficacy, and awareness positively influence attitude and adoption intention. On the other hand, perceived cost exhibits a negative effect on attitude and adoption intention. These results provide empirical evidence on the factors that shape users' attitudes and intentions toward adopting the digital rupee.Research limitations/implicationsThe research methodology used in this study ensures rigorous data collection and analysis. The structured questionnaire enabled the collection of detailed information from a large sample of respondents, allowing for robust statistical analysis. The utilization of structural equation modeling facilitated the examination of complex relationships among variables, enhancing the reliability and validity of the findings.Practical implicationsThe study's findings offer practical guidance for policymakers, financial institutions and researchers in shaping digital currency regulatory frameworks, tailored financial services and further exploration of adoption dynamics.Social implicationsThe research has social implications by potentially influencing the way individuals and communities in India engage with digital currencies, impacting financial inclusion and digital economic participation.Originality/valueThis research contributes to the understanding of the adoption of digital currencies in India and provides valuable insights for policymakers, financial institutions and researchers in the field of digital finance and technology adoption.

Factors influencing customers’ intention to adopt e-banking: a TAM and cybercrime perspective using structural equation modelling

PurposeThis study assesses the factors influencing customers’ intention to adopt e-banking in the context of the technology acceptance model and the moderation role of cybercrime.Design/methodology/approachThe variables in the study are measured using a five-point Likert scale with measures adopted from existing literature. The independent variables are perceived ease of use, perceived usefulness and security and privacy. These are postulated to be moderated by the perceived risk of cybercrime and to influence e-banking adoption intentions. A quantitative approach is used. Primary data are collected from a sample of 209 randomly selected bank customers. The study uses a two-step (measurement model and structural model) approach to data analysis.FindingsThe key findings in this study are that perceived risk of cybercrime strengthens the positive relationship between perceived ease of use and e-banking adoption intentions but dampens or weakens the positive relationship between perceived usefulness and customers’ e-banking adoption intentions. The study makes several recommendations to inform scholarship, policy and practice.Originality/valueUnlike existing literature, the study makes a unique contribution by including perceived risk of cybercrime as a moderating variable of theoretical significance in the relationship between adoption of e-banking and its determinants.

The emergence of mobile payment acceptance in Saudi Arabia: the role of reimbursement condition

PurposeThis study aims to scrutinize existing end-user comprehension regarding e-wallet technology through an examination of apparent usefulness, ease of use and levels of trust, and how these factors may influence a consumer’s attitudes toward the adoption of this new payment method.Design/methodology/approachThe quota sampling method was used, and residents over the age of 22 years were targeted in online and offline questionnaires, and partial least squares-structural equation modeling was used to analyze the data.FindingsThis study indicates that existing consumer mindsets and intentions to adopt new technology, such as the e-wallet, are greatly influenced by their perception of the practicality of the product, its ease of use and their levels of trust in the technology to protect their online safety, privacy and economic affairs. Contrastingly, those participants who were offered deferred reimbursements and those given no information were demonstrably less likely to adopt the new service.Research limitations/implicationsThe study sample was from a developing nation – Saudi Arabia. Similar cohorts from developing and developed countries could provide a unique cross-nation comparison.Practical implicationsThis study stresses the importance of thoroughly explaining and demonstrating an innovative technology to customers while simultaneously promoting the product. Consumers can be encouraged to use and evaluate the new technology by providing inducements, such as effective reimbursement policies.Originality/valueThis paper contributes to literature by critically reflecting on the question: What are the factors influencing customer intentions to adopt the e-wallet, and how do the guarantee of reimbursement and the time frame following unauthorized use influence consumer adoption intentions when deciding to use the new payment technology?

Digital divide, gender gap, and entrepreneurial orientation: How to foster technology adoption among Pakistani higher education students?

Advances in Information and Communication Technology (ICT) bear the promise of multiple benefits, including individual and entrepreneurial empowerment. The prospect of harnessing ICT as a means of creating growth and development opportunities is particularly appealing in developing countries. Still, several factors, including digital illiteracy and gender inequality, hamper the possibility of effective and universal utilization of these opportunities, in extreme cases leading to digital divide, gender-based exclusion, poverty, and precarity. Using this observation as a springboard, the objective of this paper is to conceptualize and quantify the digital divide-gender-entrepreneurial orientation nexus as it emerges in the perception of Pakistan higher education students. Using a quantitative approach, this study identifies the impact of digital skills (and thus the knowledge inequalities that can determine the potential digital gap) on entrepreneurship-related technology adoption (as measured through Unified Theory of Acceptance and Use of Technology, UTAUT), whereby gender is treated as a moderator. The empirical findings, based on Structure Equation Modelling (SEM) and Multiple Group Analysis (MGA), show that digital skills and perceptions of technology capabilities have a substantial impact on the desire to use ICT in entrepreneurial activities. The influence of technology adoption intent on the development of entrepreneurial orientation is also confirmed. This paper adds to the broader debate on gender, digital divide and entrepreneurship. Importantly, by identifying some of the drivers behind students’ technology adoption in a developing nation such as Pakistan, filled with technological and economic unbalances, the conclusions of this study will have conceptual, managerial, and policymaking applications, notably in terms of technological access, digital literary, and gender-based exclusion.

Farmers’ adoption and effects of three aspects of agricultural information systems in emerging economies: microanalysis of household surveys

Agricultural information systems have the potential to provide various benefits to users, especially farmers. However, it remains uncertain whether the three dimensions of agricultural information systems—system quality, information quality, and service quality—can contribute to farmers’ perceived usefulness and perceived ease of use, thus influencing their intention to adopt these systems. We have developed a research framework that combines the Technology Acceptance Model and the Delone and McLean IS Success Model to elucidate the factors shaping farmers’ adoption of agricultural information systems in Vietnam. Field survey data were collected from a sample of 570 farmers in four midlands and mountainous provinces of northern Vietnam. Structural equation modelling was employed for the analysis. The results indicate that the three aspects of agricultural information systems directly enhance farmers’ adoption intentions, or they have a positive correlation with perceived usefulness and perceived ease of use, indirectly promoting such adoption intentions. The findings of this study underscore the importance for system developers and policymakers to prioritize the creation of reliable and user-friendly agricultural information systems that can address emerging issues during farmers’ use, thereby supporting their adoption.

Differences in influencing mechanism of clinicians’ adoption behavior for liver cancer screening technology between the leading and subordinate hospitals within medical consortiums

BackgroundMedical consortiums have been extensively established to facilitate the integration of health resources and bridge the technical gap among member institutions. However, some commonly appropriate technologies remain stagnant in subordinate hospitals, although they have been routinely applied in leading hospitals. Besides, the mechanism underlying differences in clinicians’ adoption behavior at different levels of institutions was unknown. Therefore, this study aimed to investigate the differences in influencing mechanisms of clinicians’ hepatic contrast-enhanced ultrasound technology (CEUS) utilization behavior between leading and subordinate hospitals within medical consortiums, thus providing clues for expanding effective and appropriate technologies within integrated care systems.MethodsA self-designed scale was developed based on the theory of planned behavior (TPB). A multistage sampling method was applied to investigate clinicians who were aware of CEUS and worked in liver disease-related departments within the sampled medical institutions. The final sample size was 289. AMOS 24.0 software was used to construct multi-group structural equation modeling (SEM) to validate the hypotheses and determine the mechanism of hepatic CEUS utilization.ResultsIt revealed that behavioral intention significantly influenced adoption behavior, regardless of whether it was in leading hospitals or subordinate hospitals (β = 0.283, p < 0.001). Furthermore, behavioral attitude (β = 0.361, p < 0.001) and perceived behavioral control (β = 0.582, p < 0.001) exerted significant effects on adoption behavior through behavioral intention. However, in leading hospitals, subjective norm had a significant positive effect on behavioral intention (β = 0.183, p < 0.01), while it had a significant negative impact on behavioral intention in the subordinate hospitals (β = -0.348, p < 0.01).ConclusionTo effectively translate the adoption intention into actual behavior, it is recommended to elucidate the demand and facilitators involved in the process of health technology adoption across leading and subordinate hospitals. Additionally, bolstering technical support and knowledge dissemination within subordinate hospitals while harnessing the influential role of key individuals can further enhance this transformative process.