Perceptions Of Service Providers Research Articles

Evaluating Emergency Medical Service Provider Perceptions About Patient Acuity Across Various Transport Vehicles

EMS clinicians respond to calls in multiple types of vehicles, including ground ambulances, fixed-wing air ambulances, and rotor-wing air ambulances. Each type of vehicle serves a specific role within the overall EMS system and, based on differences in capabilities and operating costs, likely responds to patients with different clinical needs and acuities. For example, rotor-wing air ambulances are often utilized to transport high-acuity patients significant distances in less time than a ground ambulance and are staffed with highly-trained providers. To better understand the correlation between EMS vehicle type and patient acuity, we examined the National Emergency Medical Services Information System (NEMSIS) database to identify what percentage of calls involve high-acuity, medium-acuity, and low-acuity patients within three EMS vehicle types. Acuity was determined by provider impression. Of the 53,193,098 calls that were included for analysis, 99.14% involved ground ambulances, 0.75% involved rotor-wing air ambulances, and 0.11% involved fixed-wing air ambulances. Rotor-wing air ambulances received the greatest share of high-acuity patients (47.60%), followed by fixed-wing air ambulances (30.15%) and ground ambulances (3.85%). This trend was reversed for low-acuity patients: ground ambulances responded to the highest percentage of low-acuity patients (72.70%), followed by fixed-wing air ambulances (10.69%) and rotor-wing air ambulances (4.47%). These data suggest that air ambulances – both fixed-wing and rotor-wing – mostly respond to patients that providers determine to be medium-acuity or high-acuity, while a majority of calls ground ambulances respond to involve patients determined to be low-acuity. The fact that aeromedical EMS resources are predominantly being used for medium- and high-acuity patients is reassuring, because it suggests they are being effectively deployed. Further research should examine how EMS providers determine patient acuity and see if the trends we identified remain constant or fluctuate.

Sustainability perceptions of home modification service providers for older Australians

PurposeThe majority of older Australians prefer living in their own home. Home modifications support older adults' ageing-in-place through mitigating environmental hazards of their home, and there is an increased interest in modifying older adults' residential environment in sustainable ways. However, an in-depth understanding of sustainability perceptions of home modification service providers (HMSPs) is lacking in Australia. Thus, the study aims to address this research gap.Design/methodology/approachQualitative content analysis was adopted to identify sustainability perceptions through analyzing the retrieved home modification business information from the selected HMSPs' official websites. The results of qualitative content analysis were further analyzed by using independent-samples t-test and chi-square contingency table analysis to investigate the relationships between HMSP type and sustainability.FindingsIn total, 54 sustainability perceptions were identified, with the crucial ones being safe living environment, independent living and service diversity. Overall, there are no significant differences in sustainability perceptions between charitable and non-charitable HMSPs. Nevertheless, charitable HMSPs place more importance on social sustainability in comparison with non-charitable HMSPs.Originality/valueThe study results facilitate understanding about HMSPs' sustainability perceptions and sustainable home modifications in the ageing society, which facilities theory advancement and industry practice in the home modification area.

Sexual and gender-based violence and torture experiences of Sudanese refugees in Northern Uganda: health and justice responses

Purpose This British Academy/Leverhulme-funded research (Grant number: SG170394) investigated the experiences and impact of sexual and gender-based violence (SGBV) and torture on South Sudanese refugees’ health and rights and the responses of health and justice services in Northern Uganda. Design/methodology/approach It involved thematic analysis of the narratives of 20 men and 41 women refugees’ survivors of SGBV and torture; this included their experiences in South Sudan, their journeys to Uganda and experiences in refugee settlements. In total, 37 key stakeholders including health and justice providers, police, non-government and government organisations were also interviewed regarding their experiences of providing services to refugees. Findings All refugees had survived human rights abuses carried out in South Sudan, on route to Uganda and within Uganda. Incidents of violence, SGBV, torture and other human rights abuses declined significantly for men in Uganda, but women reported SGBV incidents. The research demonstrates linkages between the physical, psychological, social/cultural and justice/human rights impact on women and men refugees, which amplified the impact of their experiences. There was limited screening, physical and psychological health and support services; including livelihoods and education. Refugees remained concerned about violence and SGBV in the refugee settlements. While they all knew of the reporting system for such incidents, they questioned the effectiveness of the process. For this reason, women opted for family reconciliation rather than reporting domestic violence or SGBV to the authorities. Men found it hard to report incidences due to high levels of stigma and shame. Research limitations/implications Refugees largely fled South Sudan to escape human rights abuses including, persecution, SGBV and torture. Their experiences resulted in physical, psychological, social-cultural and justice effects that received limited responses by health and justice services. An integrated approach to meeting refugees’ needs is required. Practical implications The authors make recommendations for integrated gender sensitive service provision for refugees including more systematic screening, assessment and treatment of SGBV and torture physical and emotional injuries combined with implementation of livelihoods and social enterprises. Social implications The research demonstrates that stigma and shame, particularly for male refugee survivors of SGBV and torture, impacts on ability to report these incidents and seek treatment. Increasing gender sensitivity of services to these issues, alongside provision of medical treatment for injuries, alongside improved informal justice processes, may assist to counteract shame and increase disclosure. Originality/value There is currently a lack of empirical investigation of this subject area, therefore this research makes a contribution to the subject of understanding refugees’ experiences of SGBV and torture, as well as their perceptions of service provision and response. This subject is strategically important due to the pressing need to develop integrated, gendered and culturally sensitive services that listen to the voices and draw on the expertise of refugees themselves while using their skills to inform improvements in service responses and policy.

Exploring Family Service Providers Perceptions of Working with Recoupled Parents in Stepfamilies

We explore the perception of family service providers’ opinions and personal experiences working with recoupled parents in stepfamily forms. We examined service providers’ specific knowledge, attitudes, and practical responses to working with stepfamily forms that functions very differently to nuclear family forms. We interviewed four family service providers who work with individuals, couples, and families from a multiplicity of diverse family forms. Four main themes came out of the data collected: challenges family service providers identified when working with stepfamilies; complex relationship connections in stepfamilies; working within the boundaries and limitations of legislation and policies relating to both families in general and stepfamilies; and understanding and working within the parameters of how the family functions as a stepfamily. Our research demonstrates the importance of family service providers having a platform to discuss issues impacting family service providers working relevantly and effectively with stepfamilies.

Factors influencing the inappropriate use of antibiotics in the Rupandehi district of Nepal.

Antimicrobial resistance is a global public health crisis. A major driver of resistance is inappropriate antibiotic use, resulting from practices of prescribers, dispensers and patients. The purpose of this study was to identify the perception of service providers and policymakers about the inappropriate use of antibiotics in Nepal. A qualitative study was conducted to explore factors influencing antibiotic use. Participants included 17 service providers and policymakers from the Rupandehi district in Nepal, with a semi-structured interview schedule adopted. Data were analysed using thematic analysis to identify themes relating to the inappropriate use of antibiotics. Inappropriate use of antibiotics was found to result from the interaction of demand and supply factors, together with a weak regulatory environment. Lack of knowledge by consumers and financial constraints resulted in practices such as self-medication and pressure being placed on providers to prescribe or dispense antibiotics. An insufficient choice of antibiotics, and health services not having investigation facilities, was also factors leading to inappropriate use of antibiotics. Additionally, in the private sector, the profit motive arising from incentives provided by pharmaceutical companies contributed to prescribing or dispensing antibiotics inappropriately. Promoting appropriate antibiotic use is critical to reduce the growing public health threat of antibiotic resistance. A multi-faceted approach involving policymakers, providers, and the general public using both educational and regulatory measures is required to address this problem in Nepal, and potentially also in other low-income countries with a similar healthcare system.

Perceptual asymmetries in perceived quality ofHRfunction resulting from ownership transformation: A public‐to‐private scenario

Policymakers use privatization to transform a drowning public sector firm into a profitable institution while ignoring its effects on different organizational members. This study advances HR research on ownership transformation and its human resource implications by exploring potential effects of privatization on changes in perceptions of key HR service providers and service receives (i.e., HR and Non‐HR line managers) about the quality of HR business partnership role. This qualitative investigation is based on in‐depth semi‐structured interviews with eight Non‐HR and three HR line managers of a privatized fertilizer company in Pakistan. We proposed that the transformation of ownership positively affects the line manager's perceptions about strategic partner and change agent role of the HR Function. The line managers' perceptions about the expert administrative role remained almost unaffected, while their perceptions about employee champion role of HR Function are negatively affected after privatization. This study has contributed to the existing knowledge by highlighting the role of ownership transformation, particularly privatization in employees' perceptions about the business partner role of HR Function in a fertilizer firm.

Unsafe waters: the hydrosocial cycle of drinking water in Western Mexico

ABSTRACT Mexico faces multiple water quality challenges, both in terms of the water supplied to the population as well as surface and underground water sources. Problems with drinking water supply affect the population in diverse ways, from associated health risks to high levels of intermittency in service to the poor perception of the quality of piped water – leading to high levels of bottled water consumption. In this text we explore the issue of drinking water quality in three contexts in the state of Jalisco: in Guadalajara, the state’s main urban area, in the peri-urban municipality of El Salto, and in the mid-sized city of San Juan de los Lagos. Our analysis explores drinking water regulations, the water quality monitoring undertaken by state and local authorities, access to information, as well as the actions and perceptions of water service providers. Looking at cases of indirect reuse of wastewater as well as groundwater sources with high levels of fluoride and arsenic, we argue that the foregrounding of water quality is key to illuminating social inequalities in access to water and in teasing out power relations prevailing in current hydrosocial regimes. We conclude that this hydrosocial cycle of drinking water is characterised by prioritising access to water for economic actors, facilitated by lax regulations and minimal enforcement, as well as by the systematic neglect by government authorities at all levels of the protection of watersheds and aquifers, and of water quality issues generally.

Newcomer families' experiences with programs and services to support early childhood development in Canada: A scoping review

It can be difficult for families with young children to navigate early childhood development supports. In particular, newcomer families often encounter additional barriers and require resources, programs, and services that are tailored to their unique assets, experiences, and needs. We conducted a scoping review of the literature published between 2000 and 2019 to explore what is known about newcomer families’ experiences with programs and services to support early childhood development in Canada. We searched 12 databases, screened 2390 articles, and included 34 articles for synthesis and analysis. Three common and connected themes were identified: 1) effective intercultural understanding, responsiveness, and communication are critical to ensuring full access to meaningful programs and services; 2) some newcomer families face systemic barriers exacerbated by their immigration status, and; 3) feelings and perceptions of families and service providers, as well as social supports, networks, and relationships influence how programs and services are accessed and experienced. Our review identifies the requirement for additional, participatory research that centres the voices and perspectives of newcomer children and their families and the need to expand that research to less populated and rural areas of the country to inform meaningful and culturally relevant policies, programs, and services for newcomer families to support their children’s well-being.

Passengers Perception of Service Providers at Railway Platforms in India: A Comparative Analysis

The study is an attempt to measure satisfaction level of passengers for different platform-based amenities and service providers at railway platforms in India. The study is conducted at Allahabad Junction Railway Station, one of the busiest station in North Central Railway (NCR) Zone of Indian Railways. Study tried to compare the performance of service providers based on whether private vendor and railway operated ones. For the purpose a total of 23 amenities in five categories have been selected for the study.Diagnostic research adopting observation and survey method using questionnaire technique was used. Mean and standard deviation has been calculated to measure the level of performance of various service providers while gap analysis is used to compare their relative performance. Overall it is concluded that Book stalls, drinking water and other facilities like reservation display boards and so on provide maximum satisfaction, while, personal hygiene has least satisfaction level. Satisfaction level is high for services provided private operators as compared to those provided by Indian Railways.

Day Care Centers for Children in Karachi City A Mapping Study

Many parents send their pre-school aged children to daycare services. Generally, children spend their time in daycare from the age of 3 months to 5 years. Various daycare centers are operating in Karachi. This researcher is exploratory and was focused on gathering information about the care quality standards of daycare centers. Different factors, which include institution type, operational timings, building structure and capacity, financial sources, workforce competency, service delivery mechanism (use of equipment), the behavior of staff, amenities available, hygiene management, and perception of daycare service providers have been analyzed in this research.

An Investigation into Stakeholders’ Perception of Smart Campus Criteria: The American University of Sharjah as a Case Study

In recent times, smart cities and sustainable development have drawn significant research attention. Among developed and developing countries, the United Arab Emirates (UAE) has been at the forefront in becoming an incubator for smart cities; in particular, it has placed some efforts in the education sector by transforming the traditional campus into a Smart Campus. As the term Smart Campus attracts professionals and academics from multiple disciplines, and the technology keeps intervening in every aspect of life, it becomes inevitable for the Smart Campus to take place and deploy the future vision of smart cities. As a first step to achieve this vision, it is very important to develop a clear understanding of what is a Smart Campus. To date, there is still no clear perception of what a Smart Campus would look like, or what are the main components that can form a Smart Campus. Therefore, the objective of this research is to use the set of comprehensive criteria to identify what it is perceived to be a Smart Campus and evaluate these criteria from the stakeholders’ perception. The main criteria are defined from the literature review, and a case study is conducted on the American University of Sharjah campus stakeholders (faculty, students, management, and Information Technology (IT)) to assess the designated criteria. This exploratory research relies on both qualitative and quantitative methods to perform the analysis, taking into consideration the perceptions of students, faculty, and IT service providers. Finally, having defined and evaluated the criteria that underpin the Smart Campus framework, a set of recommendations are drawn to guide the utilization of a Smart Campus within higher education settings. This research opens the doors for future studies to gain a deeper insight into the type of decisions that need to be made to transform a traditional campus to a Smart Campus.

Comparing adolescent and service provider perceptions on the barriers to mental health service use: A sequential mixed methods approach

BackgroundThe rates of young people reporting psychological distress in Australia is increasing but service access by this group remains poor. Many young people are not seeking help for mental health concerns despite often being aware that they may need to. This issue is compounded by the complex nature of barriers that adolescents face when accessing and engaging with mental health services. This paper presents the integrated findings of a three phase mixed methods approach exploring the determinants of mental health service access and use by adolescents in Perth, Western Australia. This research sought to identify the barriers and facilitators experienced by adolescents during mental health help-seeking. This was done by highlighting and comparing the real-world experiences of adolescent mental health consumers at varying points of the help-seeking process with those of professionals providing mental health services. MethodsThe overarching study utilised a sequential mixed methods approach comprising of three phases. Each phase investigated its own discrete population: (Phase 1) mental health professionals and clinicians providing services to adolescents; (Phase 2) adolescents aged 14–18 years who intended to seek help for their mental health but had either not yet done so or had discontinued treatment, and; (Phase 3) adolescents aged 14–18 years who were currently using a mental health service or had previously used a mental health service in the past 24 months. Phases 1 and 3 used qualitative interviews, and phase 2 comprised an online survey. The findings of all three phases were then integrated. Equal weighting was given to the qualitative and quantitative results. ResultsSix main themes emerged from the integration of findings relating to the determinants for adolescent mental health service access and use: (1) Service entry criteria and intake processes; (2) Invalidating experiences; (3) Mental health system resourcing and service provision; (4) Service features (environment and location etc.); (5) Additional support, and; (6) Client-centred approach to care. ConclusionsA strong consensus between sample groups on the determinants influencing adolescent mental health service access and use was evident in this study. The alignment of views emphasises the importance of the identified themes and highlights how gaps in mental health service provision are experienced by differing stakeholders. The identified themes provide practical areas of focus for future mental health reform.

Trauma-informed care in the context of intellectual and developmental disability services: Perceptions of service providers.

Traumatic life events have pervasive impacts on health and well-being. A growing body of literature shows that people with intellectual and developmental disabilities are disproportionately impacted by trauma. Trauma-informed care (TIC) is a philosophy of service provision that is committed to preventing traumatization and re-traumatization and promoting healing. This study explores the perceptions of 130 leaders in the field of intellectual and developmental disabilities services on the adoption and practice of TIC through the analysis of quantitative data. Results indicated a disconnect between the level of TIC integration and perceptions detailing how well organizations are currently performing in aspects of TIC. Barriers to TIC included high staff turnover, lack of accessible mental health providers, lack of affordable training, stigma, and restrictive funding structures. Implications and recommendations for service organizations and educators are provided.

Emerging Patterns of Mountain Tourism in a Dynamic Landscape: Insights from Kamikochi Valley in Japan

This article analyzes the emerging contours of mountain tourism in a highly popular destination in the North Japan Alps by reporting the findings of a two-year long study at the Kamikochi Valley. The main aim was to understand the dynamic character of the biophysical landscape and the perceptions of tourism service providers and visitors. The study was conducted using a qualitative design and involved in-depth interviews, observations, and a questionnaire survey for visitors. It was found that while different stakeholders held different perceptions of the landscape, there was a general lack of understanding among tourism service providers and visitors regarding the relationship between long-term processes and fine-scale heterogeneity of the landscape. The prevalence of an engineering approach has led to sweeping changes of key landscape interaction pathways over the years, threatening the heterogeneity and resilience of the natural environment. The findings also indicate a general visitor demand of information on the biophysical environment, and therefore it is of urgent need to address the biophysical integrity of such landscapes, and raise visitor awareness through the provision of relevant information.

The burden of Japanese encephalitis, the catch-up vaccination campaign, and health service providers\u2019 perceptions in Myanmar: 2012\u20132017

BackgroundMyanmar is endemic for Japanese encephalitis (JE) and has experienced several outbreaks in recent years. The vector-borne disease control (VBDC) program has collected hospital-based surveillance data since 1974. There is an urgent need to collate, analyze, and interpret the most recent information. The study aimed to describe (i) hospital-based JE cases and deaths between 2012 and 2017, (ii) a catch-up vaccination campaign in children in 2017, and (iii) health service provider perceptions about JE in one township in 2018.MethodsThis was a cross-sectional study of cases, deaths, and catch-up childhood vaccinations using secondary data from program records and a survey database of health service provider perceptions.ResultsBetween 2012 and 2017, there were 872 JE cases and 79 deaths with a case fatality rate of 91 per 1000; 2016 was the year with most cases and deaths. Most cases (n = 324) and deaths (n = 37) occurred in children aged 5–9 years. Large case numbers were reported in delta and lowland regions (n = 550) and during the wet season (n = 580). The highest case fatality rates were observed in the hills and coastal regions (120 and 112 per 1000, respectively). Nationwide coverage of the catch-up JE vaccination campaign among 13.7 million eligible children was 92%, with coverage lower in the hills and coastal regions (84%) compared with delta and lowland regions and plains (94%). More vaccinations (65%) occurred through school-based campaigns with the remainder (35%) vaccinated through community-based campaigns. Structured interviews in one township showed that service providers (n = 47) had good perceptions about various aspects of JE, although perceived benefits of specific vector control measures were poor: spraying/fumigation (38%), garbage removal (36%), larvicide use (36%), and drainage of standing/stagnant water (32%).ConclusionThe catch-up vaccination campaign was a successful response to high JE case numbers and deaths in children. However, ongoing surveillance for JE needs to continue and be strengthened to ensure comprehensive reporting of all cases, more knowledge is needed on disability in JE survivors, and all attempts must be made to ensure high percentage coverage of vaccination through routine and catch-up campaigns.

The Student-Led Groups Program Model of Practice Education: Pilot Evaluation from the Perspective of Service Provider and University Stakeholders

Background: There is a need for innovative models of student practice placements to accommodate increasing numbers of occupational therapy students while providing quality learning experiences. The Student-Led Groups Program model is a new approach, which involves multiple students in continuous overlapping placements taking responsibility for leading a group program. Aims: The aim of this study was to explore service provider and university stakeholder perceptions of the Student-Led Groups Program model of professional practice education in a brain injury rehabilitation unit. Method: A participatory action research approach was utilised and this paper presents the findings from the first cycle of research. Data were collected using focus groups with service provider and university stakeholders and analysed using a qualitative descriptive approach. Results: Five key themes emerged in the data analysis, 1) positive practice placement experience for students, 2) positive practice placement model for clinicians, 3) improved occupational therapy services for patients, 4) essential components of the program, and 5) wider influence and reach. Conclusions: Findings indicated that the Student-Led Groups Program model was effective in providing quality student experiences and enhanced patient services in an inpatient setting from the perspectives of service providers and university representatives. Recommendations for subsequent research cycles are presented.

Implementing community-based health promotion in socio-economically disadvantaged areas: a qualitative study.

There is a gradient relationship between socio-economic status and health. We investigated the views and perceptions of health promotion service providers regarding factors that affect lack of engagement in public health initiatives by residents in socio-economically disadvantaged (SED) communities. We conducted semi-structured interviews with a purposive sample of key providers (n=15) of community-based health promotion services to elicit their views about engagement-related factors and their experiences of the provision, delivery and impact of health promotion in SED areas. Interviews were analysed using thematic analysis. Failure to (i) recognise within SED communities, socio-cultural norms of health-related behaviour and (ii) communicate to local residents an understanding of complex lifestyle influences appeared to affect adversely service engagement and contribute to the development of negative attitudes towards health promotion. Engagement is more likely when services are delivered within familiar settings, peer support is available, initiatives are organized within existing groups, external incentives are offered and there are options regarding times and locations. Collaborative working between providers and communities facilitates efficient, context-sensitive service delivery. Knowledge of a local community and its socio-environmental context alongside a collaborative, facilitative and tailored approach to delivery are required to ensure successful engagement of SED communities in health promotion.

Transport Service Provider Perception of Barriers and Urban Freight Policies in Brazil

The aim of this paper is to analyze the perceptions of the transport service providers on the barriers in urban freight transport and the restrictions imposed on freight vehicles, identifying which urban freight transport policies can improve this activity in Brazil. Principal component analysis allowed us to identify which are barriers in urban cargo transport and the restrictions imposed on freight vehicles. In addition, we evaluated freight policies that can improve the activity using probabilistic preference. We obtained the database from a web-based survey of transport service providers in Brazil. The results indicate that the urban freight vehicle restriction is related to congestion and availability of loading and unloading areas. The freight vehicle restriction is a result of the lack of information and data. The theft of cargo significantly impacts urban freight transport. Transport service provider company perceptions indicate an urban mobility plan as the most-required freight policy to improve freight mobility. To reduce the barriers to urban freight planning, an understanding of the problem involving the stakeholders is needed. To do so, the challenge is to change the culture in the transportation planning process by integrating various actors to create an urban logistics plan that generates opportunities for the city.

Choices and services related to contraception in the Gaza strip, Palestine: perceptions of service users and providers

BackgroundReliable contraception enables women and men to plan their family sizes and avoid unintended pregnancies, which can cause distress and anxiety, but also increase maternal mortality. This study explored potential barriers to contraceptive use for women in the Gaza Strip, Palestine from user and provider perspectives.MethodsA convenient sample was used to recruit women, who were current contraception users, from three healthcare clinics that provide family planning care, two governmental and one non-governmental. A 16-item questionnaire was completed by 204 women, including socio-demographic data, contraceptive use and eight questions exploring user experience. Additionally, 51 women attended focus groups for a deeper insight into their contraceptive use experience and potential barriers. Furthermore, 14 healthcare providers were interviewed about their experience with service provision. Quantitative data are presented as means and frequencies and qualitative data were analysed item by item and are presented in themes jointly with the quantitative data.ResultsWomen reported usage of only three main modern methods of contraception with 35.2% using intrauterine devices, 25.8% combined oral contraception and 16.4% condoms, while only 3.1% used the hormonal implant. Expectations from family planning services were low with most women attending the clinic having already decided their contraceptive method with decisions being made by husbands (41.2%) or women jointly with their partner (33.3%), only 13.7% took advice from service providers. Healthcare providers experienced high prevalence of beliefs that modern contraceptives cause infertility and cancer. Main barriers to effective family planning services were misconceptions of potential harm, poor availability and limited choice of contraceptive methods.ConclusionWomen’s contraceptive choices in Gaza are limited by prevalent misconceptions and fears as well as recurring shortages, negatively impacting fertility control. Men are a major factor in choosing a contraceptive method, however, they have limited access to information and therefore, potentially more misconceptions. Therefore, male community members need to be included in the delivery of information on contraceptives to increase women’s choice. Furthermore, greater access to long-acting reversible contraceptives, such as the hormonal implant, and improved availability might be key factors in improving contraceptive uptake in Gaza and, thus, reducing unintended pregnancies.

A model for evaluating the vital factors affecting cloud computing adoption

PurposeNowadays, the rapid growth of information technology strategies such as cloud computing is very noticeable in organizations. The advantages of the cloud environment are unavoidable because of an increase in innovation, flexibility and economy. Therefore, the critical topic is considering the factors affecting the adoption of cloud computing. This study aims to understand the factors of the adoption of cloud computing and its benefit in companies.Design/methodology/approachA research framework with four hypotheses has been developed based on the results of previous studies. Structural equation modeling has been used for data analysis.FindingsThe proposed model is verified by the results. In addition, the results have shown that cloud computing adoption is affected by four variables as follows, including human factor (with sub-indicator personal innovativeness and knowledge), organizational factor (with sub-indicator size, adequacy of resources and top management support), technical factor (with sub-indicator compatibility and security) and environmental factor (with sub-indicator regulatory environment, competitive pressure and trading partner).Research limitations/implicationsThere are crucial implications in the findings: they have an essential contribution to the research community, administrators and Information and Communications Technology providers with respect to framing improved tactics for the adoption of cloud computing. The proposed model can enhance the perception of service providers about why some services sectors accept cloud computing amenities, whereas apparently the same ones having the same market situations do not. In addition, the above providers should enhance their interaction with the services sectors contributed to the cloud computing experience to make a well-organized setting for the adoption of cloud computing, and eliminate any ambiguity about this sort of technology. Moreover, the sample has been limited to Iran respondents.Practical implicationsThe research studies about the usage of cloud computing have shown its effects on organizations today. Also, the different impacts of cloud computing on other contexts and organizations are in the center of attention. By carefully considering and managing cloud computing adoption logics, organizations could get significant advantages.Originality/valueCloud computing’s technical and operational issues have been central in most of the previous studies. Some surveys have referred to the adoption of cloud computing by the organizations in terms of human characteristics or the contextual factor. Therefore, there should be a model and outline to assess the effect of aforesaid factors on cloud computing adoption.