PurposeThe healthcare system in the Philippines has insufficient patient and personnel management, inefficient inventory systems and disorganized medical record-keeping, contributing to unsatisfactory patient care. This occurrence calls for a centralized database, like enterprise resource planning (ERP) systems that manage healthcare systems efficiently. This study utilized partial least squares-based structural equation modeling and random forest classifier (RFC) to identify the factors influencing the adoption of ERP systems in secondary healthcare institutions.Design/methodology/approachThe study proposed an extended unified theory of acceptance and use of technology framework integrated with the valence model to define behavioral intention and use behavior of ERP systems. A self-administered online survey was answered by 250 secondary healthcare stakeholders in the Philippines voluntarily.FindingsEffort expectancy, performance expectancy and social influence result in a very high behavioral intention, leading to the use behavior of ERP systems, while facilitating conditions and innovativeness in information technology led to high significance. Price value and perceived benefits are significant factors. RFC was proven reliable in predicting the factors, with an accuracy of 96%, indicating that the proposed framework can be used in future research to examine enterprise system adoption in different healthcare facilities.Originality/valueThere has yet to be a study that covers ERP in the Philippines, let alone its adoption. Since the ERP system is relatively present for a certain period of time, its adoption among healthcare facilities has not been covered in the Philippines. This study is the first to decipher and understand the ERP adoption and its practical implications.
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