TY - JOUR
T1 - Determinants of ICT Adoption and Performance in Healthcare: The Role of Individual Attributes and Organizational Contextual Factors
AU - Jose, Abey
AU - Cawley, Alejandro F. Mac
AU - Gaete, Luis Enberg
AU - Tortorella, Guilherme Luz
AU - Vassolo, Roberto
AU - Kumar, Manisha
AU - Rich, Nick
AU - Kumar, Maneesh
PY - 2025/1/29
Y1 - 2025/1/29
N2 - Implementing Information and Communication Technologies (ICTs) in the healthcare sector faces several barriers, and the pace of adoption may vary depending on several factors, including individual attributes such as competence and experience, along with contextual factors such as size, type, and location of the organization. We conducted a global survey involving healthcare professionals (n =204) to understand the role of various determinants in adopting ICTs and their implications for organizational performance. Data was analyzed using Partial Least Squares Structural Equation Modelling (PLS-SEM) and multiple regression for micro-level constructs. Findings indicate that while individual attributes positively influence organizational performance, the direct impact of ICT adoption on performance is limited. While front-end technologies enhance performance, base technologies may occasionally hinder it. This stresses the necessity of thoroughly assessing specific technology applications to ensure they operate effectively. Furthermore, the relationships between competence and experience in ICT adoption were not statistically significant, indicating that individual attributes may have less influence on ICT adoption; this implies that technological advancements typically occur through management decisions in collaboration with the relevant IT department, emphasizing the importance of increased user participation and the process of adoption and effective use, which are distinct aspects while evaluating individual aspects. Future research should focus on detailed and specific applications of technology and nuanced, long-term performance outcomes.
AB - Implementing Information and Communication Technologies (ICTs) in the healthcare sector faces several barriers, and the pace of adoption may vary depending on several factors, including individual attributes such as competence and experience, along with contextual factors such as size, type, and location of the organization. We conducted a global survey involving healthcare professionals (n =204) to understand the role of various determinants in adopting ICTs and their implications for organizational performance. Data was analyzed using Partial Least Squares Structural Equation Modelling (PLS-SEM) and multiple regression for micro-level constructs. Findings indicate that while individual attributes positively influence organizational performance, the direct impact of ICT adoption on performance is limited. While front-end technologies enhance performance, base technologies may occasionally hinder it. This stresses the necessity of thoroughly assessing specific technology applications to ensure they operate effectively. Furthermore, the relationships between competence and experience in ICT adoption were not statistically significant, indicating that individual attributes may have less influence on ICT adoption; this implies that technological advancements typically occur through management decisions in collaboration with the relevant IT department, emphasizing the importance of increased user participation and the process of adoption and effective use, which are distinct aspects while evaluating individual aspects. Future research should focus on detailed and specific applications of technology and nuanced, long-term performance outcomes.
KW - ICT adoption
KW - organizational factors
KW - digital transformation
KW - healthcare 4.0
KW - digital health
KW - technology assessment
U2 - 10.1109/ACCESS.2025.3536089
DO - 10.1109/ACCESS.2025.3536089
M3 - Article
SN - 2169-3536
VL - 13
SP - 22535
EP - 22550
JO - IEEE Access
JF - IEEE Access
ER -