The THOE model to understand the critical factors affecting the decision to adopt picture archiving and communication system in hospitals based on TOE and HOT-fit model

Ammar K. Almasri, Leila Erfannia, Sajad Mohabbati, Shafique Ur Rehman and Ayman Alnaimi

International Journal of Business Information Systems, 2025, vol. 49, issue 2, 218-247

Abstract: Picture archiving and communication system (PACS) is one of the health information systems (HIS) invented to manage medical images in hospitals. The current study's main objective is to identify determinant factors that influence PACS adoption by physicians and radiology technicians. A total of 253 respondents from Iran were requested to participate in our study using the online Microsoft Forms service, and only 250 were returned. Physicians' and radiology technicians' perceptions were analysed using two software namely, SPSS and Smart-PLS. The findings also showed that the technological factors have a substantial influence that is slightly greater than that of human, organisational, and environmental on the attitude toward PACS system adoption (AD). In conclusion, this study's results determined that applying the THOE model is a suitable method to analyse physicians' and radiology technicians' behaviour in adopting innovative technology, such as PACS.

Keywords: PACS system; TOE model; HOT-fit model; THOE model; adoption. (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:ids:ijbisy:v:49:y:2025:i:2:p:218-247

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