Chang Shih-Chia, Lu Ming-Tsang, Pan Tzu-Hui, Chen Chiao-Shan
College of Management, National Taipei University of Business, Taipei 100025, Taiwan.
Department of Business Administration, National Taipei University of Business, Taipei 100025, Taiwan.
Life (Basel). 2021 Apr 2;11(4):310. doi: 10.3390/life11040310.
Although the electronic health (e-health) cloud computing system is a promising innovation, its adoption in the healthcare industry has been slow. This study investigated the adoption of e-health cloud computing systems in the healthcare industry and considered security functions, management, cloud service delivery, and cloud software for e-health cloud computing systems. Although numerous studies have determined factors affecting e-health cloud computing systems, few comprehensive reviews of factors and their relations have been conducted. Therefore, this study investigated the relations between the factors affecting e-health cloud computing systems by using a multiple criteria decision-making technique, in which decision-making trial and evaluation laboratory (DEMATEL), DANP (DEMATEL-based Analytic Network Process), and modified VIKOR (VlseKriterijumska Optimizacija I Kompromisno Resenje) approaches were combined. The intended level of adoption of an e-health cloud computing system could be determined by using the proposed approach. The results of a case study performed on the Taiwanese healthcare industry indicated that the cloud management function must be primarily enhanced and that cost effectiveness is the most significant factor in the adoption of e-health cloud computing. This result is valuable for allocating resources to decrease performance gaps in the Taiwanese healthcare industry.
尽管电子健康（e-health）云计算系统是一项很有前景的创新，但它在医疗行业的应用进展缓慢。本研究调查了医疗行业中电子健康云计算系统的应用情况，并考虑了电子健康云计算系统的安全功能、管理、云服务交付和云软件。尽管众多研究已经确定了影响电子健康云计算系统的因素，但很少有对这些因素及其关系进行全面综述的研究。因此，本研究通过使用多准则决策技术来研究影响电子健康云计算系统的因素之间的关系，其中结合了决策试验与评价实验室（DEMATEL）、基于DEMATEL的网络分析法（DANP）和改进的VIKOR（VlseKriterijumska Optimizacija I Kompromisno Resenje）方法。使用所提出的方法可以确定电子健康云计算系统的预期采用水平。对台湾医疗行业进行的案例研究结果表明，必须首先加强云管理功能，并且成本效益是采用电子健康云计算的最重要因素。这一结果对于在台湾医疗行业分配资源以缩小绩效差距具有重要价值。
