Bazel Mahmood A, Mohammed Fathey, Ahmad Mazida, Baarimah Abdullah O, Al Maskari Tahra
Faculty of Engineering and Information Technology, Taiz University, Taiz, Yemen.
Department of Business Analytics, Sunway Business School, Sunway University, Selangor, 47500, Malaysia.
Sci Rep. 2025 Apr 23;15(1):14111. doi: 10.1038/s41598-025-95253-x.
Blockchain technology has gained significant attention in several sectors owing to its distributed ledger, decentralized nature, and cryptographic security. Despite its potential to reform the healthcare industry by providing a unified and secure system for health records, blockchain adoption remains limited. This study aimed to identify the factors influencing the intention to adopt blockchain in healthcare by focusing on healthcare providers. A theoretical model is proposed by integrating the Technological-Organizational-Environmental framework, Fit-Viability Model, and institutional theory. A quantitative approach was adopted and data were collected through an online survey of 199 hospitals to evaluate the model. The collected data were analysed using PLS-SEM. The results indicated that technology trust, information transparency, disintermediation, cost-effectiveness, top management support, organizational readiness, partner readiness, technology vendor support, fit, and viability significantly and positively influenced the intention to adopt blockchain-based Health Information Systems in hospitals. Conversely, coercive pressure from the government negatively affects adoption decisions. Moreover, the study found that the hospital ownership type did not moderate the relationship between the identified factors and blockchain adoption. This study provides valuable insights into the various factors that influence blockchain adoption in hospitals. The developed model offers guidelines for hospitals, blockchain providers, governments, and policymakers to devise strategies that promote implementation and encourage widespread adoption of blockchain in healthcare organizations.
区块链技术因其分布式账本、去中心化特性和加密安全性，在多个领域受到了广泛关注。尽管它有潜力通过提供一个统一且安全的健康记录系统来改革医疗行业，但区块链的采用仍然有限。本研究旨在通过关注医疗服务提供者来确定影响医疗行业采用区块链意愿的因素。通过整合技术-组织-环境框架、适配-可行性模型和制度理论，提出了一个理论模型。采用定量方法，通过对199家医院进行在线调查来收集数据，以评估该模型。使用偏最小二乘结构方程模型（PLS-SEM）对收集到的数据进行分析。结果表明，技术信任、信息透明度、去中介化、成本效益、高层管理支持、组织准备度、合作伙伴准备度、技术供应商支持、适配性和可行性对医院采用基于区块链的健康信息系统的意愿有显著的正向影响。相反，政府的强制压力对采用决策有负面影响。此外，研究发现医院所有权类型并未调节已识别因素与区块链采用之间的关系。本研究为影响医院采用区块链的各种因素提供了有价值的见解。所开发的模型为医院、区块链供应商、政府和政策制定者制定促进实施并鼓励医疗组织广泛采用区块链的策略提供了指导方针。
