CN  Vol.8 No.2 , May 2016
Factors Affecting the Intention of Adopting Cloud Computing in Jordanian Hospitals
Abstract: The purpose of this study is to examine the different factors that are expected to influence the intention of hospitals to adopt cloud computing in Jordan. This study is conducted using quatititative methodology. 223 questionnaires were distributed to the IT departments of different hospitals to evaluate their ability and willingness to adopt cloud computing. The data were tested using multiple regression in order to determine whether Technology, Organizational, and Environmental factors (TOE) played a role in hospitals’ decision to consider cloud computing as a beneficial investment. The findings of this study showed that all the factors had a significant positive impact on the intention of hospitals to adopt cloud computing, with the Technological factor having the most impact on the decision made.
Cite this paper: Harfoushi, O. , Akhorshaideh, A. , Aqqad, N. , Janini, M. and Obiedat, R. (2016) Factors Affecting the Intention of Adopting Cloud Computing in Jordanian Hospitals. Communications and Network, 8, 88-101. doi: 10.4236/cn.2016.82010.

[1]   Misra, S.C. and Mondal, A. (2011) Identification of a Company’s Suitability for the Adoption of Cloud Computing and Modeling Its Corresponding Return on Investment. Mathematical and Computer Modelling, 53, 504-521.

[2]   Sultan, N. (2010) Cloud Computing for Education: A New Dawn? International Journal of Information Management, 30, 109-116.

[3]   Winans, T. and Brown, J. (2009) Moving Information Technology Platforms to the Clouds: Insights into IT Platform Architecture Transformation. Journal of Service Science, 2, 23.

[4]   Demirkan, H., Kauffman, R.J., Vayghan, J.A., Fill, H., Karagiannis, D. and Maglio, P.P. (2008) Service-Oriented Technology and Management: Perspectives on Research and Practice for the Coming Decade. Electronic Commerce Research and Applications, 7, 356-376.

[5]   Gill, R. (2011) Why Cloud Computing Matters to Finance. Strategic Finance, 92, 43-47.

[6]   Owunwanne, D. and Goel, R. (2010) Radio Frequency Identification (RFID) Technology: Gaining A Competitive Value through Cloud Computing. International Journal of Management and Information Systems, 14, 157-164.

[7]   Swash, G. (1998) UK Business Information on the Internet. New Library World, 99, 238-242.

[8]   Bayo-Moriones, A. and Lera-Lo′pez, F. (2007) A Firm-Level Analysis of Determinants of ICT Adoption in Spain. Technovation, 27, 352-366.

[9]   Dwivedi, Y.K. and Mustafee, N. (2010) It’s Unwritten in the Cloud: The Technology Enablers for Realising the Promise of Cloud Computing. Journal of Enterprise Information Management, 23, 673-679.

[10]   Choudhary, V. and Vithayathil, J. (2013) The Impact of Cloud Computing: Should the IT Department be Organized as Cost Centre or a Profit Center? Journal of Management Information Systems, 30, 67-100.

[11]   11 Oliveira, T., Thomas, M. and Espadanal, M. (2014) Assessing the Determinants of Cloud Computing Adoption: An Analysis of the Manufacturing and Services Sectors. Information and Management, 51, 497-510.

[12]   Armbrust, M., Fox, A., Griffith, R., Joseph, A.D., Katz, R., Konwinski, A., et al. (2010) A View of Cloud Computing. Communications of the ACM, 53, 50-58.

[13]   Goscinski, A. and Brock, M. (2010) Toward Dynamic and Attribute Based Publication, Discovery and Selection for Cloud Computing. Future Generation Computer Systems, 26, 947-970.

[14]   Tuncay, E. (2010) Effective Use of Cloud Computing in Educational Institutions. Proscenia-Social and Behavioral Sciences, 2, 938-942.

[15]   Gatewood, B. (2009) Clouds on the Information Horizon: How to Avoid the Storm. Information Management Journal, 43, 32-36.

[16]   Hailu, A. (2012) Factors Influencing Cloud-Computing Technology Adoption in Developing Countries. Ph.D. Thesis, Capella University, Minneapolis.

[17]   Mell, P. and Grance, T. (2011) The NIST Definition of Cloud Computing, Computer Security Division Information Technology Laboratory National Institute of Standards and Technology, Gaithersburg, MD.

[18]   Sallehudin, H., Razak, R.C. and Ismail, M. (2015) Factors Influencing Cloud Computing Adoption in the Public Sector: An Empirical Analysis. Journal of Entrepreneurship and Business, 3, 30-45.

[19]   Rohani, M.B. and Hussin, R.C. (2015) An Integrated Theoretical Framework for Cloud Computing Adoption by Universities Technology Transfer Offices (TTOs). Journal of Theoretical and Applied Information Technology, 79, 415-430.

[20]   Pyke, J. (2009) Now Is the Time to Take the Cloud Seriously. White Paper.

[21]   Chen, J.S. and Tsou, H.T. (2007) Information Technology Adoption for Service Innovation Practices and Competitive Advantage: The Case of Financial Firms. Information Research, 12, 314-324.

[22]   Han, Y., (2010) On the Clouds: A New Way of Computing. Information Technology & Libraries, 29, 87-92.

[23]   Ross, V.W. (2010) Factors Influencing the Adoption of Cloud Computing by Decision Making Managers. Ph.D. Thesis, Capella University, Minneapolis.

[24]   Low, C., Chen, Y. and Wu, M. (2011) Understanding the Determinants of Cloud Computing Adoption. Industrial Management & Data Systems, 111, 1006-1023.

[25]   Private Hospitals Association (2015).

[26]   Rawabdeh, A. (2007) An E-Health Trend Plan for the Jordanian Health Care System: A Review. International Journal of Health Care Quality Assurance, 20, 516-531.

[27]   Chatman, C. (2010) How Cloud Computing Is Changing the Face of Health Care Information Technology. Journal of Health Care Compliance, 12, 37-70.

[28]   Kuo, A.M.H. (2011) Opportunities and Challenges of Cloud Computing to Improve Health Care Services. Journal of Medical Internet Research, 13, e67.

[29]   Lin, A. and Chen, N. (2012) Cloud Computing as an Innovation: Perception, Attitude, and Adoption. International Journal of Information Management, 32, 533-540.

[30]   Lian, J.W., Yen, D.C. and Wang, Y.T. (2014) An Exploratory Study to Understand the Critical Factors Affecting the Decision to Adopt Cloud Computing in Taiwan Hospital. International Journal of Information Management, 34, 28-36.

[31]   Saya, S., Pee, L.G. and Kankanhalli, A. (2010) The Impact of Instutational Influences on Perceived Technological Characteristics and Real Options in Cloud Computing Adoption. Proceedings of the 31st International Conference on Information Systems, St. Louis, January 2010.

[32]   Rochwerger, B., Breitgand, D., Levy, E., Galis, A., Nagin, K., Llorente, I. and Galan, F. (2009) The Reservoir Model and Architecture for Open Federated Cloud Computing. IBM Journal of Research and Development, 53, 1-11.

[33]   Liu, H. and Orban, D. (2008) GridBatch: Cloud Computing for Large-Scale Data-Intensive Batch Applications. Proceedings of the 8th IEEE International Symposium on Cluster Computing and the Grid, Lyon, 19-22 May 2008, 295-305.

[34]   Assuncao, M.D., Costanzo, A. and Buyya, R. (2009) Evaluating the Cost-Benefit of Using Cloud Computing to Extend the Capacity of Clusters. Proceedings of the 18th ACM International Symposium on High Performance Distributed Computing, Munich, 11-13 June 2009, 141-150.

[35]   Marston, S., Li, Z., Bandyopadhyay, S., Juheng, Z. and Anand, G. (2011) Cloud Computing—The Business Perspective. Decision Support Systems, 51, 176-189.

[36]   Buyya, R., Yeo, C.S., Venugopa, S., Broberg, J. and Brandic, I. (2009) Cloud Computing and Emerging It Platforms: Vision, Hype, and Reality for Delivering Computing as the 5th Utility. Future Generation Computer Systems, 25, 599-616.

[37]   Kumar, P. and Ravali, K. (2012) Going Green with Cloud Computing. Bookman International Journal of Software Engineering, 1, 31-33.

[38]   Noor, T., Sheng, Z., Zeadally, S. and Yu, J. (2013) Trust Management of Services in Cloud Environments: Obstacles and Solutions. ACM Computing Surveys, 46, 12-30.

[39]   Erdogmus, H. (2009) Cloud Computing: Does Nirvana Hide behind the Nebula? IEEE Software, 26, 4-6.

[40]   Hayes, B. (2008) Cloud Computing. Communications of the ACM, 51, 9-11.

[41]   Catteddu, D. and Hogben, G. (2009) Cloud Computing: Benefits, Risks and Recommendations for Information Security. Technical Report, European Network and Information Security Agency.

[42]   Ercan, T. (2010) Effective Use of Cloud Computing in Educational Institutions. Procedia-Social and Behavioral Sciences, 2, 938-942.

[43]   Thomas, P.Y. (2011) Cloud Computing: A Potential Paradigm for Practising the Scholarship of Teaching and Learning. The Electronic Library, 29, 214-224.

[44]   Velte, A.T., Velte, T.J. and Elsenpeter, R. (2009) Cloud Computing: A Practical Approach. Tata McGraw-Hill, New York.

[45]   Gangwar, H., Date, H. and Ramaswamy, R. (2015) Understanding Determinants of Cloud Computing Adoption Using an Integrated TAM-TOE Model. Journal of Enterprise Information Management, 28, 107-130.

[46]   Sultan, N. (2011) Reaching for the “Cloud”: How SMEs Can Manage. International Journal of Information Management, 31, 272-278.

[47]   Yang, S. (2012) Move into the Cloud, Shall We? Library Hi Tech News, 29, 4-7.

[48]   Tweel, A. (2012) Examining the Relationship between Technological, Organizational, and Environmental Factors and Cloud Computing Adoption. Ph.D. Thesis, Northcentral University, San Diego.

[49]   Tornatzky, L.G. and Fleischer, M. (1990) The Processes of Technological Innovation. Lexington Books, Lexington.

[50]   Zhu, K., Kraemer, K.L., Xu, S. and Dedrick, J. (2004) Information Technology Payoff in E-Business Environments: An International Perspective on Value Creation of E-Business in the Financial Services Industry. Journal of Management Information Systems, 21, 17-54.

[51]   Swanson, E.B. (1995) Information Systems Management among Organizations. Management Science, 40, 1069-1092.

[52]   Oliveira, T. and Martins, M.F. (2010) Firms Patterns of E-Business Adoption: Evidence for the European Union-27. The Electronic Journal Information Systems Evaluation, 13, 47-56.

[53]   Alshamaila, Y., Papagiannidis, S. and Li, F. (2013) Cloud Computing Adoption by SMEs in the North East of England: A Multi-Perspective Framework. Journal of Enterprise Information Management, 26, 250-275.

[54]   Amini, M. (2014) The Factors That Influence on Adoption of Cloud Computing for Small and Medium Enterprises. Masters Dissertation, Universiti Teknologi Malaysia, Johor.

[55]   Awa, H. O., Ukoha, O., Bartholomew, O. and Emecheta, C. (2015) Integrating TAM, TPB and TOE Frameworks and Expanding Their Characteristic Constructs for E-Commerce Adoption by SMEs. Journal of Science & Technology Policy Management, 6, 76-94.

[56]   Premkumar, G. (2003) A Meta-Analysis of Research on Information Technology Implementation in Small Business. Journal of Organizational Computing and Electronic Commerce, 13, 91-121.

[57]   Rogers, E. (2003) Diffusion of Innovations. 5th Edition, Free Press, New York.

[58]   To, M. and Ngai, E. (2006) Predicting the Organisational Adoption of B2C E-Commerce: An Empirical Study. Industrial Management and Data Systems, 106, 1133-1147.

[59]   Lee, J. (2004) Discriminant Analysis of Technology Adoption Behavior: A Case of Internet Technologies in Small Businesses. Journal of Computer Information Systems, 44, 57-66.

[60]   Miller, M. (2008) Cloud Computing: Web-Based Applications That Change the Way You Work and Collaborate Online. Que, Indiana.

[61]   Gutierrez, A., Boukrami, E. and Lumsden, R. (2015) Technological, Organisational and Environmental Factors Influencing Managers’ Decision to Adopt Cloud Computing in the UK. Journal of Enterprise Information Management, 28, 788-807.

[62]   Feuerlicht, G. and Govardhan, S. (2010) Impact of Cloud Computing: Beyond a Technology Trend. Proceedings of the International Conference on Systems Integration, Oeconomica, Prague, 8-9 June 2010, 1-8.

[63]   Kim, Y.C., Cha, M.H., Lee, S.M. and Kim, Y.K. (2009) Trends of Storage Virtualization Technologies on Cloud Computing. Electronics and Telecommunications Trends, 24, 69-78.

[64]   Jain, L. and Bhardwaj, S. (2010) Enterprise Cloud Computing: Key Considerations for Adoption. International Journal of Engineering and Information Technology, 2, 113-117.

[65]   Sonnenwald, D.H., Maglaughlin, K.L. and Whitton, M.C. (2001) Using Innovation Diffusion Theory to Guide Collaboration Technology Evaluation. Proceedings of the IEEE 10th International Workshop on Enabling Technologies, Work in Progress, Infrastructure for Collaborative Enterprises, Cambridge, 20-22 June 2001, 114-119.

[66]   Sahin, I. (2006) Detailed Review of Rogers’ Diffusion of Innovations Theory and Educational Technology-Related Studies Based on Rogers’ Theory. The Turkish Online Journal of Educational Technology, 5, 14-23.

[67]   Berman, S., Kesterson-Townes, A. and Marchal, A. (2012) How Cloud Computing Enables Process and Business Model Innovation. Strategy and Leadership, 40, 27-35.

[68]   Peng, R., Xiong, L. and Yang, Z. (2012) Exploring Tourist Adoption of Tourism Mobile Payment: An Empirical Analysis. Journal of Theoretical and Applied Electronic Commerce Research, 7, 21-33.

[69]   Lin, H.F. and Lin, S.M. (2008) Determinants of E-Business Diffusion: A Test of the Technology Diffusion Perspective. Technovation, 28, 135-145.

[70]   Wang, Y., Wang, Y. and Yang, Y. (2010) Understanding the Determinants of RFID Adoption in the Manufacturing Industry. Technological Forecasting & Social Change, 77, 803-815.

[71]   Parasuraman, A. (2000) Technology Readiness Index (Tri): A Multiple-Item Scale to Measure Readiness to Embrace New Technologies. Journal of Service Research, 2, 307-320.

[72]   Laforet, S. (2011) A Framework of Organisational Innovation and Outcomes in SMEs. International Journal of Entrepreneurial Behaviour and Research, 17, 380-408.

[73]   Ramdani, B., Kawalek, P. and Lorenzo, O. (2009) Predicting SMEs’ Adoption of Enterprise Systems. Journal of Enterprise Information Management, 22, 10-24.

[74]   Li, M., Zhao, D. and Yu, Y. (2015) TOE Drivers for Cloud Transformation: Direct or Trust-Mediated? Asia Pacific Journal of Marketing and Logistics, 27, 226-248.

[75]   Cegielski, C.G., Farmer, L.A., Wu, Y. and Hazen, B.T. (2012) Adoption of Cloud Computing Technologies in Supply Chains. The International Journal of Logistics Management, 23, 184-211.

[76]   Alkhater, N., Wills, G. and Walters, R. (2014) Factors Influencing an Organisation’s Intention to Adopt Cloud Computing in Saudi Arabia. Proceedings of the IEEE 6th International Conference on Cloud Computing Technology and Science, Singapore, 15-18 December 2014, 1040-1044.

[77]   Sekaran, U. and Bougie, R. (2013) Research Methods for Business. John Wiley & Sons Ltd., Chichester.

[78]   Hair Jr., J.F., Anderson, R.E., Tatham, R.L. and Black, W.C. (1998) Multivariate Data Analysis. 5th Edition, Prentice Hall, Upper Saddle River.

[79]   Creswell, J. (2009) Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 3rd Edition, Sage Publications, Thousand Oaks.

[80]   Pallant, J. (2005) SPSS Survival Manual: A Step Guide to Data Analysis Using SPSS for Windows Version 12. Open University Press, Chicago.

[81]   Sekaran, U. (2003) Research Methods for Business: A Skill Building Approach. 4th Edition, John Wiley & Sons, Ltd., Hoboken.

[82]   Teo, T.S.H., Lin, S. and Lai, K.H. (2009) Adopters and Non-Adopters of E-Procurement in Singapore: An Empirical Study. Omega, 37, 972-987.

[83]   Kim, B. and Lee, S. (2008) Factors Affecting the Implementation of Electronic Data Interchange in Korea. Computers in Human Behavior, 24, 263-283.

[84]   Yoon, T. (2009) An Empirical Investigation of Factors Affecting Organizational Adoption of Virtual Worlds. Ph.D. Thesis, Florida State University, Tallahassee.

[85]   Lertwongsatien, C. and Wongpinunwatana, N. (2003) E-Commerce Adoption in Thailand: An Empirical Study of Small and Medium Enterprises (SMEs). Journal of Global Information Technology Management, 6, 67-83.

[86]   Ramdani, B. and Kawalek, P. (2007) SME Adoption of Enterprise Systems in the Northwest of England: An Environmental, Technological and Organizational Perspective. In McMaster, T., Wastell, D., Ferneley, E. and DeGross, J.I., Eds., Organizational Dynamics of Technology-Based Innovation: Diversifying the Research Agenda, Springer, Boston, 409-429.

[87]   Ramdani, B. and Kawalek, P. (2008) SMEs & IS Innovations Adoption: A Review & Assessment of Previous Research. Academia Revista Latinoamericana de Administración, 39, 47-70.

[88]   Chong, A.Y.L. and Ooi, K.B. (2008) Adoption of Interorganizational System Standards in Supply Chains: An Empirical Analysis of RosettaNet Standards. Industrial Management & Data Systems, 108, 529-547.

[89]   Zhu, K., Dong, S., Xu, S. and Kraemer, K. (2006) Innovation Diffusion in Global Contexts: Determinants of Post-Adoption Digital Transformation of European Companies. European Journal of Information Systems, 15, 601-616.