An empirical study of factors influencing e-health services adoption among public in Saudi Arabia

Abstract

Until now most of the studies concerning eHealth in Saudi Arabia are about the exploration of the national benefits from eHealth and the technical and infrastructural challenges in implementing eHealth rather than finding the factors influencing the users in adopting eHealth services. Further, the eHealth adoption rate in Saudi Arabia is low despite the scope of potential growth for the eHealth market. In this study, the authors added Trust, Privacy and System Quality factors to Technology Acceptance Model by considering the research context to examine the factors influencing eHealth services adoption. The proposed model was empirically tested based on the data collected, through survey questionnaire from 314 responses in Saudi Arabia. Structural Equation Modelling was followed to analysis and validates the proposed model based on partial least squares method using SmartPLS. Based on the findings, Perceived Usefulness in addition to Privacy significantly affect eHealth adoption. Moreover, Perceived Ease of Use factor has indirect effect on people perception toward eHealth services. Furthermore, the results show that System Quality and Trust are not influencing factors. This study is important for the healthcare policymakers for getting direction for future studies to avail the maximum benefits of eHealth in Saudi Arabia.

Paving the way for increased e-health record use: elaborating intentions of Gen-Z

“…Literature Significant Not Significant Effort Expectancy General (Alloghani et al, 2015 ; Alsahafi et al, 2022 ; Ben et al, 2021 ; El-Wajeeh et al, 2014 ; Kijsanayotin et al, 2009 ) (Lee et al, 2020 ) Older (Cimperman et al, 2016 ; Honein-Abouhaidar et al, 2020 ) Younger (Tavares & Oliveira, 2016 ) EE is not positively related to intentions . (Almazroi et al, 2022 ) Performance Expectancy General (Alloghani et al, 2015 ; Alsahafi et al, 2022 ; El-Wajeeh et al, 2014 ; Kijsanayotin et al, 2009 ; Lee et al, 2020 ; Wei et al, 2020 ) (Ben et al, 2021 ) Older (Cimperman et al, 2016 ; Honein-Abouhaidar et al, 2020 ) Younger PE is positively related to intentions . (Almazroi et al, 2022 ; Cheung et al, 2020 ; Suwannapusit, 2021 ; Tavares & Oliveira, 2016 ; Yuan et al, 2015 ) Facilitating conditions NS General (Ben et al, 2021 ; Lee et al, 2020 ) Old...…”

“…(Almazroi et al, 2022 ) Performance Expectancy General (Alloghani et al, 2015 ; Alsahafi et al, 2022 ; El-Wajeeh et al, 2014 ; Kijsanayotin et al, 2009 ; Lee et al, 2020 ; Wei et al, 2020 ) (Ben et al, 2021 ) Older (Cimperman et al, 2016 ; Honein-Abouhaidar et al, 2020 ) Younger PE is positively related to intentions . (Almazroi et al, 2022 ; Cheung et al, 2020 ; Suwannapusit, 2021 ; Tavares & Oliveira, 2016 ; Yuan et al, 2015 ) Facilitating conditions NS General (Ben et al, 2021 ; Lee et al, 2020 ) Older (Cajita et al, 2018 ; Cimperman et al, 2016 ; Zibrik et al, 2015 ) Younger Facilitating conditions is not positively related to intentions . (Keen & Roberts, 2017 ; Suwannapusit, 2021 ; Tavares & Oliveira, 2016 ; Yuan et al, 2015 ) Social Influence General (Albar & Hoque, 2019 ; Alsahafi et al, 2022 ; Ben et al, 2021 ; El-Wajeeh et al, 2014 ; Kijsanayotin et al, 2009 ) ...…”

“…(Keen & Roberts, 2017 ) (Suwannapusit, 2021 ; Tavares & Oliveira, 2016 ; Yuan et al, 2015 ) Trust General (Alloghani et al, 2015 ; El-Wajeeh et al, 2014 ) Older (Jung & Loria, 2010 ; Nymberg et al, 2019 ; Rasche et al, 2018 ) Younger Trust does not influence intentions directly . (Almazroi et al, 2022 ; Khan et al, 2019 ) Privacy Concerns/Risk General (Angst & Agarwal, 2009 ; Wei et al, 2020 ) Older (Dontje et al, 2014 ; Pywell et al, 2020 ; Vance Wilson et al, 2021 ) Younger Privacy Concerns is positively related to intentions . (Almazroi et al, 2022 ) E-health Literacy General (Alsahafi et al, 2022 ; Uslu & İpek, 2022 ) Older (Nymberg et al, 2019 ; Pywell et al, 2020 ) Younger E-health literacy is positively related to intentions.…”

“…(Almazroi et al, 2022 ; Khan et al, 2019 ) Privacy Concerns/Risk General (Angst & Agarwal, 2009 ; Wei et al, 2020 ) Older (Dontje et al, 2014 ; Pywell et al, 2020 ; Vance Wilson et al, 2021 ) Younger Privacy Concerns is positively related to intentions . (Almazroi et al, 2022 ) E-health Literacy General (Alsahafi et al, 2022 ; Uslu & İpek, 2022 ) Older (Nymberg et al, 2019 ; Pywell et al, 2020 ) Younger E-health literacy is positively related to intentions. Note : Shaded areas highlight the present studies’ findings.…”

“…However, there are exceptions where no significant relationship was observed. This includes Lee et al ( 2020 ), who worked on a general population sample in Taiwan and Almazroi et al ( 2022 ), whose study was on a younger sample (88%<25 years old) in Saudi Arabia. Findings from related studies also indicate a relatively weak influence of effort expectancy on intentions (Ben et al, 2021 ).…”