Connected but cautious: the role of social influence, performance expectancy and medicolegal risk in digital healthcare adoption.

IF 2.4 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2026-04-09 DOI:10.1108/JHOM-06-2025-0342

Ammaz Sajid, Aitzaz Khurshid, Aitzaz Sajid, Shaiza Aslam

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引用次数: 0

Abstract

Purpose: This research examines the determinants affecting the adoption of digital technologies within Pakistan's healthcare sector, employing the unified theory of acceptance and use of technology (UTAUT) framework.

Design/methodology/approach: This study evaluated the roles of social influence (SI), medicolegal risk (MLR) and performance expectancy (PE) in shaping the adoption of digital technologies (ADT) and their impact on operational performance (OP). Data were collected via a survey from 352 healthcare professionals and analyzed employing the structural equation modeling technique through Smart-Pls.

Findings: The results indicate that SI has a positive effect on adaptive decision-making, particularly in hierarchical institutional contexts, whereas market legal regulations act as a notable obstacle due to legal uncertainty and regulatory ambiguity. PE was shown to directly promote adoption and also mitigate the adverse impact of MLR. ADT was additionally confirmed as a mediating variable connecting external influences to operational outcomes.

Originality/value: This research expands the UTAUT framework by integrating MLR as a domain-specific inhibitor and analyzing key constructs in the context of Hofstede's cultural dimensions pertinent to Pakistan, including high power distance and moderate uncertainty avoidance. This study provides a context-specific, empirically supported extension of the UTAUT framework applicable to healthcare systems in developing nations.

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联系但谨慎：社会影响、绩效预期和医疗法律风险在数字医疗采用中的作用。

目的：本研究考察了影响巴基斯坦医疗保健部门采用数字技术的决定因素，采用了技术接受和使用的统一理论（UTAUT）框架。设计/方法/方法：本研究评估了社会影响（SI）、医疗法律风险（MLR）和绩效预期（PE）在塑造数字技术（ADT）的采用及其对运营绩效（OP）的影响中的作用。通过对352名医疗保健专业人员的调查收集数据，并通过Smart-Pls采用结构方程建模技术进行分析。研究结果表明，创新对适应性决策具有积极影响，特别是在等级制度背景下，而市场法律法规由于法律不确定性和监管模糊性而成为显著障碍。PE被证明可以直接促进采用，也可以减轻MLR的不利影响。ADT还被确认为连接外部影响与操作结果的中介变量。原创性/价值：本研究扩展了UTAUT框架，将MLR作为一个领域特异性抑制剂，并分析了Hofstede文化维度背景下与巴基斯坦相关的关键结构，包括高权力距离和中度不确定性回避。本研究提供了适用于发展中国家医疗保健系统的UTAUT框架的具体情况，经验支持的扩展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.