Academic journal article Inquiry

Establishing a Cloud Computing Success Model for Hospitals in Taiwan

Academic journal article Inquiry

Establishing a Cloud Computing Success Model for Hospitals in Taiwan

Article excerpt


The purpose of this study is to understand the critical quality-related factors that affect cloud computing success of hospitals in Taiwan. In this study, private cloud computing is the major research target. The chief information officers participated in a questionnaire survey. The results indicate that the integration of trust into the information systems success model will have acceptable explanatory power to understand cloud computing success in the hospital. Moreover, information quality and system quality directly affect cloud computing satisfaction, whereas service quality indirectly affects the satisfaction through trust. In other words, trust serves as the mediator between service quality and satisfaction. This cloud computing success model will help hospitals evaluate or achieve success after adopting private cloud computing health care services.


cloud computing, health care services, information systems success model, trust, cloud computing success model


Since 1995, Taiwan has provided its citizens with nationwide health insurance. However, a few years after the implementation, the funding for national health insurance incurred a shortage; therefore, many policies have since been proposed to mitigate the funding gap, such as diagnosis-related groups. In 2013, the second generation of the National Health Insurance Program was implemented with additional supplementary insurance fee to address the funding problem. For hospitals, under the various medical payment standards of national health insurance, reducing operating costs became an important objective and a source of competitive advantage. To achieve this goal, information technology (IT) has been utilized as a critical weapon. Using the characteristics of information systems (IS), hospitals can provide good health care services at lower costs. These health care IS include picture archiving and communication systems (PACS), hospital information systems (HIS), and radiology information systems (RIS), among others.

Recently, with the emergence of the cloud computing era, (1, 2) generating electronic medical records (EMRs) has become more feasible than traditional IT platforms. According to its applications, the deployment models of cloud computing can be divided into private cloud, public cloud, and hybrid cloud (3) Many hospital-based applications can benefit from this novel platform. Over the past few years, more and more hospitals in Taiwan have adopted cloud computing as their IT services platform (4) However, previous studies were focused on critical factors that affect adopting decisions (1,5) In contrast, very few studies have been conducted to understand the success of cloud computing for hospitals. The work of Garrison et al (6) emphasized the critical role of 3 IT capabilities (managerial, technical, and relational) toward the success of cloud computing. However, they only focused on IT capabilities, other IS success related factors were not considered. Besides, their study has not applied to the health care industry which has particular characteristics than other industry.

This study, to address the insufficiency of related research, attempts to establish and verify a cloud computing success model for Taiwan hospitals. By integrating IS success model (7, 8) and trust, the hospital cloud computing success model has been established and validated using the questionnaire survey administered to hospital chief information officers (CIOs). This study has 3 major contributions. First, it addresses the inadequacy of current research available in the literature. Second, it can be referenced by hospitals that, in the future, will adopt cloud computing. Finally, it can be utilized by hospital management for evaluating the success of their cloud-based e-health care systems.


Theoretical Framework and Hypothesis

The major theoretical base of this study is the IS success model proposed by DeLone and McLean (7) in 1992. …

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