Adoption of Cloud-Based Communicable Disease Surveillance in Taiwan: Chief Information Officers’ Perspectives of Hospitals

Cloud-based communicable disease surveillance (CCDS) allows the infection control staff of Taiwanese hospitals to simplify many of their reporting procedures and improve patient safety more efficiently and cost-effectively. Despite its great potential, there are gaps in health information technology researchers’ understanding of how hospitals decide to adopt CCDS. Therefore, our study proposes a research model that incorporates technological, organizational, environmental, transaction cost, and sociological perspectives to determine the factors that influence hospitals’ intention to adopt CCDS. A series of surveys was used to empirically test the organizational adoption model through the chief information officers (CIOs) of Taiwanese hospitals. The 206 valid questionnaires were selected for data analysis. The results showed hospitals’ decision to adopt CCDS as based on relative advantages, hospital size, top management support, government policies, uncertainty, and trust. These findings provide valuable insights and implications for medical informatics practices to facilitate the likelihood of cloud technology adoption.