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A Structural Equation Modeling Approach for the Adoption of Cloud Computing to Enhance the Malaysian Healthcare Sector

  • Systems-Level Quality Improvement
  • Published:
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Abstract

The investments and costs of infrastructure, communication, medical-related equipments, and software within the global healthcare ecosystem portray a rather significant increase. The emergence of this proliferation is then expected to grow. As a result, information and cross-system communication became challenging due to the detached independent systems and subsystems which are not connected. The overall model fit expending over a sample size of 320 were tested with structural equation modelling (SEM) using AMOS 20.0 as the modelling tool. SPSS 20.0 is used to analyse the descriptive statistics and dimension reliability. Results of the study show that system utilisation and system impact dimension influences the overall level of services of the healthcare providers. In addition to that, the findings also suggest that systems integration and security plays a pivotal role for IT resources in healthcare organisations. Through this study, a basis for investigation on the need to improvise the Malaysian healthcare ecosystem and the introduction of a cloud computing platform to host the national healthcare information exchange has been successfully established.

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Acknowledgments

We gratefully acknowledge the support and generosity of The Ministry of Health Malaysia for providing input towards the survey, without which the present study could not be completed. Many thanks goes to the respondents who participated in this survey.

Statement on conflict of interest

The authors whose names are listed immediately below certify that they have NO affiliations with or involvement in any organisation or entity with any financial interest.

Authors contributions

Kalai Anand Ratnam (Main Author): Design, developing, analyzing, interpreting and drafting article.

Dr P. D. D. Dominic: Revising parts of the article including conclusion, final approval.

Prof. T. Ramayah: Refining the fitness of the Structural Equation Model, final approval.

Author information

Authors and Affiliations

  1. Department of Computers and Information Science, Universiti Teknologi PETRONAS, 31750, Tronoh, Perak, Malaysia

    Kalai Anand Ratnam & P. D. D. Dominic

  2. School of Management, Universiti Sains Malaysia, Minden, 11800, Penang, Malaysia

    T. Ramayah

Authors
  1. Kalai Anand Ratnam
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  2. P. D. D. Dominic
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  3. T. Ramayah
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Correspondence to Kalai Anand Ratnam.

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This article is part of the Topical Collection on Systems-Level Quality Improvement

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Ratnam, K.A., Dominic, P.D.D. & Ramayah, T. A Structural Equation Modeling Approach for the Adoption of Cloud Computing to Enhance the Malaysian Healthcare Sector. J Med Syst 38, 82 (2014). https://doi.org/10.1007/s10916-014-0082-5

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  • DOI: https://doi.org/10.1007/s10916-014-0082-5

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