Title: The THOE model to understand the critical factors affecting the decision to adopt picture archiving and communication system in hospitals based on TOE and HOT-fit model

Authors: Ammar K. Almasri; Leila Erfannia; Sajad Mohabbati; Shafique Ur Rehman; Ayman Alnaimi

Addresses: Management Information Systems Department, Al-Balqa Applied University, Amman, Jordan ' Health Information Technology Department, Paramedical School, Zahedan University of Medical Sciences, Zahedan, Iran; Clinical Education Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran ' Health Information Technology Department, Paramedical School, Zahedan University of Medical Sciences, Zahedan, Iran ' Faculty of Management Sciences, ILMA University, Karachi, Pakistan ' Human Resource Management, Cyprus International University, Irbid, Jordan

Abstract: Picture archiving and communication system (PACS) is one of the health information systems (HIS) invented to manage medical images in hospitals. The current study's main objective is to identify determinant factors that influence PACS adoption by physicians and radiology technicians. A total of 253 respondents from Iran were requested to participate in our study using the online Microsoft Forms service, and only 250 were returned. Physicians' and radiology technicians' perceptions were analysed using two software namely, SPSS and Smart-PLS. The findings also showed that the technological factors have a substantial influence that is slightly greater than that of human, organisational, and environmental on the attitude toward PACS system adoption (AD). In conclusion, this study's results determined that applying the THOE model is a suitable method to analyse physicians' and radiology technicians' behaviour in adopting innovative technology, such as PACS.

Keywords: PACS system; TOE model; HOT-fit model; THOE model; adoption.

DOI: 10.1504/IJBIS.2025.146602

International Journal of Business Information Systems, 2025 Vol.49 No.2, pp.218 - 247

Received: 14 May 2021
Accepted: 07 Oct 2021
Published online: 06 Jun 2025 *

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