ArticleHealthcare (Basel, Switzerland)2026
Extending the Information Systems Success Model to Explain E-Health Adoption in Saudi Arabia.
Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesPrevious studies have found system quality, information quality, and service quality to be significant factors affecting the adoption of e-health services. However, little research has been conducted on factors related to the patient and the healthcare environment that may have an effect on the aforementioned relationship. This paper addresses this gap by extending the Information Systems Success Model to examine the moderating effects of patient empowerment, healthcare sustainability, and value co-creation on the adoption of e-health services in Saudi Arabia.
methodsData were gathered using purposive sampling through an online survey from 377 adult participants in Saudi Arabia who have previously used e-health systems. Selection of participants with prior experience was done to make sure that their judgments about the quality of the system, information, and the service offered were not made in the absence of usage. Partial Least Squares Structural Equation Modeling was used to examine proposed relationships and moderating effects.
resultsSystem quality (β = 0.312,
conclusionsThe findings demonstrate that system quality, information quality, and service quality are important determinants of e-health adoption. In addition, patient empowerment, healthcare sustainability, and value co-creation serve as important contextual factors that enhance the effects of quality dimensions on e-health adoption, although variations exist across specific interactions. These findings show that patient and healthcare conditions need to be considered when discussing the impact of system, information, and service quality on adoption of e-health, while at the same time providing context-based insights for the healthcare sector in Saudi Arabia.
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