ISSN: 2226-3624
Open access
Healthcare Information Systems (HIS) have become important in improving healthcare service quality, operational efficiency, and patient management in healthcare facilities. Despite the increasing investment in healthcare technologies, many healthcare organisations still face challenges in encouraging employees to fully adopt and utilise these systems effectively. This conceptual paper examines the factors influencing employees’ behavioural intention to use HIS in Malaysia’s healthcare facilities. The study adopts the Value-Based Adoption Model (VAM) to explain employees’ technology adoption behaviour. Based on the proposed framework, perceived usefulness and perceived enjoyment are categorised under perceived benefit, while perceived technicality and perceived fee are categorised under perceived sacrifice. Perceived benefit and perceived sacrifice influence perceived value, which subsequently affects attitude and behavioural intention to use HIS. In addition, age is proposed as a moderating variable in the relationship between attitude and behavioural intention. This conceptual paper contributes to the understanding of healthcare information system adoption among healthcare employees in Malaysia. The findings may support healthcare administrators and policymakers in developing better implementation strategies and training programmes to improve technology acceptance in healthcare facilities.
Bach, M. P., Mihajlovi?, I., Stankovi?, M., Khawaja, S., & Qureshi, F. H. (2024). Determinants of Intention to Use of Hospital Information Systems among Healthcare Professionals. Systems, 12(7), 235. https://doi.org/10.3390/systems12070235
Falade, I., Gyampoh, G., Akpamgbo, E., Chika, O., Obodo, O., Okobi, O., Aguguo, J., & Chukwu, V. (2024). A comprehensive review of effective patient safety and quality improvement programs in healthcare facilities. Medical Research Archives. https://doi.org/10.18103/mra.v12i7.5649
Faqih, K. M. (2022). Factors influencing the behavioral intention to adopt a technological innovation from a developing country context: The case of mobile augmented reality games. Technology in Society, 69, 101958. https://doi.org/10.1016/j.techsoc.2022.101958
Gultom, R., & Afiff, A. Z. (2025). Determinants of Consumers’ Intention to Use QR Code-Based Intelligent Packaging on Food Products: Evidence from the Indonesian Market. International Journal of Business Studies, 9(3), 142–161. https://doi.org/10.32924/ijbs.v9i3.395
Kaiser, C., Ackerhans, S., Huynh, T., Denzinger, J., Riegler, M., Dumitrescu, D., Guckel, D., Schmidt, A., & Schultz, C. (2023). Challenges in the implementation of disruptive innovations in health care organizations. Studies in Health Technology and Informatics, 309, 145–149. https://doi.org/10.3233/shti230763
Kavandi, H., Awar, Z. A., & Jaana, M. (2024). Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review. Healthcare Management Forum, 37(4), 215–225. https://doi.org/10.1177/08404704231224070
Kim, H., Chan, H. C., & Gupta, S. (2007). Value-based Adoption of Mobile Internet: An empirical investigation. Decision Support Systems, 43(1), 111–126. https://doi.org/10.1016/j.dss.2005.05.009
Liu, N. C., Wang, Y. C., & Lin, Y. T. (2023). Employees’ adaptation to technology uncertainty in the digital era: an exploration through the lens of job demands–resources theory. IEEE Transactions on Engineering Management, 71, 7286-7297.
Naim, N., Kuroda, Y., Yamada, S., Mori, Y., Liu, C., Espinoza, R., Yamamoto, G., & Kuroda, T. (2025). The evolution of healthcare digitalisation policies in Malaysia: A four-decade narrative review (1985–2025). Digital Health, 11, 20552076251353279. https://doi.org/10.1177/20552076251353279
Senthilrajah, T., & Ahangama, S. (2025). The Sri Lankan enigma: demystifying public healthcare information systems acceptance. BMC Health Services Research, 25(1), 24. https://doi.org/10.1186/s12913-024-12173-8
Tan, S., Tan, S., Wong, C., Yap, Y., Tan, S., & Tan, S. (2024). Factors influencing telemedicine adoption among physicians in the Malaysian healthcare system: A revisit. Digital Health, 10, 20552076241257050. https://doi.org/10.1177/20552076241257050
Thoti, K. K. (2024). Exploring the employees’ behavioral intention towards disruptive technologies: A study in Malaysia. Human Resources Management and Services, 6(1), 3399. https://doi.org/10.18282/hrms.v6i1.3399
Thunberg, S., Johnson, E., & Ziemke, T. (2023). Investigating healthcare workers’ technostress when welfare technology is introduced in long-term care facilities. Behaviour and Information Technology, 43(13), 3288–3300. https://doi.org/10.1080/0144929x.2023.2276802
Venkatesh, V. (2000). Determinants of perceived ease of use: Integrating control, intrinsic motivation, and emotion into the technology acceptance model. Information Systems Research, 11(4), 342–365. https://doi.org/10.1287/isre.11.4.342.11872
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User acceptance of information technology: Toward a unified view1. MIS quarterly, 27(3), 425-478.
Yang, Y., Ngai, E. W., & Wang, L. (2024). Resistance to artificial intelligence in health care: Literature review, conceptual framework, and research agenda. Information & Management, 61(4), 103961. https://doi.org/10.1016/j.im.2024.103961
Zeithaml, V. A. (1988). Consumer Perceptions of Price, Quality, and Value: A Means-End Model and Synthesis of evidence. Journal of Marketing, 52(3), 2. https://doi.org/10.2307/1251446
Wong, E. E., & Teo, P.-C., Ho, T. C. F. (2026). A Conceptual Paper on Behavioural Intention to Use Healthcare Information Systems among Employees in Malaysia’s Healthcare Facilities: The Moderating Role of Age. International Journal of Academic Research in Economics and Management Sciences, 15(2), 626–632.
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