Assessment of Factors Influencing IoT Adoption in Jordanian Healthcare Using AHP Technique
Article Sidebar
Main Article Content
Abstract
The Internet of Things (IoT) has emerged as a transformative technology with vast potential, particularly in the healthcare sector, where it can significantly enhance operational efficiency and improve the quality of care. However, IoT adoption in healthcare, especially within Jordanian public hospitals, remains limited and is still in its early stages, with numerous challenges impeding widespread implementation. The present study seeks to provide deeper insights into the critical factors influencing IoT adoption within this context. Data were collected through a structured survey administered to a panel of experts from Jordanian public hospitals with substantial knowledge and experience in IoT technologies. Utilizing the Analytic Hierarchy Process (AHP), the study calculates the relative importance of factors categorized within four dimensions using an integrated TOE and HOT-Fit framework. The findings highlight Top Management Support (0.238), Relative Advantage (0.223), Compatibility (0.146), and Government Support (0.134) as the most influential criteria for IoT readiness. The study provides enriched theoretical perspectives and practical guidance for policymakers and hospital administrators seeking to enhance institutional readiness and promote IoT adoption in healthcare.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
G. Aceto, V. Persico, and A. Pescap´e, “Industry 4.0 and health: Internet of things, big data, and cloud computing for healthcare 4.0,” Journal of Industrial Information Integration, vol. 18, p. 100129, 2020.
N. N. Thilakarathne, M. K. Kagita, and T. R. Gadekallu, “The role of the internet of things in health care: a systematic and comprehensive study,” Available at SSRN 3690815, 2020.
E. Dent, D. Toki, N. Dupuis, J. Marquis, T. Suyeshkumar, and M. Benlamri, “Healthcare systems within the Middle East,” University of Western Ontario Medical Journal, vol. 86, no. 2, pp. 35-36, 2017.
H. Mowafi, “Conflict, displacement and health in the Middle East,” Global public health, vol. 6, no. 5, pp. 472-487, 2011.
S. Narula, N. R. Sharma and G. Nagpal, “Role of IOT in Healthcare Inclusion in Developing Countries: A Systematic Literature Review,” 2023 International Conference on Sustainable Emerging Innovations in Engineering and Technology (ICSEIET), Ghaziabad, India, pp. 869-875, 2023.
Y. Jalghoum, A. Tahtamouni, S. Khasawneh, and A. Al-Madadha, “Challenges to healthcare information systems development: The case of Jordan,” International Journal of Healthcare Management, vol. 14, no. 2, pp. 447-455, 2021.
A. Molla and P. S. Licker, “eCommerce adoption in developing countries: a model and instrument,” Information & management, vol. 42, no. 6, pp. 877-899, 2005.
B. Alifan, M. Makhtar, and Y. A. Baker ElEbiary, “A review study of electronic health care systems in Jordan,” in AIP Conference Proceedings, 2024, vol. 2816, no. 1: AIP Publishing.
Y. Abuelhaija et al., “A systematic review on the healthcare system in Jordan: strengths, weaknesses, and opportunities for improvement,” World Journal of Advanced Research and Reviews, vol. 18, no. 3, pp. 1393-1396, 2023.
Y. Khader, M. Al Nsour, S. Abu Khudair, R. Saad, M. R. Tarawneh and F. Lami, “Strengthening Primary Healthcare in Jordan for Achieving Universal Health Coverage: A Need for Family Health Team Approach,” in Healthcare, vol. 11, no. 22, p. 2993, 2023.
Hakeem-Program. (2024). Hakeem Program by Electronic Health Solutions. Available: https://ehs.com.jo/hakeem-program/about-hakeem-program
A. Harasees, B. Al-Ahmad, A. Alsobeh and A. Abuhussein, “A Secure IoT Framework for Remote Health Monitoring Using Fog Computing,” 2024 International Conference on Intelligent Computing, Communication, Networking and Services (ICCNS), Dubrovnik, Croatia, pp. 17-24, 2024.
W. I. AL Abdallat, M. A.-H. A. Al-Hussein and O. Alhawari, “The Usage of Internet of Things (IoT) in an Effective Fighting of Covid-19,” International Journal of Innovation, Creativity and Change, vol. 16, no. 1, pp. 397-415, 2022.
R. G. Fichman, “The diffusion and assimilation of information technology innovations,” Framing the domains of IT management: Projecting the future through the past, vol. 105127, pp. 105-128, 2000.
R. A. Wolfe, “Organizational innovation: Review, critique and suggested research directions,” Journal of management studies, vol. 31, no. 3, pp. 405-431, 1994.
J. W. Creswell and J. D. Creswell, Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications, 2017.
L. G. Tornatzky, M. Fleischer and A. Chakrabarti, “The processes of technological innovation. Issues in organization and management series,” Lexington Books. Available at http://www.amazon.com/Processes-Technological-Innovation-Organization/Management/dp/0669203483. Accessed June, vol. 10, p. 2013, 1990.
M. M. Yusof, J. Kuljis, A. Papazafeiropoulou and L. K. Stergioulas, “An evaluation framework for Health Information Systems: human, organization and technology-fit factors (HOT-fit),” International journal of medical informatics, vol. 77, no. 6, pp. 386-398, 2008.
E. A. Ghaleb, P. Dominic, N. S. S. Singh and G. M. A. Naji, “Assessing the big data adoption readiness role in healthcare between technology impact factors and intention to adopt big data,” Sustainability, vol. 15, no. 15, p. 11521, 2023.
A. Thyagaraj and K. Narayanan, “Internet of Things (IoT) adoption in Indian Healthcare Industry-A case study from a hospital,” M.S. Thesis, Master’s Programme in Industrial Management and Innovation, Halmstad University, Sweden, 2021.
Z.-c. Zhou, Y.-k. Su, Z.-z. Zheng and Y.-l. Wang, “Analysis of factors of willingness to adopt intelligent construction technology in highway construction enterprises,” Scientific Reports, vol. 13, no. 1, p. 19339, 2023.
R. Dantu, I. Dissanayake and S. Nerur, Exploratory Analysis of Internet of Things (IoT) in Healthcare: A Topic Modeling Approach,” in Proceedings of the 52nd Hawaii International Conference on System Sciences, 2019.
Z. Yang, J. Sun, Y. Zhang and Y. Wang, “Understanding SaaS adoption from the perspective of organizational users: A tripod readiness model,” Computers in Human Behavior, vol. 45, pp. 254264, 2015.
X. Wu and C. Subramaniam, “Understanding and predicting radio frequency identification (RFID) adoption in supply chains,” Journal of Organizational Computing and Electronic Commerce, vol. 21, no. 4, pp. 348-367, 2011.
H. Abd El-Hamed, S. El-Zarka and S. El-Barky, “Examining the Readiness to Adopt the Internet of Things and Big Data in Egyptian Companies,” Proceedings of the International Conference on Industrial Engineering and Operations Management, Rome, Italy, pp. 1132-1141, 2021.
L. Stenberg and S. Nilsson, “Factors influencing readiness of adopting AI: A qualitative study of how the TOE framework applies to AI adoption in governmental authorities,” M.S. Thesis, SCHOOL OF INDUSTRIAL ENGINEERING AND MANAGEMENT, KTH ROYAL INSTITUTE OF TECHNOLOGY, Sweden, 2020.
M. G. Aboelmaged, “Predicting e-readiness at firm-level: An analysis of technological, organizational and environmental (TOE) effects on e-maintenance readiness in manufacturing firms,” International Journal of Information Management, vol. 34, no. 5, pp. 639-651, 2014.
S. Ahmetoglu, Z. Che Cob, and N. A. Ali, “A systematic review of Internet of Things adoption in organizations: Taxonomy, benefits, challenges and critical factors,” applied sciences, vol. 12, no. 9, p. 4117, 2022.
P. L. Sen, ”The Role of Government Policies and Initiatives in Driving IoT Adoption among Creative Industries Stakeholders in China,” Journal of Digitainability, Realism & Mastery (DREAM), vol. 2, no. 03, pp. 67-76, 2023.
S. Ashtari, A. Eydgahi and H. Lee, “Exploring cloud computing implementation issues in healthcare industry,” Transactions of the International Conference on Health Information Technology Advancement 2015, vol.3, no. 1, pp. 122-129, 2015.
F. Alharbi, A. Atkins and C. Stanier, “Understanding the determinants of Cloud Computing adoption in Saudi healthcare organisations,” Complex & Intelligent Systems, vol. 2, no. 3, pp. 155-171, 2016.
H. Ahmadi, M. Nilashi, L. Shahmoradi and O. Ibrahim, “Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals,” Computers in Human Behavior, vol. 67, pp. 161-189, 2017.
J.-W. Lian, D. C. Yen and Y.-T. Wang, “An exploratory study to understand the critical factors affecting the decision to adopt cloud computing in Taiwan hospital,” International Journal of Information Management, vol. 34, no. 1, pp. 28-36, 2014.
C.-H. Lin, I.-C. Lin, J.-S. Roan and J.-S. Yeh, “Critical factors influencing hospitals’ adoption of HL7 version 2 standards: An empirical investigation,” Journal of medical systems, vol. 36, no. 3, pp. 1183-1192, 2012.
F. Mahama and H. M. Dahlan, “HOTE Model for Accounting Information System Adoption for Small and Medium Scale Enterprises in Northern Ghana,”International Journal of Academic Research in Accounting Finance and Management Sciences, vol. 12, no. 2, pp. 56-83, 2022.
A. Singh and S. K. Malik, “Major MCDM Techniques and their application-A Review,” IOSR Journal of Engineering, vol. 4, no. 5, pp. 15-25, 2014.
S. Supraja and P. Kousalya, “A comparative study by AHP and TOPSIS for the selection of all round excellence award,” 2016 International Conference on Electrical, Electronics, and Optimization Techniques (ICEEOT), Chennai, India, pp. 314-319, 2016.
B. Ramdani, B. Duan and I. Berrou, “Exploring the determinants of mobile health adoption by hospitals in China: Empirical study,” JMIR medical informatics, vol. 8, no. 7, p. e14795, 2020.
A. A. AbuAbid, “Preliminary Model on Factors Influencing the Adoption of Medical Internet of Things (MIoT) Systems in Small and Medium-sized Hospitals in Saudi Arabia,” in 2024 3rd International Conference on Computational Modelling, Simulation and Optimization (ICCMSO), pp. 127-133, 2024.
J. Yang, B. Luo, C. Zhao and H. Zhang, “Artificial intelligence healthcare service resources adoption by medical institutions based on TOE framework,” Digital Health, vol. 8, p. 20552076221126034, 2022.
H. Ahmadi, M. Nilashi and O. Ibrahim, “Organizational decision to adopt hospital information system: An empirical investigation in the case of Malaysian public hospitals,” International journal of medical informatics, vol. 84, no. 3, pp. 166-188, 2015.
M.-T. Lu, S.-W. Lin and G.-H. Tzeng, “Improving RFID adoption in Taiwan’s healthcare industry based on a DEMATEL technique with a hybrid MCDM model,” Decision support systems, vol. 56, pp. 259-269, 2013.
B. Anthony Jnr, “Examining the adoption of telehealth during public health emergencies based on technology organization environment framework,” Journal of Science and Technology Policy Management, 2023.
S. Kosasi, V. Vedyanto and I. D. A. E. Yuliani, “Appropriate Sets of Criteria for Innovation Adoption of IS Security in Organizations,” Proceeding of the Electrical Engineering Computer Science and Informatics, vol. 5, no. 5, pp. 608-613, 2018.
M. Dastjerdi, A. Keramati and N. Keramati, “A novel framework for investigating organizational adoption of AI-integrated CRM systems in the healthcare sector; using a hybrid fuzzy decisionmaking approach,” Telematics and Informatics Reports, vol. 11, p. 100078, 2023.
E. A. Ghaleb, P. Dominic, S. M. Fati, A. Muneer and R. F. Ali, “The assessment of big data adoption readiness with a technology–organization–environment framework: a perspective towards healthcare employees,” Sustainability, vol. 13, no. 15, p. 8379, 2021.
Q. Cao, J. Baker, J. Wetherbe and V. Gu, “Organizational adoption of innovation: Identifying factors that influence RFID adoption in the healthcare industry,” European Conference on Information Systems (ECIS), 2012.
S. B. A. Satar, A. R. C. Hussin and A. F. Yusof, “Exploring Internet of Things Adoption in Malaysian Oil and Gas Industry,” 2019 6th International Conference on Research and Innovation in Information Systems (ICRIIS), Johor Bahru, Malaysia, pp. 1-5, 2019.
Y. Zhao, S. Hao, Z. Chen, X. Zhou, L. Zhang and Z. Guo, “Critical factors influencing the internet of things technology adoption behavior of construction companies: evidence from China,” Engineering, Construction and Architectural Management, 2023.
C. Arnold and K.-I. Voigt, “Determinants of industrial internet of things adoption in German manufacturing companies,” International Journal of Innovation and Technology Management, vol. 16, no. 6, p. 1950038, 2019.
C.-W. Hsu and C.-C. Yeh, “Understanding the factors affecting the adoption of the Internet of Things,” Technology Analysis & Strategic Management, vol. 29, no. 9, pp. 1089-1102, 2017.
S. Ahmetoglu, Z. Che Cob and N. A. Ali, “Internet of Things Adoption in the Manufacturing Sector: A Conceptual Model from a MultiTheoretical Perspective,” Applied Sciences, vol. 13, no. 6, p. 3856, 2023.
D. Lin, C. K. M. Lee and K. Lin, “Research on effect factors evaluation of internet of things (IOT) adoption in Chinese agricultural supply chain,” 2016 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM), Bali, Indonesia, pp. 612-615, 2016.
H. Mustapha, R. Kassim and A. Rahmat, “Internet of Things Adoption in Manufacturing: An Exploratory of Organizational Antecedents,” in Advanced Transdisciplinary Engineering and Technology, Springer, pp. 339-351, 2022.
S. H. Ladasi, M. R. Shihab, A. N. Hidayanto and N. F. A. Budi, “Prioritizing determinants of internet of things (IoT) technology adoption: case study of agribusiness PT. XYZ,” 2019 3rd International Conference on Informatics and Computational Sciences (ICICoS), pp. 1-6, 2019.
R. D. Savoury and J. M. Burchell, “Exploring the Influential Determinants of IoT Adoption in the US Manufacturing Sector,” International Journal of Applied Management and Technology, vol. 20, no. 1, p. 11, 2021.
B. Hawash, U. A. Mokhtar, Z. M. Yusof, M. Mukred and A. S. A. Gaid, “Factors Affecting Internet of Things (IoT) Adoption in the Yemeni Oil and Gas Sector,” 2021 International Conference of Technology, Science and Administration (ICTSA), Taiz, Yemen, pp. 1-7, 2021.
S. N. A. Ismail, W. N. Mohamed, K. Omar, N. H. N. Mat and J. Saputra, “A Conceptual Analysis of the Technology, Organisation, Environment, Readiness and Industry 4.0 Adoption in Malaysia Small and Medium Enterprises,” Theoretical and Practical Research in Economic Fields, vol. 14, no. 1, pp. 175-185, 2023.
J. C. C. Cintr˜ao, “Big Data Analytics in Portuguese Smes: Determinants of Organisational Readiness and Intention to Adopt,” Universidade de Lisboa (Portugal), 2022.
. M. Sam and C. R. Chatwin, “Understanding Adoption of Big Data Analytics in China: From Organizational Users Perspective,” 2018 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM), Bangkok, Thailand, pp. 507-510, 2018.
I. A. Abraham and P. M. Alexander, “ICT technology use within public health clinics: A case study in a Gauteng township,” in Proceedings of the South African Institute of Computer Scientists and Information Technologists 2019, pp. 1-10, 2019.
M. T. Ijab, S. M. A. Wahab, M. A. M. Salleh and A. A. Bakar, “Investigating Big Data Analytics Readiness in Higher Education Using the Technology-Organisation-Environment (TOE) Framework,” 2019 6th International Conference on Research and Innovation in Information Systems (ICRIIS), Johor Bahru, Malaysia,, pp. 1-7 2019.
T. L. Saaty, Decision making with dependence and feedback: The analytic network process (no. 2). RWS Publ. Pittsburgh, PA, USA, 1996.
P. O. Akadiri, P. O. Olomolaiye and E. A. Chinyio, “Multi-criteria evaluation model for the selection of sustainable materials for building projects,” Automation in construction, vol. 30, pp. 113-125, 2013.
W. Pan, A. R. Dainty, and A. G. Gibb, “Establishing and weighting decision criteria for building system selection in housing construction,” Journal of Construction Engineering and Management, vol. 138, no. 11, pp. 1239-1250, 2012.
J. Li and P. X. Zou, “Fuzzy AHP-based risk assessment methodology for PPP projects,” Journal of construction engineering and management, vol. 137, no. 12, pp. 1205-1209, 2011.
C.-W. Lee and Y. T. Hu, “Examining Factors Influencing Audit Risk for Professional Accountant in Business,” Advances in Management and Applied Economics, vol. 11, no. 1, pp. 25-45, 2021.
W. Weerakkody, B. Rathnayaka and C. Siriwardana, “Identifying and Prioritizing Critical Risk Factors in the Context of a High-Voltage Power Transmission Line Construction Project: A Case Study from Sri Lanka,” CivilEng, vol. 5, no. 4, pp. 1057-1088, 2024.
M. Nilashi, H. Ahmadi, A. Ahani, O. Ibrahim and A. Almaee, ”Evaluating the factors affecting adoption of hospital information system using analytic hierarchy process,” Journal of Soft Computing and Decision Support Systems, vol. 3, no. 1, pp. 8-35, 2015.
J. Cancela, G. Fico and M. T. Arredondo Waldmeyer, “Using the analytic hierarchy process (AHP) to understand the most important factors to design and evaluate a telehealth system for Parkinson’s disease,” BMC medical informatics and decision making, vol. 15, no. Suppl 3, p. S7, 2015.
H. Shoman, N. D. Almeida and M. Tanzer, ”Ranking decision-making criteria for early adoption of innovative surgical technologies,” JAMA network open, vol. 6, no. 11, pp. e2343703-e2343703, 2023.
D. Amelina, A. N. Hidayanto, N. F. A. Budi, P. I. Sandhyaduhita and R. Shihab, “Investigating critical factors of social CRM adoption using technology, organization, and environment (TOE) framework and analytical hierarchy process (AHP),” 2016 International Conference on Advanced Computer Science and Information Systems (ICACSIS), Malang, Indonesia, pp. 233-238, 2016.
J. Choi and Y. Shim, From adoption to innovation: State-dependent technology policy in developing countries. International Monetary Fund, 2024.
T. Oliveira and M. F. Martins, “Literature review of information technology adoption models at firm level,” Electronic journal of information systems evaluation, vol. 14, no. 1, pp. pp110-121 pp110-121, 2011.
H. Ahmadi, “Factors Influencing Adoption of Hospital Information System Framework in Malaysian Public Hospitals,” Universiti Teknologi Malaysia, 2015.
M. Al-Rawashdeh, P. Keikhosrokiani, B. Belaton, M. Alawida and A. Zwiri, “IoT adoption and application for smart healthcare: a systematic review,” Sensors, vol. 22, no. 14, p. 5377, 2022.
A. Mabina, N. Rafifing, B. Seropola, T. Monageng and P. Majoo, “Challenges in IoMT Adoption in Healthcare: Focus on Ethics, Security, and Privacy,” Journal of Information Systems and Informatics, vol. 6, no. 4, 2024.
K. Kumar, A. Thyagaraj, L. Irgang and R. L. de Miranda, “Understanding the Internet of Things Adoption Barriers in the Healthcare Sector: Evidence from Emerging Countries,” Journal of Health Informatics in Developing Countries, vol. 19, no. 1, 2025.
W. Chipambwa and K. Terera, “An Assessment of ereadiness for IoT adoption in Zimbabwean Hospitals: A Case of Chitungwiza Hospital,” in 7th International Conference on Appropriate Technology, pp. 66-72, 2016.
V. Desingh, “Internet of Things adoption barriers in the Indian healthcare supply chain: An ISM-fuzzy MICMAC approach,” The International journal of health planning and management, vol. 37, no. 1, pp. 318-351, 2022.
M. O. Igbinovia, “Internet of things in libraries and focus on its adoption in developing countries,” Library Hi Tech News, vol. 38, no. 4, pp. 13-17, 2021.
T. R. Fauzan and W. Dhewanto, “Fostering innovation through Industry 4.0 technologies in emerging countries: An explorative multiple case study of Indonesian Internet-of-Things (IoT)based start-ups,” Journal of Research in Emerging Markets, vol. 3, no. 2, pp. 71-85, 2021.
A. Rejeb, K. Rejeb, S. Zailani, H. Treiblmaier and K. J. Hand, “Integrating the Internet of Things in the halal food supply chain: A systematic literature review and research agenda,” Internet of Things, vol. 13, p. 100361, 2021.
G. A. Chukwudebe, R. E. Ogu and J. E. Fawei, “Critical Requirements for Sustainable Deployment of IoT Systems in Nigeria,” 2020 IEEE 2nd International Conference on Cyberspac (CYBER NIGERIA), Abuja, Nigeria, pp. 119-126, 2021.
N. Q. Vinh, Q. H. Do and M. H. Luc, “Prioritizing Key Success Factor of the Internet of Things Application in Tourism Enterprise,” International Journal of Professional Business Review, vol. 8, no. 5, p. 104, 2023.
M. A. Malik and H. R. Khan, “Understanding the implementation of an electronic hospital information system in a developing country: a case study from Pakistan,” in Proceedings of the Third Australasian Workshop on Health Informatics and Knowledge Management, vol. 97, pp. 31-36, 2009.
