{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T16:33:37Z","timestamp":1781195617499,"version":"3.54.1"},"reference-count":90,"publisher":"Emerald","issue":"2","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["K"],"published-print":{"date-parts":[[2021,3,27]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>The purpose of this study is to propose an integrated model based on expectation-confirmation model (ECM) and technology acceptance model (TAM) to examine whether environmental, human, organizational and technology factors as the antecedents to physicians\u2019 beliefs can affect their satisfaction and continuance intention of the cloud-based hospital information system (HIS).<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>Sample data for this study were collected from physicians at six hospitals in Taiwan. A total of 600 questionnaires were distributed, and 471 (78.5 per cent) usable questionnaires were analyzed using structural equation modeling in this study.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>This study proposes a solid research model that is based on ECM and TAM, four types of factors, environmental factor, human factor, organizational factors and technology factors, as antecedents to physicians\u2019 continuance intention of the cloud-based HIS have been examined. This study\u2019s results strongly support the research model with all hypothesized links being significant, and control variables have no confounding effects on physicians\u2019 continuance intention of the cloud-based HIS.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>This study contributes to physicians\u2019 continuance intention toward the cloud-based HIS based on ECM, TAM, technology-organization-environment framework and human-organization-technology fit framework, and reveals deep insights into the evaluation of determinants in the field of physicians\u2019 continuance intention of the cloud-based HIS. Accordingly, it is particularly worth mentioning that IS and non-IS determinants are simultaneously evaluated and taken into consideration in this study\u2019s theoretical development of physicians\u2019 continuance intention of the cloud-based HIS to acquire a more comprehensive and robust analysis.<\/jats:p><\/jats:sec>","DOI":"10.1108\/k-09-2019-0628","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T06:53:38Z","timestamp":1581058418000},"page":"413-442","source":"Crossref","is-referenced-by-count":18,"title":["Drivers of physicians\u2019 satisfaction and continuance intention toward the cloud-based hospital information system"],"prefix":"10.1108","volume":"50","author":[{"given":"Yung-Ming","family":"Cheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"140","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"issue":"3","key":"key2021043008580344000_ref001","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1037\/0033-2909.103.3.411","article-title":"Structural equation modeling in practice: a review and recommended two-step approach","volume":"103","year":"1988","journal-title":"Psychological Bulletin"},{"key":"key2021043008580344000_ref002","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.chb.2015.12.067","article-title":"Understanding and predicting students\u2019 intention to use mobile cloud storage services","volume":"58","year":"2016","journal-title":"Computers in Human Behavior"},{"issue":"2","key":"key2021043008580344000_ref003","first-page":"5","article-title":"An extension of the technology acceptance model for business intelligence systems: project management maturity perspective","volume":"5","year":"2017","journal-title":"International Journal of Information Systems and Project Management"},{"issue":"1","key":"key2021043008580344000_ref004","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1007\/BF02723327","article-title":"On the evaluation of structural equation models","volume":"16","year":"1988","journal-title":"Journal of the Academy of Marketing Science"},{"issue":"3","key":"key2021043008580344000_ref005","doi-asserted-by":"crossref","first-page":"351","DOI":"10.2307\/3250921","article-title":"Understanding information systems continuance: an expectation\u2013confirmation model","volume":"25","year":"2001","journal-title":"MIS Quarterly"},{"issue":"7","key":"key2021043008580344000_ref006","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1108\/01409170910965215","article-title":"Predicting the behavioral intention to use enterprise resource planning systems: an exploratory extension of the technology acceptance model","volume":"32","year":"2009","journal-title":"Management Research News"},{"issue":"1","key":"key2021043008580344000_ref007","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.dss.2007.04.006","article-title":"Factors affecting the adoption of electronic signature: executives\u2019 perspective of hospital information department","volume":"44","year":"2007","journal-title":"Decision Support Systems"},{"issue":"1","key":"key2021043008580344000_ref008","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1108\/APJML-02-2018-0074","article-title":"Extending a TAM\u2013TTF model with perceptions toward telematics adoption","volume":"31","year":"2019","journal-title":"Asia Pacific Journal of Marketing and Logistics"},{"issue":"3","key":"key2021043008580344000_ref009","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1108\/ITP-01-2013-0024","article-title":"Extending the expectation-confirmation model with quality and flow to explore nurses\u2019 continued blended e-learning intention","volume":"27","year":"2014","journal-title":"Information Technology and People"},{"issue":"4","key":"key2021043008580344000_ref010","first-page":"203","article-title":"What drives nurses\u2019 blended e-learning continuance intention?","volume":"17","year":"2014","journal-title":"Educational Technology and Society"},{"issue":"6","key":"key2021043008580344000_ref011","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1108\/AJIM-05-2013-0042","article-title":"Why do users intend to continue using the digital library? 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