Page 47 - IJSA, Vol. 6, No 2, 2023

International Journal of Science Annals, Vol. 6, No. 2, 2023
рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa

Discussion assist with configuration management, provisioning
Based on the results of the study, the implications of the required tools, assisting with log collections, patching
significance of the variables demonstrated in Figure 3 systems and ticketing systems, cloud-based activities
should be explained. may have little hindrance as compared to the on-premises
The Technology-Organization-Environment model IT facilities.
developed by De Pietro et al. (1990) underpinned the Individual characteristics
development of the cloud-based Hospital Management Individual characteristics have been found in much
Systems. previous research of technological innovation adoption,
Technological factors implementation and use to be significant (Adler-Milstein
The implication of this finding is that on average there et al., 2015; Kalema & Busobozi, 2020). The implication
have been challenges of inadequate health institutions of these findings is that individual characteristics like
and shortage of healthcare human resource in many attitude and beliefs, perceptions, training, and education
developing countries, especially those in Sub-Saharan are crucial for cloud migration because when services are
Africa (Kalema & Busobozi, 2020). Hence, technology migrated the success of the administrative tasks will
and its innovations are seen as one way to bridge the gap depend on the capabilities of the individuals to manage
of resource constraint by providing remote access both the migration processes and the operation. Another
capabilities to healthcare resources. The significance of factor to consider is that migration of a Hospital
this variable confirms the fact that citizens appreciate the Information System (HIS) to the cloud comes with
value and contribution of technology towards healthcare several advantages for both healthcare providers and
provision and such good and available technology will patients in terms of quality service delivery and cost-
boost the migration of HMS to the cloud environment. efficient solutions to the patients, as well as having
On the other hand, technological aspects are perceived to seamless collaborations among healthcare facilities.
be a major part of cloud technology and a basis for the These findings concur with those of other researchers
cloud to change the computing process from using the (Idoga et al., 2019; Singh et al., 2022) who also noted that
HMS as stand-alone systems to a networked system that cloud-based hospital systems support collaborations that
solves the challenges of accessibility and governance, bring efficient data exchange with fast feedback for the
especially in resource-constrained organizations like patients through information sharing, but such could only
hospitals. The finding of this study is in agreement with be achieved if individuals using the systems have the
those of previous researchers (Idoga et al., 2019; capabilities and positive perceptions towards the system.
Sadoughi et al., 2020) who also stated that regardless of Social aspects
how technology is looked at as either top-down or The significance of this variable implies that cloud
bottom-up; its role for cloud migration is enormous. migration has a high dependence on information sharing
Organizational factors due to its potential to provide remote access to data. The
The significance of this variable implies that social interaction could be either internal or external and
organizational aspects that entail factors like top as such supports information sharing and unrestricted
management support, budgets and finances, employees’ flow of information in the cloud-based health system,
empowerment for knowledge creation through trainings, which leads to effectiveness. Internal social aspects
policies and standards, organizational size and structure, include influence of others to accept, and believe and
measures for collaboration and knowledge sharing, as trust in the system; while the external is related to
well as enhanced business processes play an essential external collaboration when the system is migrated and
role in the migration of services and applications to the support during the use of the system. The findings of this
cloud. The findings of this study concur with those of study support those of previous researchers such as
many previous others on the migration to the cloud that (Venkatesh et al., 2012; Walker & Walker, 2022) who
have found organization aspects to have a stronger noted that social aspects play an essential role in
significant influence (Alipour et al., 2021; Idoga et al., voluntary technological innovation implementation,
2018; Sadoughi et al., 2020). adoption, and use.
Environmental aspects Risk analysis and control
Environment aspects have been found in various The significance of this variable confirms the fact that
healthcare research of developing countries to be risk awareness starts with identifying and reporting near
significant, yet they were found not to be significant in accidents, incidents, complaints, or other undesirable
this study (Kalema & Busobozi, 2020; Maphumulo & situations that could be the order of the day in the cloud
Bhengu, 2019). The implication of this finding is that environment. This implies that risk management in the
when services are migrated to the cloud the issue of cloud should embrace a flexible software platform that
environment is overshadowed by the organizational can record and detail the data and its operations, direct
aspects. For instance, services will be migrated to the follow up of workflow automation tools, carry out
cloud that might reside in a different country or continent analysis of trends of root causes of risks and associated
and such migration requires more organizational support challenges, manage dashboards to monitor information,
than the environment characteristics. With good support as well as monitor improvement actions. The findings of
from the organizational top management in terms of this study concur with those of other researchers (Alipour
budgets, training of users, employing the right staff, et al., 2021; Maphumulo & Bhengu, 2019; Rahman et al.,
signing good service level agreements with vendors to 2017; Singh et al., 2022) who also observed that

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