Table 2 Measurement items of variables.

From: Blockchain technology adoption in healthcare: an integrated model

Variable

Item

Statement

Source

Technology Trust (TT)

TT1

Blockchain provides a secure environment for healthcare data

94

TT2

Blockchain increases trust among related parties

TT3

Blockchain reduces the occurrence of disputes among related parties.

TT4

Blockchain-based HIS will be reliable

TT5

Blockchain is trustworthy.

Information Transparency (TRA)

TRA1

Blockchain enables us to have transparent access to information across the network

55

TRA2

Blockchain enables us to have a transparent view of any activity in the data

TRA3

Blockchain enables us to have a transparent flow of the entire data

TRA4

Blockchain enables the transparency of data across various system participants

Perceived Disintermediation (DIS)

DIS1

Blockchain enables us to store data without the involvement of any intermediary

55

DIS2

Blockchain enables us to access data without the involvement of any intermediary

DIS3

Blockchain enables us to share data without the involvement of any intermediary.

DIS4

Blockchain enables us to audit data without the involvement of any intermediary

Cost-Effectiveness (COEF)

COEF1

Blockchain can reduce our overhead expenses

74,83,153,154

COEF2

Blockchain reduces data error rates

COEF3

Blockchain can help to reduce the medical expenses

COEF4

Our hospital can avoid unnecessary costs and time by adopting blockchain.

COEF5

Blockchain saves costs related to time and effort.

COEF6

Blockchain provides a good value for their costs

Technology-Fit (FIT)

FIT1

Blockchain-based HIS satisfy our hospital’s needs related to healthcare data.

32

FIT2

Hospital information system requirements closely align with blockchain services.

FIT3

Blockchain is a good way to share and exchange information between healthcare organizations.

FIT4

Blockchain fits well with our processes and work style.

FIT5

It seems that Blockchain fits with our system requirements.

Organisational Readiness (OR)

OR1

Our hospital has the needed resources to support blockchain adoption.

56

OR2

Existing technologies in our hospital support Blockchain adoption.

OR3

Information Technology staff within our hospital have the adequate skills and experience to support blockchain adoption.

OR4

Our hospital has the financial resources to adopt blockchain.

Top Management Support (TMS)

TMS1

The top management is aware of the benefits that blockchain can provide to our hospital.

73,153

TMS2

The top management can provide enough resources for blockchain implementation in our hospital

TMS3

The top management encourages employees to increase their awareness of the advantages that blockchain can bring.

TMS4

The top management is willing to take the possible risks involved in the adoption of blockchain technology

TMS5

The top management enthusiastically supports the blockchain adoption

TMS6

The top management looks at blockchain technology as strategically important

Corporate Social Responsibility (CSR)

CSR1

Blockchain can help our hospital to meet the required quality of care

60,155

CSR2

Blockchain contributes to promoting the well-being of society and creating a better life

CSR3

Blockchain will help our hospital target a sustainable growth

CSR4

Blockchain can help our management to respond to all healthcare stakeholders’ needs and wants

CSR5

Using Blockchain would aid our hospital to increase customer (patients) satisfaction which is highly important for us

CSR6

Our hospital can be creating shared value for all involved parties through blockchain technology

Mimetic Pressure - Competitors (COM)

COM1

Our hospital believes that other hospitals in neighbour countries have recently begun to adopt Blockchain

73,153,156

COM2

Other hospitals in neighbour countries that adopt blockchain are benefiting greatly

COM3

Our hospital will have a sustainable competitive advantage if we deploy blockchain technology

COM4

Our hospital thinks blockchain technology adoption influences competition in the industry.

COM5

Competitive pressures force our hospital to look into Blockchain technology

Coercive pressure –Government (GOV)

GOV1

The government actively introduce the incentives for blockchain adoption

74,78,153

GOV2

The government provides sufficient information infrastructure (laws, guidelines, or policies) for blockchain adoption

GOV3

Government policies are in favour of the blockchain technology adoption by the healthcare industry

GOV4

Regulations are sufficient to protect the use of blockchain technology

GOV5

Our hospital is under pressure from the government to adopt blockchain technology

Technology Vendor Support (TVS)

TVS1

Incentives provided by the vendors to us for the adoption of blockchain are important

78

TVS2

Adequacy of technical support provided by the vendors is important

TVS3

The appropriate training for the use of blockchain technology provided by the vendors is important.

TVS4

Having sufficient support from the blockchain provider would encourage us to use blockchain technology

Partner Readiness (PR)

PR1

Hospital adopts blockchain when its partners are also willing to adopt blockchain

73

PR2

Hospital adopts blockchain when its partners are technologically ready to adopt blockchain

PR3

Hospital adopts blockchain when its partners are financially ready to adopt blockchain

PR4

Hospital adopts blockchain when its partners are ready to share their data over the blockchain network.

Viability (VIB)

VIB1

Our hospital’s capabilities and current resources support blockchain

65

VIB2

The hospital can efficiently satisfy HIS needs by adopting blockchain.

VIB3

Blockchain is viable with our hospital’s corporate culture and value system.

VIB4

Blockchain-based HIS is viable to implement in our hospital.

Intention to adopt Blockchain (INT)

INT1

Our hospital intends to adopt blockchain-based HIS

65,78

INT2

Our hospital will take steps to adopt blockchain-based HIS in the near future.

INT3

Our hospital plans to evaluate and adopt blockchain-based HIS.

INT4

It is recommended to adopt blockchain-based HIS in the hospital