title: Healthcare professionals' use of health clouds: Integrating technology acceptance and status quo bias perspectives.
abstract: OBJECTIVE
  Cloud computing technology has recently been seen as an important milestone in medical informatics development. Despite its great potential, there are gaps in our understanding of how users evaluate change in relation to the health cloud and how they decide to resist it. Integrating technology acceptance and status quo bias perspectives, this study develops an integrated model to explain healthcare professionals' intention to use the health cloud service and their intention to resist it.
  
  
  METHODS
  A field survey was conducted in Taiwan to collect data from healthcare professionals; a structural equation model was used to examine the data. A valid sample of 209 healthcare professionals was collected for data analysis.
  
  
  RESULTS
  The results show that healthcare professionals' resistance to the use of the health cloud is the result of regret avoidance, inertia, perceived value, switching costs, and perceived threat. Attitude, subjective norm, and perceived behavior control are shown to have positive and direct effects on healthcare professionals' intention to use the health cloud. The results also indicate a significant negative effect in the relationship between healthcare professionals' intention and resistance to using the health cloud.
  
  
  CONCLUSIONS
  Our study illustrates the importance of incorporating user resistance in technology acceptance studies in general and in health technology usage studies in particular. This study also identifies key factors for practitioners and hospitals to make adoption decisions in relation to the health cloud. Further, the study provides a useful reference for future studies in this subject field.
authors.affiliation: Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science, No. 60, Section. 1, Erren Rd., Rende Dist., Tainan 71710, Taiwan, ROC. Electronic address: beerun@seed.net.tw.
authors.forename: Pi-Jung
authors.initials: PJ
authors.lastname: Hsieh
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D004059:Diffusion of Innovation; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008490:Medical Informatics / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D015279:Organizational Culture; D010820:Physicians / Q000523:psychology*; D013624:Taiwan; D055815:Young Adult
keywords: Dual factor theory; Health cloud; Status quo bias theory; Technology acceptance model; Theory of planned behavior; User resistance