بررسي تأثير رايانش ابري بر سيستم سلامت الكترونيك

Investigating the Effect of Cloud Computing on the e-Health System

رايانش ابري به‌عنوان يك پارادايم جديد براي ميزباني و ارائه خدمات از طريق اينترنت مطرح گرديده است. رايانش ابري مي‌تواند مزاياي متعددي براي سازمان‌ها شامل كاهش هزينه و انعطاف‌پذيري داشته باشد. هدف اصلي پژوهش بررسي عوامل مؤثر بر پذيرش سيستم سلامت الكترونيك مبتني بر رايانش ابري در تعدادي از بيمارستان‌هاي دولتي در سطح شهر تهران است. در اين مطالعه به تجزيه و تحليل مسير با استفاده از فرايند سلسله مراتبي (AHP) و حداقل مربعات جزيي (PLS) پرداخته شد. با بررسي ادبيات مربوط به مدل فناوري، سازمان، محيط و تئوري انتشار نوآوري، 4 عامل اصلي و 17 زير معيار با توجه به نظرات متخصصين، اساتيد دانشگاهي و كارشناسان فناوري اطلاعات و سلامت براساس فرايند تحليل سلسله مراتبي و روش حداقل مربعات جزئي مشخص گرديد. نتايج نشان داد هنگام اتخاذ سيستم سلامت الكترونيك مبتني بر رايانش ابري عوامل محيطي و عوامل فناوري بايد در نظر گرفته شود. نتايج اين پژوهش مي‌تواند تأثير زيادي بر سازمان‌هايي همچون سازمان بهداشت و درمان كه نگران اين موضوع هستند داشته باشد.

Cloud computing was proposed as a new paradigm to host and provide services via Internet. Cloud computing can have various advantages for organizations including reduction in costs and increased flexibility. Nonetheless, transition from the current system on the cloud computing is not a simple task because it depends on various of factors. In this applied research, the main purpose is to investigate the influential factors in admission of e-health system based on cloud computing in a number of public hospitals in Tehran. In the present study, path analysis was done using the Analytic Hierarchy Process (AHP) and Partial Least Squares (PLS) to perceive the factors influencing the admission of cloud computing in e-health system from IT employees' viewpoint. Reviewing the related literature on Technology-Organization-Environment (TOE) Model and the theory of Diffusion of Innovations (DOI), four main factors and 17 sub criteria were identified. These factors and sub-criteria were determined according to comments of specialists, university professors and IT and health experts based on the Analytic Hierarchy Process and Partial Least Squares. Results show that environmental factors such as regulations, competitive pressure, commercial pressure and organizational structure, and technological factors such as accessibility, reliability, security, privacy and trust should be considered as organizational objectives when adopting the e-health system based on cloud computing. Results of the present study can play an important role in organizations such as the ministry of health and medical education that are concern about this issue.