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Extending the Information Systems Success Model to Explain E-Health Adoption in Saudi Arabia
Homoud Alhaidan1, Hussam Al Halbusi2,3, Yaser Hasan Al-Mamary1
1Department of Management and Information Systems, College of Business Administration, University of Ha'il, Hail 81451, Saudi Arabia.
Healthcare (Basel, Switzerland)
|August 13, 2026
Summary
Patient empowerment, healthcare sustainability, and value co-creation enhance e-health adoption by strengthening system, information, and service quality. These factors are crucial for understanding e-health service uptake in Saudi Arabia.
Area of Science:
- Health Informatics
- Information Systems
- Healthcare Management
Background:
- E-health adoption is influenced by system, information, and service quality.
- Limited research exists on patient and environmental factors moderating this relationship.
- The Information Systems Success Model needs extension to include contextual elements.
Purpose of the Study:
- To extend the Information Systems Success Model for e-health adoption.
- To examine the moderating effects of patient empowerment, healthcare sustainability, and value co-creation.
- To investigate these factors within the Saudi Arabian healthcare context.
Main Methods:
- Online survey of 377 adult e-health users in Saudi Arabia.
- Purposive sampling to ensure prior e-health usage.
- Partial Least Squares Structural Equation Modeling (PLS-SEM) for analysis.
Main Results:
- System, information, and service quality significantly predicted e-health adoption.
- Patient empowerment and healthcare sustainability positively moderated all quality-e-health adoption relationships.
- Value co-creation moderated system and service quality relationships, but not information quality.
Conclusions:
- System, information, and service quality are key drivers of e-health adoption.
- Patient empowerment, healthcare sustainability, and value co-creation are vital contextual moderators.
- Healthcare strategies must consider patient and environmental factors for successful e-health implementation.
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