Saudi Cultural Missions Theses & Dissertations
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Item Restricted ACC-PH: A Framework for Adopting Cloud Computing in Private Hospitals in Saudi Arabia(Saudi Digital Library, 2025) Alshahrani, Fayez Mogeb M; Beloff, NataliaCloud computing refers to a service model that provides flexible, cost-effective, and on-demand access to computing resources through external providers. Within the Saudi healthcare context, especially in private hospitals, this technology holds considerable potential to improve the quality of healthcare while delivering significant financial benefits. Saudi private hospitals, which operate in a competitive environment, are under constant pressure to enhance operational efficiency while maintaining profitability. Despite the strategic advantages that cloud computing offers, its adoption across Saudi private hospitals remains relatively slow and limited. This thesis investigates the factors influencing the adoption of cloud computing within Saudi private hospitals. To achieve this aim, the Adoption of Cloud Computing in Private Hospitals (ACC-PH) framework was developed to guide an explanatory mixed-methods study, consisting of quantitative and qualitative phases. The quantitative phase involved a survey of 650 decision-makers and employees across various private hospitals in Saudi Arabia. Structural Equation Modelling (SEM) was applied to test the influence of thirteen factors, categorised into three groups: technological (security, compatibility, reliability, relative advantage); organisational (attitude toward change, top management support, prior experience, organisational readiness, cost analysis); and environmental (Internet connection, competitive pressure, cloud providers, rules and regulations). The results of the quantitative study confirmed the significant positive influence of all these factors on cloud adoption, except for rules and regulations, which showed no significant effect. To provide a deeper understanding of these findings, the qualitative phase involved two rounds of semi-structured interviews with a total of nineteen decision-makers. The initial qualitative study, involving twelve decision-makers, confirmed the relevance of the key factors identified in the quantitative phase but revealed recurring challenges associated with security, compatibility, organisational readiness, and Internet connection. The subsequent qualitative study, involving seven decision-makers, offered contextual explanations and practical justifications for the findings, thereby reinforcing the quantitative results with rich and interpretive insights. Bringing together all sets of findings, the study offers a practical and evidence-based roadmap tailored to the realities of cloud computing adoption in Saudi private hospitals. This roadmap is intended to support decision-makers as they navigate the adoption process, with the aim of lowering costs and improving the quality and efficiency of healthcare services. In addition to its practical contributions, the thesis adds to the academic conversation on technology adoption by highlighting the interaction between technological, organisational, and environmental factors in the unique context of the Saudi healthcare sector.8 0