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Cited by 105Electronic Health Records SystemsTechnology Adoption and User BehaviourTechnostress in Professional Settings

The DOI matches its Crossref record; 84 of the 84 references it cites were found in a registry or an index.

Impact of digital health technologies adoption on healthcare workers’ performance and workload: perspective with DOI and TOE models

Open access
Jeilani, Abdulkadir, Hussein, Abdinur·2025·BMC Health Services Research
DOI 10.1186/s12913-025-12414-4PMC PMC11837663
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Abstract

BACKGROUND: Digital health technologies (DHT) have become an integral component of modern healthcare systems, offering the potential to improve healthcare delivery and outcomes. Guided by the Technology-Organization-Environment (TOE) framework, this study examines the impact of DHT adoption on healthcare workers' performance and workload in public and private hospitals in Mogadishu, Somalia. METHOD: A stratified random sampling approach was used to collect data from 286 healthcare workers in public and private hospitals. Data were analyzed using Structural Equation Modeling (SEM) to test hypotheses and assess direct and mediating relationships among variables. RESULTS: The analysis revealed that DHT significantly improves healthcare workers' performance and workload respectively (β = 0.452, C.R. = 10.150, p < 0.001) and (β = 0.594, C.R. = 9.972, p < 0.001), organizational and environmental factors are positively impacting on healthcare workers' performance (β = 0.327, C.R. = 8.709, p < 0.001) and (β = 0.102, C.R. = 2.872, p = 0.004). Healthcare workers' performance significantly reduces workload (β = 0.594, C.R. = 9.972, p < 0.001) and the mediating role of healthcare workers' performance between DHT and workload were also confirmed (β = 0.281, C.R. = 5.9787, p < 0.001). CONCLUSION: The findings underscore the critical role of DHT in enhancing healthcare workers' performance and reducing workload, with the TOE framework and performance acting as significant mediators. These results provide actionable insights for healthcare administrators and policymakers to optimize DHT implementation, support workforce efficiency, and address workload challenges through strategic organizational and environmental adaptations.

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Crossref · 10.1186/s12913-025-12414-4

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Fig. 1 Research framework, proposed by the authors
Fig. 1 Research framework, proposed by the authorsCC BY-NC-ND · PubMed Central
Fig. 2 Statistical power
Fig. 2 Statistical powerCC BY-NC-ND · PubMed Central
Fig. 3 Structure model, among healthcare workers at Mogadishu city hospitals, North East Somalia 2024(n = 286)
Fig. 3 Structure model, among healthcare workers at Mogadishu city hospitals, North East Somalia 2024(n = 286)CC BY-NC-ND · PubMed Central
Fig. 4 Model fit
Fig. 4 Model fitCC BY-NC-ND · PubMed Central

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Show all 82 references

Research works printed but not linked: 5

  1. Mulukuntla S, Pamulaparthyvenkata S. “Digital Transformation in Healthcare: Evaluating the Impact of Telemedicine and Health Information Systems on Patient Care”, EPH - Int. J Med Heal Sci. 2020;6(03):27–33.
  2. Rogers EM. Diffusion of Innovations, Fifth edit. New York: Free Press; 2003.
  3. MT, TM Q Nguyen, “Balancing Security and Privacy in the Digital Age: An In-Depth Analysis of Legal and Regulatory Frameworks Impacting Cybersecurity Practices.,” Int J Intell Autom Comput. 2023;6(5):1–12. Available: https://research.tensorgate.org/index.php/IJIAC/article/view/61.
  4. Dwi B, Rahmawati Z, Mudayana AA. The Relationship between Workload and Work Discipline with Employee Performance at Nyi Ageng Serang Kulon Progo Hospital. Int J Healthc Res. 2022;5(2):32–42.
  5. O. M. H. K. An. R. A.-S. J. T. S. A.-A. M. F. Azam, “ANTECEDENTS OF BUSINESS ANALYTICS ADOPTION AND IMPACTS ON BANKS’ PERFORMANCE: THE PERSPECTIVE OF THE TOE FRAMEWORK AND RESOURCE-BASED VIEW,” Interdiscip. J. Information, Knowledge, Manag. 2023;1(2010):150–154.

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Metadata

Authors
Jeilani, A., & Hussein, A.
Affiliations
  • Mogadishu University (SO)
  • Benadir University (SO)
Corresponding author
Jeilani, Abdulkadir
ORCID
Jeilani, Abdulkadir
Venue
BMC Health Services Research
Publisher
Springer Science and Business Media LLC
Published
2025-02-18
Volume
25
Issue
1
Pages
271-271
ISSN
1472-6963 (ISSN-L)
DOI
10.1186/s12913-025-12414-4
PMC
PMC11837663
OpenAlex
W4407701754
Semantic Scholar
1bb1af77af8460f281c969d3010450fd75380622
Cited by
105
References
82
Citations by year
2026: 73 · 2025: 32
FWCI
63.36
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Health Services Research (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
  • Social Sciences › Psychology › Social Psychology › Technostress in Professional Settings
Keywords
digital health technologies, workload, technology-organization-environment framework, Doi model, technology adoption, public and private hospitals, mediating role of performance, Mogadishu
MeSH terms
Digital Technology, Digital Health, Adult, Female, Health Personnel, Hospitals, Public, Humans, Male, Middle Aged, Workload

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