Unveiling End-users' Satisfaction and Actual Use of Blockchain in e-Health: Empirical Evidence from Bangladesh

Ferdowsy Begum, Rahat Khan, Jewel Mandal, Md. Abdul Kaium, Md. Shahinur Rahman, Israt Zahan

Abstract

Data safety and security have become threatening issues in the health industry. Against this backdrop, blockchain technology has opened up a new window for healthcare stakeholders. This research aims to enhance the understanding of the factors that influence user satisfaction and actual use behavior of blockchain technology in the electronic health sector in Bangladesh. A convenience sampling collected primary data (270 responses) from nurses, doctors, emergency staff, and laboratory technicians. AMOS and SPSS were used for analysis. The data were analyzed using descriptive statistics, assessing normality, common method bias, validity, reliability test and regression weight analysis. The findings of this study reveal that the task characteristics, performance expectancy, information quality, and service quality of blockchain are significantly related to end-user satisfaction. Performance expectancy had the greatest weighted influence on satisfaction. End-user satisfaction reflects strong usage behavior towards blockchain technology in Bangladesh. Surprisingly, system quality does not substantially affect user satisfaction derived from blockchain technology. This study analyzes the most critical predictors of satisfaction evoked by using blockchain, particularly relevant to the context of Least Developed Countries (LDCs), such as Bangladesh. To our knowledge, limited studies have yet examined user satisfaction and actual use behavior through the lens of IS success, Task Technology Fit (TTF), and UTAUT models in Bangladesh's e-health sector. This study is anticipated to provide an opportunity for additional investigation into the potential uses of blockchain in the medical field and other commercial sectors.

References

Aburayya, A., Marzouqi, A., Alawadhi, D., Abdouli, F., & Taryam, M. (2020). An empirical investigation of the effect of employees' customer orientation on customer loyalty through the mediating role of customer satisfaction and service quality. Management Science Letters, 10(10), 2147-2158. https://doi.org/10.5267/j.msl.2020.3.022
Ahmad, R. W., Salah, K., Jayaraman, R., Yaqoob, I., Ellahham, S., & Omar, M. (2021). The role of blockchain technology in telehealth and telemedicine. International Journal of Medical Informatics, 148, 104399. https://doi.org/10.1016/j.ijmedinf.2021.104399
Al-Adwan, A. S., Yaseen, H., Alsoud, A., Abousweilem, F., & Al-Rahmi, W. M. (2022). Novel extension of the UTAUT model to understand continued usage intention of learning management systems: the role of learning tradition. Education and Information Technologies, 27, 1-27. https://link.springer.com/article/10.1007/s10639-021-10758-y
Al-bloush, T. B., Wahab, N. A., & Mahshar, M. (2021). Examining the impact of website quality components towards continuous-use intention. Ilkogretim Online, 20(5), 2826-2838. https://doi.org/10.17051/ilkonline.2021.05.308
Al-Shibly, H. (2011). Human resources information systems success assessment: An integrative model. Australian Journal of Basic and Applied Sciences, 5(5), 157-169. https://www.researchgate.net/publication/264699074_Human_Resources_Information_Systems_success_Assessment_An_integrative_model
Alazab, M., Alhyari, S., Awajan, A., & Abdallah, A. B. (2021). Blockchain technology in supply chain management: an empirical study of the factors affecting user adoption/acceptance. Cluster Computing, 24, 83-101. https://doi.org/10.1007/s10586-020-03200-4(0123456789().,-volV)(0123
Alberto, J., & Riza, F. (2023). Electrifying Consumer Choices: Unveiling the Road to Green Intentions and EV Adoption. Journal of Consumer Sciences, 8(3), 257-276. https://doi.org/10.29244/jcs.8.3.257-276
Almasarweh, M., Jawasreh, Z., Al-Ghasawneh, Y., Matalka, M., Al-Shuaibi, M., Kalbouneh, N., & Zoubi, M. (2023). The impacts of task technology fit, transparency, and supply chain agility on the blockchain adoption by SMEs in Jordan. International Journal of Data and Network Science, 7(3), 1303-1310. https://doi.org/10.5267/j.ijdns.2023.4.008
Alshibly, H. H. (2014). Evaluating E-HRM success: A Validation of the information systems success model. International Journal of Human Resource Studies, 4(3), 107-124. https://doi.org/10.5296/ijhrs.v4i3.5929
Alyoussef, I. Y. (2023). Acceptance of e-learning in higher education: The role of task-technology fit with the information systems success model. Heliyon, 9(3), e13751. https://doi.org/10.1016/j.heliyon.2023.e13751
Bailey, J. E., & Pearson, S. W. (1983). Development of a tool for measuring and analyzing computer user satisfaction. Management science, 29(5), 530-545. Retrieved from https://www.jstor.org/stable/2631354
Bell, L., Buchanan, W. J., Cameron, J., & Lo, O. (2018). Applications of Blockchain Within Healthcare. Blockchain in Healthcare Today, 1, 1-7. https://doi.org/10.30953/bhty.v1.8
Boore, C., James, N., & Iraki, X. (2017). Strategic issues in e-Health implementation in developing countries: The Kenyan healthcare sector. Global Scientific Journals, 5(7), 50-62. Retrieved from https://www.globalscientificjournal.com/researchpaper/STRATEGIC-ISSUES-IN-E-HEALTH-IMPLEMENTATION-IN-DEVELOPING-COUNTRIES-THE-KENYAN-HEALTHCARE-SECTOR.pdf
Boore, C., Njihia, M., Iraki, X., Obonyo, V., & Mutiso, V. (2020). E-health system security issues and block chain technology in Kenya. IEEE SEM, 8. Retrieved from https://www.ieeesem.com/researchpaper/e_health_System_Security_Issues_and_Block_chain_technology_in_Kenya.pdf
Chang, H. H., Wang, Y.-H., & Yang, W.-Y. (2009). The impact of e-service quality, customer satisfaction and loyalty on e-marketing: Moderating effect of perceived value. Total quality management, 20(4), 423-443. https://doi.org/10.1080/14783360902781923
Chatterjee, S., Kar, A. K., & Gupta, M. (2018). Success of IoT in smart cities of India: An empirical analysis. Government Information Quarterly, 35(3), 349-361. https://doi.org/10.1016/j.giq.2018.05.002
Coppolino, L., D'Antonio, S., Mazzeo, G., Romano, L., & Campegiani, P. (2021). Facing the Blockchain Endpoint Vulnerability, an SGX-based Solution for Secure eHealth Auditing. ITASEC, https://ceur-ws.org/Vol-2940/paper25.pdf
DeLone, W. H., & McLean, E. R. (1992). Information systems success: The quest for the dependent variable. Information systems research, 3(1), 60-95. https://doi.org/10.1287/isre.3.1.60
DeLone, W. H., & McLean, E. R. (2003). The DeLone and McLean model of information systems success: a ten-year update. Journal of management information systems, 19(4), 9-30. https://doi.org/10.1080/07421222.2003.11045748
Diputra, I., & Yasa, N. (2021). The influence of product quality, brand image, brand trust on customer satisfaction and loyalty. American International Journal of Business Management (AIJBM), 4(1), 25-34. https://www.aijbm.com/wp-content/uploads/2021/01/E412534.pdf
Efiloğlu Kurt, Ö. (2019). Examining an e-learning system through the lens of the information systems success model: Empirical evidence from Italy. Education and Information Technologies, 24(2), 1173-1184. https://doi.org/10.1007/s10639-018-9821-4
Everitt, B., & Dunn, G. (2001). Applied multivariate data analysis (Vol. 2). Wiley Online Library. https://doi.org/10.1002/9781118887486
Evwiekpaefe, A. E., Chiemeke, S. C., & Haruna, M. Z. (2018). Individual and organizational acceptance of technology theories and models: Conceptual gap and possible solutions. Pacific Journal of Science and Technology, 10(2), 189-197. https://www.researchgate.net/profile/Abraham-Evwiekpaefe/publication/371399391_Individual_and_Organizational_Acceptance_of_Technology_Theories_and_Models_Conceptual_Gap_and_Possible_Solutions/links/6481ee5ad702370600dc2537/Individual-and-Organizational-Acceptance-of-Technology-Theories-and-Models-Conceptual-Gap-and-Possible-Solutions.pdf
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50. https://doi.org/10.2307/3151312
Gan, C., Li, H., & Liu, Y. (2017). Understanding mobile learning adoption in higher education: An empirical investigation in the context of the mobile library. The Electronic Library, 35(5), 846-860. https://doi.org/10.1108/EL-04-2016-0093
Gligor, D., Feizabadi, J., Russo, I., Maloni, M. J., & Goldsby, T. J. (2020). The triple-a supply chain and strategic resources: developing competitive advantage. International Journal of Physical Distribution & Logistics Management, 50(2), 159-190. https://doi.org/10.1108/IJPDLM-08-2019-0258
Goodhue, D. L., & Thompson, R. L. (1995). Task-technology fit and individual performance. MIS Quarterly, 213-236. https://doi.org/10.2307/249689
Griggs, K. N., Ossipova, O., Kohlios, C. P., Baccarini, A. N., Howson, E. A., & Hayajneh, T. (2018). Healthcare blockchain system using smart contracts for secure automated remote patient monitoring. Journal of medical systems, 42, 1-7. https://doi.org/10.1007/s10916-018-0982-x
Hafizh, M. H. R., & Aswar, K. (2020). Empirical Study On Organizational Performance: The moderating Effect Of Organizational Culture. Journal of Economics Finance and Accounting, 7(3), 287-297. https://doi.org/10.17261/Pressacademia.2020.1295
Hair, J., Hollingsworth, C. L., Randolph, A. B., & Chong, A. Y. L. (2017). An updated and expanded assessment of PLS-SEM in information systems research. Industrial management & data systems, 117(3), 442-458. https://doi.org/10.1108/IMDS-04-2016-0130
Haleem, A., Javaid, M., Singh, R. P., Suman, R., & Rab, S. (2021). Blockchain technology applications in healthcare: An overview. International Journal of Intelligent Networks, 2, 130-139. https://doi.org/10.1016/j.ijin.2021.09.005
Hew, T.-S., & Syed A. Kadir, S. L. (2017). Applying channel expansion and self-determination theory in predicting use behaviour of cloud-based VLE. Behaviour & Information Technology, 36(9), 875-896. https://doi.org/10.1080/0144929X.2017.1307450
Hoque, M. R., Bao, Y., & Sorwar, G. (2017). Investigating factors influencing the adoption of e-Health in developing countries: A patient's perspective. Inform Health Soc Care, 42(1), 1-17. https://doi.org/10.3109/17538157.2015.1075541
Hossain, C. A., Mohamed, M. A., Zishan, M. S. R., Ahasan, R., & Sharun, S. M. (2022). Enhancing the security of E-Health services in Bangladesh using blockchain technology. International Journal of Information Technology, 14(3), 1179-1185. https://doi.org/10.1007/s41870-021-00821-9
Howard, M. C., & Rose, J. C. (2019). Refining and extending task–technology fit theory: Creation of two task–technology fit scales and empirical clarification of the construct. Information & Management, 56(6), 103134. https://doi.org/10.1016/j.im.2018.12.002
Hussain, A. A., Emon, M. A., Tanna, T. A., Emon, R. I., & Onik, M. M. H. (2022). A systematic literature review of blockchain technology adoption in Bangladesh. arXiv preprint arXiv:2201.07964. https://doi.org/10.33166/AETiC.2022.01.001
Hylock, R. H., & Zeng, X. (2019). A blockchain framework for patient-centered health records and exchange (HealthChain): evaluation and proof-of-concept study. Journal of Medical Internet Research, 21(8), e13592. https://doi.org/10.2196/13592
Irving, G., & Holden, J. (2016). How blockchain-timestamped protocols could improve the trustworthiness of medical science. F1000Research, 5. https://doi.org/10.12688/f1000research.8114.3
Jabbar, R., Fetais, N., Krichen, M., & Barkaoui, K. (2020). Blockchain technology for healthcare: Enhancing shared electronic health record interoperability and integrity. 2020 IEEE International Conference on Informatics, IoT, and Enabling Technologies (ICIoT), (pp. 310-317). https://doi.org/10.1109/ICIoT48696.2020.9089570
Jena, R. K. (2022). Examining the factors affecting the adoption of blockchain technology in the banking sector: An extended UTAUT model. International Journal of Financial Studies, 10(4), 90. https://doi.org/10.3390/ijfs10040090
Kabir, M., & Islam, M. (2021). Behavioural intention to adopt blockchain technology in Bangladeshi banking companies. AIP Conference Proceedings, https://doi.org/10.1063/5.0051654
Khazaei, H. (2020). Integrating cognitive antecedents to UTAUT model to explain adoption of blockchain technology among Malaysian SMEs. JOIV: International Journal on Informatics Visualization, 4(2), 85-90. https://doi.org/10.30630/joiv.4.2.362
Kshetri, N. (2017). Blockchain's roles in strengthening cybersecurity and protecting privacy. Telecommunications Policy, 41(10), 1027-1038. https://doi.org/10.1016/j.telpol.2017.09.003
Kubendiran, M., Singh, S., & Sangaiah, A. K. (2019). Enhanced security framework for e-health systems using blockchain. Journal of Information Processing Systems, 15, 239-250. https://doi.org/10.3745/JIPS.04.0106
Kuska, D. A. R., Wijayanto, H., & Santoso, A. (2024). Improving The E-Satisfaction and E-Loyalty Based on E-Trust and E-Service Quality on Shopee Customer. Journal of Consumer Sciences, 9(1), 22-39. https://doi.org/10.29244/jcs.9.1.22-39
Latif, M. I., & Zakaria, Z. (2020). Factors determine the behavioural intention in adopting the blockchain technology by Malaysian Public Sector Officers. Journal of Advanced Research in Business and Management Studies, 20(1), 34-43. https://doi.org/10.37934/arbms.20.1.3443
Lee, H.-H., & Sung, H.-C. (2023). Unveiling the Confirmation Factors of Information System Quality on Continuance Intention towards Online Cryptocurrency Exchanges: The Extension of the Expectation Confirmation Model. Information, 14(9), 482. https://doi.org/10.3390/info14090482
Li, X., Wang, Z., Leung, V. C., Ji, H., Liu, Y., & Zhang, H. (2021). Blockchain-empowered data-driven networks: A survey and outlook. ACM Computing Surveys (CSUR), 54(3), 1-38. https://doi.org/10.1145/3446373
Lin, X., Wu, R., Lim, Y.-T., Han, J., & Chen, S.-C. (2019). Understanding the sustainable usage intention of mobile payment technology in Korea: Cross-countries comparison of Chinese and Korean users. Sustainability, 11(19), 5532. https://doi.org/10.3390/su11195532
Maziriri, E. T., Chuchu, T., & Rukuni, T. F. (2023). An Empirical appraisal of electronic service quality, customer satisfaction and behavioral intentions within online shopping in South Africa. Journal of Consumer Sciences, 8(3), 234-256. https://doi.org/10.29244/jcs.8.3.234-256
Mohammadkazemi, R., & Pouriz, M. (2023). Designing a food supply chain improvement model with a focus on blockchain. International Journal of Nonlinear Analysis and Applications. https://doi.org/10.22075/IJNAA.2022.29078.4056
Muda, I., & Ade Afrina, E. (2019). Influence of human resources to the effect of system quality and information quality on the user satisfaction of accrual-based accounting system. Contaduría y administración, 64(2), 0-0. https://doi.org/10.22201/fca.24488410e.2019.1667
Naidoo, D. T. (2023). Integrating TAM and IS Success Model: Exploring the Role of Blockchain and AI in Predicting Learner Engagement and Performance in E-learning. Frontiers in Computer Science, 5, 1227749. https://doi.org/10.3389/fcomp.2023.1227749
Prisscilya, s., & napitupulu, t. a. (2023). Evaluation of blockchain technology acceptance factors in the tokocrypto application. Journal of Theoretical and Applied Information Technology, 101(4). https://www.jatit.org/volumes/Vol101No4/21Vol101No4.pdf
Rahman, M. S., Hasan, N., Zhang, J., Moral, I. H., & Hossain, G. M. S. (2024). Women's adoption of wearable health-monitoring technology: empirical evidence from a least developed country. Aslib Journal of Information Management. https://doi.org/10.1108/AJIM-06-2023-0190
Ratta, P., Kaur, A., Sharma, S., Shabaz, M., & Dhiman, G. (2021). Application of blockchain and internet of things in healthcare and medical sector: applications, challenges, and future perspectives. Journal of Food Quality, 2021, 1-20. https://doi.org/10.1155/2021/7608296
Shahzad, A., Hassan, R., Aremu, A. Y., Hussain, A., & Lodhi, R. N. (2021). Effects of COVID-19 in E-learning on higher education institution students: the group comparison between male and female. Quality & quantity, 55, 805-826. https://doi.org/10.1007/s11135-020-01028-z
Sikder, A. S. (2023). Blockchain-Empowered E-commerce: Redefining Trust, Security, and Efficiency in Digital Marketplaces in the Context of Bangladesh.: Blockchain-Empowered E-commerce. International Journal of Imminent Science & Technology, 1(1), 216-235. https://journal.ijisnt.com/index.php/public_html/article/view/20/21
Tarhini, A., Alalwan, A. A., Shammout, A. B., & Al-Badi, A. (2019). An analysis of the factors affecting mobile commerce adoption in developing countries: Towards an integrated model. Review of International Business and Strategy, 29(3), 157-179. https://doi.org/10.1108/RIBS-10-2018-0092
Taylor, S., & Todd, P. A. (1995). Understanding information technology usage: A test of competing models. Information systems research, 6(2), 144-176. https://doi.org/10.1287/isre.6.2.144
Thiruchelvam, V., Mughisha, A. S., Shahpasand, M., & Bamiah, M. (2018). Blockchain-based technology in the coffee supply chain trade: Case of Burundi coffee. Journal of Telecommunication, Electronic and Computer Engineering (JTEC), 10(3-2), 121-125. https://jtec.utem.edu.my/jtec/article/view/4722/3467
Venkatesh, V., Thong, J. Y. L., & Xu, X. (2012). Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology. MIS Quarterly, 36(1), 157-178. https://doi.org/10.2307/41410412
Wamba, S. F., & Queiroz, M. M. (2020). Blockchain in the operations and supply chain management: Benefits, challenges and future research opportunities. In (Vol. 52, pp. 102064): Elsevier. https://doi.org/10.1016/j.ijinfomgt.2019.102064
Wang, Y.-Y., Wang, Y.-S., & Lin, T.-C. (2018). Developing and validating a technology upgrade model. International Journal of Information Management, 38(1), 7-26. https://doi.org/10.1016/j.ijinfomgt.2017.07.003
Yaqoob, I., Salah, K., Jayaraman, R., & Al-Hammadi, Y. (2021). Blockchain for healthcare data management: opportunities, challenges, and future recommendations. Neural Computing and Applications, 1-16. https://doi.org/10.1007/s00521-020-05519-w

Authors

Ferdowsy Begum
Rahat Khan
Jewel Mandal
Md. Abdul Kaium
mak_mktdu@yahoo.com (Primary Contact)
Md. Shahinur Rahman
Israt Zahan
BegumF., KhanR., MandalJ., KaiumM. A., RahmanM. S., & ZahanI. (2024). Unveiling End-users’ Satisfaction and Actual Use of Blockchain in e-Health: Empirical Evidence from Bangladesh. Journal of Consumer Sciences, 9(2), 163-184. https://doi.org/10.29244/jcs.9.2.163-184

Article Details

The Antecedents of Intention to Use Telemedicine

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