Examining Factors Influencing the Adoption of Enterprise Resource Planning Systems in Secondary Healthcare Institutions

Research by: Eunice Gabrielle A. Reyes, Ardvin Kester S. Ong, Madonna F. Andrada, John Francis T. Diaz, Ma. Janice J. Gumasing

Executive Summary

The healthcare system in the Philippines has insufficient patient and personnel management, inefficient inventory systems, and disorganized medical record-keeping, contributing to unsatisfactory patient care. This occurrence calls for a centralized database like Enterprise Resource Planning (ERP) systems that manage healthcare systems efficiently. This study utilized partial least squares-based structural equation modeling and Random Forest Classifier (RFC) to identify the factors influencing the adoption of ERP systems in secondary healthcare institutions. The study proposed an extended Unified Theory of Acceptance and Use of Technology framework integrated with the Valence model to define behavioral intention and use behavior of ERP systems. A self-administered online survey was answered by 250 secondary healthcare stakeholders in the Philippines voluntarily.

This current study delved into the causes of inefficiency in healthcare institutions in the Philippines and determined that the adoption of ERP systems in the said institutions are heavily affected by effort expectancy, performance expectancy, and social influence. These findings add to the knowledge of SHC stakeholders in evaluating the adoption of ERP systems in their own organizations. This study provided an analysis on the adoption of ERP systems in the most common type of healthcare institution in the Philippines to comprehend the factors leading to its absence. This study provided an analysis on the adoption of ERP systems in the most common type of healthcare institution in the Philippines to comprehend the factors leading to its absence. Effort expectancy, performance expectancy, and social influence result in a very high behavioral intention leading to the use behavior of ERP systems, while facilitating conditions and innovativeness in information technology led to high significance. Price value and perceived benefits are significant factors. RFC was proven reliable in predicting the factors, with an accuracy of 96%, indicating that the proposed framework can be used in future research to examine enterprise system adoption in different healthcare facilities.

The gap was observed in the absence of studies examining the integration of ERP systems into SHCs in the Philippines, which utilized the appropriate framework. There has yet been a study that covers ERP in the Philippines, yet alone its adoption. Since the ERP system is relatively present for a certain period of time, its adoption among healthcare facilities has not been covered in the Philippines. This study is the first to decipher and understood the ERP adoption and its practical implications. This study provided a comprehensive analysis of the said gap by utilizing the UTAUT and valence frameworks to assess ERP adoption in SHCs. It is suggested that there should be trainings, seminars, and hands-on practice among employees before deployment to encourage, enhance, and provide distinct utility among users. It was evident that healthcare professionals are innovative (as per the significant output), therefore the industry could capitalize on this and implement the ERP system as long as there is evident information and related technologies on hand for employees to adopt to. The overall system should also be applicable with the current system, both online and offline, to create a more efficient transition, adoption, and technological infrastructure. Lastly, highlighting how their work efficiency, ease of utility, and schedule could be benefited with the ERP system adoption and implementation could enhance the overall usage behavior of healthcare professionals.

To cite this article: Reyes, E. G. A., Ong, A. K. S., Andrada, M. F., Diaz, J. F. T., & Gumasing, M. J. J. (2025). Examining factors influencing the adoption of enterprise resource planning systems in secondary healthcare institutions. Journal of Health Organization and Management. https://doi.org/10.1108/JHOM-07-2024-0316

To access this article: https://doi.org/10.1108/JHOM-07-2024-0316

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Journal of Health Organization and Management supports the application of health organization and management research into practice from a diverse range of perspectives. JHOM provides an international forum for the exchange of innovative and methodologically diverse studies and analyses.

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