Analysis of factors influencing the intention to adopt blockchain in Egypt public hospitals

Despite the vital role of blockchain in the health insurance sector, such as ensuring improved data security and protection, automating insurance claims using smart contracts, and creating a unified health record. However, blockchain adoption in Egypt remains limited due to numerous technical, regulatory, infrastructural, and cultural challenges. The main objective of this study is to explore the factors that affect the intention to adopt blockchain technology in Egypt. Egypt's universal health insurance system was used as a case study in six governorates. The findings were obtained using the least square approach based on a sample of 228 respondents randomly collected from IT staff working in EGYPT public hospitals. The originality of this research theoretically extends the TOE model by adding context-specific factors for Egyptian contexts like perceived trust, perceived risk, and financial capabilities. Furthermore, this study is among the first efforts to identify the factors influencing the intention to adopt blockchain within the Egyptian context. The results show that the perceived risk factor negatively affects the intention to adopt blockchain. The factors related to security, the privacy of patient data, and top management support have a significant impact on perceived trust, while financial capabilities notably influence both perceived trust and the intention to adopt blockchain. Perceived trust fully mediates the relationship between organizational and environmental factors and the intention to adopt blockchain. The results of this study provide valuable insights for decision-makers and stakeholders involved in the decision to adopt blockchain in Egyptian hospitals, as well as for health insurance companies considering blockchain adoption.