Exploring Drivers of Technology Adoption in Public Healthcare through the TOE Lens

This study seeks to contribute to a deeper understanding of the adoption of technological innovations within the public health sector. By examining the interplay between technological characteristics, organizational capacity, and environmental context, the research aims to uncover how and why public healthcare organizations adopt, or resist adopting, new technologies. The Technology-Organization-Environment framework is used to understand the determinants of innovation adoption. To gain an in-depth understanding of the context of public healthcare organizations, a multiple case study design was employed. The study concludes that technology adoption in public healthcare is shaped not only by technical performance but also by organizational structures, cultural norms, and institutional dynamics. Successful adoption requires clear governance, trust, collaboration, and alignment be-tween technological solutions and the needs and values of users.