To develop an Electronic Health Cloud - Healthcare as Service (eHaaS) system for delivering healthcare information services with low cost, high utilities value and high usability in order to improve collaboration in Saudi healthcare organizations. The mixed method approach, which combines observation, questionnaire, and interview were combined and presented to determine the current level of collaboration among medical staff with regard to sharing healthcare information in e-health cloud environment, and identify the factors influencing on the perceived the e-health cloud adoption in Saudi healthcare organizations. Results showed the level of collaboration is low and slow to adopt HISs and meets resistance from healthcare specialist, lack of collaboration among medical staff in Saudi healthcare organizations. This lack of collaboration occurred because of significant factors such as, low awareness level in use technology, computer literacy, absence e-health cloud , poor HISs, decentralized systems, language barriers, large amounts of data are difficult to manage and control in manual and centralized systems, independently work, and time. The implementation of the eHaaS can improve the collaboration among medical staff with regard to sharing information and skills in patient treatment within the same hospital and between different ones.

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