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A vast array of ICT based eGovernance initiatives are being put into practice in the healthcare sector in India to facilitate the populace and other stakeholders. However, a structural and strong healthcare management system postulates the development of an updated governance model. Objectives: The paper proposes to develop a Transactional Model governance model for the healthcare sector to augment the efficiency and social influence of eGovernance web portals. Methods: Twelve dimensions, extracted based on extensive literature review, models, NeSDA and UNDESA methodology and through Exploratory and Confirmatory Factor Analysis (EFA and CFA) have been used. Responses of 600 doctors, healthcare staff and patients have been collected through an in-depth interview and observation checklist. Structural Equation Modeling (SEM) has been applied to develop and propose a transactional model of governance after statistical testing. Results: The outcome depicts a significant positive impact of identified dimensions on Intention to Use and Service Quality construct of healthcare-related eGovernance services which ultimately improves efficiency thereby leading to social influence. Conclusion: The paper proposes an integrated and efficient governance model framework to enhance the social influence of eGovernance services in the healthcare sector. The promising outcome evinced that the proposed framework may serve as a roadmap for policy and decision-makers.

Transactional Model of eGovernance: Empirical Evidence from the Healthcare Sector of India