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In a competitive environment, eHealth small and medium-sized enterprises’ (SMEs’) barriers to survival differ from those of large enterprises. Empirical research on barriers to eHealth SMEs in less prosperous areas has been largely neglected. This study fills this gap by employing an integrated approach to analyze barriers to the development of eHealth SMEs. The purpose of this paper is to address this issue.

The authors collected data through semi-structured interviews and conducted thematic analysis to identify 16 barriers, which were used as inputs into total interpretive structural modeling (TISM) to build interrelationships among them and identify key barriers. Cross-impact matrix multiplication applied to classification (MICMAC) was then applied validate the TISM model and classify the 16 barriers into four categories.

This study makes significant contributions to theory by identifying new barriers and their interrelationships, distinguishing key barriers and classifying the barriers into four categories. The authors identify that transcultural problems are the key barrier and deserve particular attention. eHealth SMEs originating from regions with cultural value orientations, such as hierarchy and embeddedness, that differ from the UK’s affective autonomy orientation should strengthen their transcultural awareness when seeking to expand into UK markets.

By employing an integrated approach to analyze barriers that impede the development of eHealth SMEs in a less prosperous area of the UK, this study raises entrepreneurs’ awareness of running businesses in places with different cultural value orientations.

This paper identifies consumer acceptance criteria of artificial intelligence (AI)-enabled products and services in the business. We first investigate the existing three models. They are the technology acceptance model (TAM), the unified theory of acceptance and use of technology (UTAUT) and the consumer acceptance of technology (CAT). We then discuss the applicability of these three models for AI-enabled products and services. Finally, we outline the shortcomings of the models and propose an AI-enabled product and service acceptance model (AIEPSAM). We also validate the proposed AIEPSAM model with empirical results using primary survey data.

To understand the customer’s point of view on AI applications in products and services, we identify some critical factors and present a conceptual framework of consumers' acceptance criteria based on existing literature, prior research and prominent technology management theories. Then, the study broadens the horizon beyond established principles associated with technology acceptance to accommodate AI-specific factors/variables like data privacy, explainability and apparent opacity of algorithms. In this paper, we propose an AIEPSAM and validate that model with primary survey data.

We argue that although TAM, UTAUT and CAT models are generally applicable to explain consumers' attitudes towards technology, these models alone are insufficient to encompass the entire spectrum of AI-related issues that must not be ignored. The proposed model, namely AIEPSAM, accommodates the limitations of the existing models and modifies the CAT model to make it suitable for the acceptance of AI technology.

We attempt to articulate the consumer acceptance criteria of AI-enabled products and services and discover useful insights, leading to the critical examination of TAM, UTAUT and CAT models and formulating AIEPSAM with validation through primary survey data. This study is not to criticize the TAM and other technology acceptance models but to incorporate AI-specific factors into those models. Through this study, we propose the required modifications in the existing technology acceptance models considering the AI-specific additional factors. The AIEPSAM will assist companies in building AI-enabled products and services and better understanding the technology emergence (TE) and technology opportunities (TO).