- 1Odhiambo Oduor David, 2Dr. Rahab Lanoi, 3Dr. Susan Wasike
- School of Business &Economics, The Catholic University of Eastern Africa, Nairobi, Kenya
- FAR Journal of Multidisciplinary Studies (FARJMS)
- DOI
This study
investigated the role of AI in hospital performance in Kenya. With a
cross-sectional comparison, it compared Siaya County Referral Hospital and Ruai
Family Hospital in terms of ownership, facility level and resources. Based on
Diffusion of Innovations Theory and the Technology-Organization-Environment
(TOE) framework, it examined how hospitals acquire, integrate and use AI to
improve performance. The study examined the impact of AI-based diagnostic,
patient management, inventory and administrative systems on hospital
performance and ICT infrastructure’s moderating effect. The target population
was 175 employees who were using AI-enabled systems. 100 respondents (75 from
Siaya and 25 from Ruai) were selected using Yamane’s formula and random
sampling. The primary data were collected in the form of structured
questionnaires and hospital records. Instrument reliability was checked using
Cronbach’s Alpha (all constructs > 0.70). All data were calculated with SPSS
Version 30 using descriptive statistics, Pearson correlation, multiple
regression and independent samples t-tests. We found that all four AI-driven
systems significantly and positively affected hospital performance accounting
for 73.0% variance (R² = 0.730, F = 64.294, p < .001). Inventory management
systems had the strongest impact (β = 0.341, p < .001). There were no
differences between the two hospitals in any system or performance and thus
AI’s contribution was the same, regardless of ownership, facility level or
resources. The moderating effect of ICT infrastructure could not be tested due
to a composite variable computation problem, a methodological issue. The study
suggests the investment in all four AI systems should be increased and that
future research on ICT infrastructure should be implemented properly to assess
how this moderating effect is achieved.

