Int. J. Business Information Systems, Vol. 34, No. 1, 2020 1 Copyright © 2020 Inderscience Enterprises Ltd. Cloud computing in healthcare – a vision, challenges and future directions Balkrishna E. Narkhede Department of Industrial Engineering, National Institute of Industrial Engineering (NITIE), Vihar Lake, NITIE, Powai, Mumbai, 400087 Maharashtra, India Email: benarkhede1@gmail.com Rakesh D. Raut* Department of Operations and Supply Chain Management, National Institute of Industrial Engineering (NITIE), Vihar Lake, NITIE, Powai, Mumbai, 400087 Maharashtra, India Email: rakeshraut09@gmail.com Email: rraut@nitie.ac.in *Corresponding author Vaibhav S. Narwane and Bhaskar B. Gardas Department of Production Engineering, Veermata Jijabai Technological Institute (VJTI), H.R. Mahajani Marg, Matunga, Mumbai, 400019 Maharashtra, India Email: vsnarwane@gmail.com Email: gardas.bhaskar@gmail.com Abstract: In the era of cloud computing (CC), many organisations have successfully adopted and leveraged CC capabilities to improve their business performance and economic performance. However, past literature on CC has put the limited focus on cloud-healthcare domain. In this context, this paper aims to provide a systematic literature review of cloud computing in healthcare (CCH) capabilities, usages, and other challenges across countries over a period of the healthcare industry. The paper presents the bibliometric analysis of research papers of 750 found on CC from 2011 to 2017 and after scrutinising 81 articles were considered for the review, which was related to CCH. This article contributes to theorising CC capabilities in the context of healthcare and provides future direction of research in this field. Keywords: cloud computing; healthcare; Health 4.0; cloud health issues; big-data analytics. Reference to this paper should be made as follows: Narkhede, B.E., Raut, R.D., Narwane, V.S. and Gardas, B.B. (2020) ‘Cloud computing in healthcare – a vision, challenges and future directions’, Int. J. Business Information Systems, Vol. 34, No. 1, pp.1–39.