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Study HighlightsWhat was already known on the topic ATs might contribute to an increased sense of safety and security at home There are barriers to the adoption of ATs What this study added to our knowledge A general lack of knowledge about the technology needs of elderly people and the different stages of the aging process Barriers to the adoption of ATs from top critical concern are: privacy, trust, functionality/added value, cost, and ease of use and sustainability for daily use, perception of no need, stigma and fear of dependence The so-called "gerontechnologies" invokes negative attitudes about ATs acceptance
Abstract.Background: Older people generally prefer to continue living in their own homes rather than
In Ghana, as with other developing countries, there are several health information technology (HIT) initiatives as interventions to improve healthcare delivery. HIT implementation undoubtedly results in change. However, most studies relating to HIT implementation readiness have constantly neglected the role of change in successfully implementing HIT. This study intends to identify factors affecting successful change management as part of preparation towards successfully implementing HIT in public hospital in Ghana. To carry out this study, we conducted in-depth interviews with a matrix of HIT senior managers and thematically analyzed the data. The data was transcribed and uploaded into a Nvivo 11 software for analysis using thematic analysis techniques. Five (5) themes were discovered. They are: 1) Stakeholder participation; 2) Proof of experience in similar project; 3) Availability of committed change agents/all-levels-change representatives; 4) Clearly articulated change implementation strategy; and 5) Training and improvement mechanism (post-implementation). A fresh call is made for more attention to be paid to change as part of preparatory measures towards the adoption of HIT in Ghana using the five cardinal approaches identified as a guide.
Background and significance: There a sizable body of research addressing the evaluation of eHealth/health information technology (HIT) readiness using a standard readiness model in the domain of IS. However, there is a general lack of reliable indicators used in measuring readiness assessment factors, resulting in limited predictability. The availability of reliable measuring tools could help improve outcome of readiness assessments.Objective: Determining the predictive relevance of developed HIT model
Materials and methods:We collected quantitative data from clinical and non-clinical (administrators) staff at Komfo Anokye Teaching Hospital (KATH), Kumasi Ghana using the traditional in-person distribution of paper-based survey, popularly known as drop and collect survey (DCS). We then used PLS-SEM path analysis to measure the predictive relevance of a block of manifest indicators of the readiness assessment factors.Results and discussion: Three important readiness assessment factors are thought to define and predict the structure of the KATH HIT/eHealth readiness survey data (Technology readiness (TR); Operational resource readiness (ORR); and Organizational cultural readiness (OCR). As many public healthcare organizations in Ghana have already gone paperless without any reliable HIT/eHealth guiding policy, there is a critical need for reliable HIT/eHealth regulatory policies readiness (RPR) and some improvement in HIT/eHealth strategic planning readiness (core readiness).
Conclusion:The final model (R 2 = 0.558 and Q 2 = 0.378) suggest that TR, ORR, and OCR explained 55.8% of the total amount of variance in HIT/eHealth readiness in the case of KATH and the relevance of the overall paths of the model was predictive. Fit values (SRMR = 0.054; d_ULS = 6.717; d_G = 6.231; Chi 2 = 6,795.276; NFI = 0.739). Generally, the GoF for this SEM are encouraging and can substantially be improved.
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