Assessment of health provider readiness for telemedicine services in Uganda

Kiberu, Vincent Micheal; Scott, Richard E.; Mars, Maurice

doi:10.1177/1833358317749369

Cited by 20 publications

(28 citation statements)

References 23 publications

(24 reference statements)

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“…Securing patient data involves protecting confidential medical information and once security is compromised, it creates a sense of fear and resistance among users. Similar to this study, concerns over privacy and security being compromised have been raised in several other studies [6], [44], [39], [38], [10], [54] as barriers of eHealth adoption. In a study conducted by Chang [42], participants expressed concerns about the confidentiality and the security of patient data with smartphones, with specific concern on multimedia capabilities that were perceived as having the potential of abuse.…”

Section: Discussionsupporting

confidence: 76%

“…Training has been identified as one of the key success factors in technology acceptance. Commensurate to our findings, receiving necessary training prior to using the system has been encouraged in several other studies [6], [38], [44], [19], [28], [21], [40], [30], [33]. Training equips users with the knowledge of the system [20], gives a chance to acclimate to the new processes and in the long run boosts confidence to use the system.…”

Section: Discussionsupporting

confidence: 64%

“…Usefulness is the knowledge the users have of the system and the benefits that accrue from its use. Many scholars [38], [28], [23], [30] [13], [60], [63] have equally reported on perceived usefulness in facilitating or impeding the successful adoption of systems in general. Once users do not perceive the system as useful, acceptability will be very low.…”

Section: Discussionmentioning

confidence: 99%

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Barriers and Facilitators of eHealth Adoption among Patients in Uganda – A Quantitative Study

Namatovu¹,

Semwanga²

2021

Preprint

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The adoption of eHealth has not made great strides in Uganda especially among patients despite its potential in improving patient outcomes through access to care, patient engagement and its ability to reduce unnecessary hospital visits. Previous studies have focused on barriers and facilitators of eHealth in general. None has examined the adoption of eHealth among patients. Therefore, this study set out to investigate the barriers and facilitators of eHealth adoption among patients in Uganda. A cross-sectional survey was conducted in four districts across the country. A total of 292 patients of 18 years and above participated in the study and their selection was through simple random sampling. The bivariate analysis results revealed that education level (χ2 = 14.9, ρ&lt;0.05), gender (χ2 = 4.95, ρ&lt;0.05) and location (χ2 = 85.9, ρ&lt;0.05) have a statistical significant relationship with eHealth adoption. The logistic regression model further revealed that male patients (OR=2.662), those with master’s degree and above (OR=2.2797) and those residing in Kampala (OR=.012) were more likely to use eHealth systems than their counterparts. The success of eHealth requires players in the health sector to ardently focus on the socio-demographic factors of the users, technological and hospital conditions if eHealth adoption is to ensue.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

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Barriers and Facilitators of eHealth Adoption among Patients in Uganda – A Quantitative Study

Namatovu¹,

Semwanga²

2021

Preprint

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“…The magnitude of remote consultation activity is difficult to estimate [9,10]. Various studies in developed as well as in developing countries examined the acceptance of HCPs and patients to the concept of remote consultations especially in rural areas [11,12]. A Questionnaire based assessment in Spain [11] and another in Uganda [12] confirmed that the HCPs are willing to implement remote consultations as an alternative to face to face consultations.…”

Section: Comparison With Coexisting Literaturementioning

confidence: 99%

Telemedicine during COVID-19: a survey of Health Care Professionals’ perceptions

Elawady

Khalil

Assaf

et al. 2020

Monaldi Arch Chest Dis

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The National Health Service (NHS) has rapidly adopted telemedicine solutions as an alternative to face-to-face consultations during the COVID-19 pandemic. The majority of HCPs (Healthcare Professionals) were unfamiliar with Telemedicine prior to the current pandemic. Remote consultation is expected to continue for the foreseeable future, thus we designed this survey. A survey designed to evaluate the use of telephone consultation by HCPs, assessing its implementation, challenges and drawbacks. A web link survey conducted through SurveyMonkey was sent to HCPs across six UK Trusts the period of May 2020. The survey received 114 responses (84%) being doctors. 95% of respondents had not received training prior to engaging in telemedicine consultations. 64% were unaware of the updated General Medical Council guidance concerning remote consultations. The most common barrier in remote consultation was the inability to access patient records raised by 37% of respondents. However, 73% of respondents felt that patients understood their medical condition and the instructions given to them over the phone, and 70% agreed that videoconference consultations would add to patients care. Telemedicine can be used for selected groups of patients in the post COVID-19 era, and the HCPs carrying that should have the sufficient experience and knowledge expected to operate these clinics.

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“…Cultural barriers such as digital divide, digital illiteracy, awareness gap, socio-cultural differences, perceptions, and resistance to change. [ 33 ] Cross-sectional Uganda Tele-education The unavailability of telemedicine regulations and policies in the country. [ 34 ] Perspective Africa Tele-education, telecardiology,tele-ultrasonography, teledermatology, telepsychiatry, tele-ophthalmology and rehabilitation Legal and ethical issues [ 35 ] Perspective Africa Teleneurology Financing costs, Ethics Issues, data protection policies and budgetary allocation [ 36 ] Supplementary Zimbabwe Teleconsultation, tele-monitoring, and tele-expertise (Obstetrics and Gynaecology) Lack of technological devices, network connectivity and digital illiteracy.…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Are we there yet? Unbundling the potential adoption and integration of telemedicine to improve virtual healthcare services in African health systems

Mbunge

Muchemwa

Batani

2022

Sensors International

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Since the outbreak of COVID-19, the attention has now shifted towards universal vaccination to gracefully lift strict COVID-19 restrictions previously imposed to contain the spread of the disease. Sub-Saharan Africa is experiencing an exponential increase of infections and deaths coupled with vaccines shortages, personal protective equipment, weak health systems and COVID-19 emerging variants. Some developed countries integrated telemedicine to reduce the impacts of the shortage of healthcare professionals and potentially reduce the risk of exposure, ensuring easy delivery of quality health services while limiting regular physical contact and direct hospitalization. However, the adoption of telemedicine and telehealth is still nascent in many sub-Saharan Africa countries. Therefore, this study reflects on progress made towards the use of telemedicine, virtual health care services, challenges encountered, and proffers ways to address them. We conducted a systematic literature review to synthesise literature on telemedicine in sub-Saharan Africa. The study revealed that telemedicine provides unprecedented benefits such as improving efficiency, effective utilization of healthcare resources, forward triaging, prevention of medical personnel infection, aiding medical students' clinical observation and participation, and assurance of social support for patients. However, the absence of policy on virtual care and political will, cost of sustenance of virtual health care services, inadequate funding, technological and infrastructural barriers, patient and healthcare personnel bias on virtual care and cultural barriers are identified as limiting factors to the adoption of virtual health care in many African health systems. To alleviate some of these barriers, we recommend the development of robust policies and frameworks for virtual health care, the inclusion of virtual care in the medical school curriculum, supporting virtual care research and development, increasing health funding, removing monopolisation of telecommunication services, developing of virtual health solutions that address eccentricities of African health systems.

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Assessment of health provider readiness for telemedicine services in Uganda

Cited by 20 publications

References 23 publications

Barriers and Facilitators of eHealth Adoption among Patients in Uganda – A Quantitative Study

Barriers and Facilitators of eHealth Adoption among Patients in Uganda – A Quantitative Study

Telemedicine during COVID-19: a survey of Health Care Professionals’ perceptions

Are we there yet? Unbundling the potential adoption and integration of telemedicine to improve virtual healthcare services in African health systems

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