Health Information Technology Acceptance Framework for diabetes management

Abstract

This study examined the level of acceptance of Health Information Technology (HIT) as tools for diabetes care and management, in six selected tertiary hospitals in southwestern zone of Nigeria. Using both quantitative and qualitative methods, this study was conducted amongst selected healthcare stakeholders namely Nurses, Doctors, Laboratory Scientists, Pharmacists, ICT unit Professionals, Medical Record Officers, and Type-2 diabetes out-patients available in the designated hospitals. Adapting Technology Acceptance and Chronic Care Models, the level of HIT acceptance by the respondents in the study area was measured in terms of Perceived Ease-of-Use, Perceived Usefulness, and the Perceived Unintended Consequences relating to HIT, while also considering the roles of the government, community and healthcare organizations. One hundred and fifty (150) respondents were examined, each for both Staff and Patients, and the factor variables studied on a 5-point Likert rating scale of measurement from 1 (Strongly Disagree) to 5 (Strongly Agree). The results revealed strong perception of Staff and Patients about HIT implementation and acceptance and showed that in some cases, the perception of Staff and patients about HIT acceptance are the same, while different in some. The study concluded that for acceptability of HIT, hospitals have to embark on ‘continuous’ training for the HIT users, so that users would familiarize themselves with the system, and it will be fully incorporated into their workflow. Based on the findings, a conceptual Health Information Technology Acceptance Framework for Chronic diseases' management, especially for diabetes mellitus was developed.

Evaluation of Optima Regional Health Information System with HOT-Fit on Technology Aspects Approach in Johar Baru Health Center Jakarta

“…The TAM's evaluation method have advantages in evaluating systems, such as, seeing two aspects of perceived usefulness and perceived of use (Ayanlade et al, 2019), UTAUT of performance expectancy, effort expectancy, social influences, and facilitating conditions (Gunawan, 2018). Both methods only assess whether the system being evaluated is acceptable to the user, but it is not seen from the aspects of human, organization, technology and the benefits provided.…”

The Effect of Health Information Technology on Time and Cost Saving in Remote areas of Iran

“…the positive attitude of users towards technology. The results of the study by Ayanlade et al 25 , Kindratt et al 26 and Sebetci 27 indicated that the strong understanding of staff and patients about the implementation and acceptance of HIT leads to achieving its benefits.…”

The role of information and communication technology in self-management

“…These types of tools were also accepted by the health care personnel, who claimed it helped them with continuous monitoring of the patient's health status, especially for patients that live in the countryside. It also helps take preventive measures sooner, relieve them unnecessary work and enables faster and easier accomplishment of their daily tasks (Ayanlade et al, 2019). Psychosocial factors which influence patients' willingness to use ICT are the patients' attitude toward ICT, the effectiveness and level of expected success of such technology, and the strive imported by the patients (Shibuta et al, 2016).…”

“…Others thought that their current self-management activities were enough for them or their health condition did not allow them to use ICT based tools (Shibuta et al, 2016;Petersen et al, 2018). Other barriers included fear of data insecurity, mistrust of technology and the preference of face-to-face interaction with health care personnel (Petersen et al, 2018;Ayanlade et al, 2019). It was shown that patients found ICT based tools helpful in making diabetes self-managment plans (Ayanlade et al, 2019).…”