Factors influencing e-health implementation by medical doctors in public hospitals in Zimbabwe

作者: Samuel S. Furusa , Alfred Coleman

DOI: 10.4102/SAJIM.V20I1.928

关键词:

摘要: Background:  Improving access to health care services in both developed and developing countries through information communication technology (ICT) has been getting particular attention from government, medical researchers practitioners. This seen many governments proposing the implementation of healthcare systems that are centred on technology, while practitioners have arguing for policies promote use provision. Objective:  The main objective this study was determine factors influencing e-health by doctors public hospitals Zimbabwe. Methods: guided a qualitative research conjunction with multiple-case studies. Qualitative data were collected using 20 semi-structured interviews selected concerning hospitals. Hospitals random sampling, purposive sampling used select doctors. In addition, researcher conducted direct observations at five Furthermore, policy issues Zimbabwe’s document review process. Data analysed data-driven thematic coding. solo approach because intended reveal could not be revealed related literature. Results:  This reveals Zimbabwe is influenced internal external factors. Internal include ICT infrastructure technologies, skills knowledge, technical support, security concerns, lack basic facilities, demographic such as age doctor–patient relationship. External policy, funding bureaucracy. Conclusion: idea relatively new centres Its application sufficiently addressed. The shows success an system depends There great potential implementing if these taken into consideration. Otherwise, will continue lag behind

参考文章(20)
Everett M. Rogers, Lessons for Guidelines from the Diffusion of Innovations The Joint Commission Journal on Quality Improvement. ,vol. 21, pp. 324- 328 ,(1995) , 10.1016/S1070-3241(16)30155-9
Nuray Öner Gücin, Özlem Sertel Berk, Technology Acceptance in Health Care: An Integrative Review of Predictive Factors and Intervention Programs Procedia - Social and Behavioral Sciences. ,vol. 195, pp. 1698- 1704 ,(2015) , 10.1016/J.SBSPRO.2015.06.263
Infrastructural barriers to e-health implementation in developing countries European Journal of Sustainable Development. ,vol. 2, pp. 163- 170 ,(2013) , 10.14207/EJSD.2013.V2N1P163
Richard E Scott, Maurice Mars, Principles and Framework for eHealth Strategy Development Journal of Medical Internet Research. ,vol. 15, ,(2013) , 10.2196/JMIR.2250
Lorraine Catwell, Aziz Sheikh, Evaluating eHealth Interventions: The Need for Continuous Systemic Evaluation PLoS Medicine. ,vol. 6, pp. e1000126- ,(2009) , 10.1371/JOURNAL.PMED.1000126
Sebastian Dünnebeil, Ali Sunyaev, Ivo Blohm, Jan Marco Leimeister, Helmut Krcmar, Determinants of physicians’ technology acceptance for e-health in ambulatory care International Journal of Medical Informatics. ,vol. 81, pp. 746- 760 ,(2012) , 10.1016/J.IJMEDINF.2012.02.002
Ben S Gerber, Arnold R Eiser, The Patient-Physician Relationship in the Internet Age: Future Prospects and the Research Agenda Journal of Medical Internet Research. ,vol. 3, pp. 112- 123 ,(2001) , 10.2196/JMIR.3.2.E15
Farhang Dehzad, Cokky Hilhorst, Cas de Bie, Eric Claassen, Adopting Health Apps, What’s Hindering Doctors and Patients? Health. ,vol. 6, pp. 2204- 2217 ,(2014) , 10.4236/HEALTH.2014.616256
Zanifa Omary, Dennis Lupiana, Fredrick Mtenzi, Bing Wu, Challenges to E-healthcare adoption in developing countries: A case study of Tanzania networked digital technologies. pp. 201- 209 ,(2009) , 10.1109/NDT.2009.5272067