E-health Implementation by Private Dental Service Providers in Bulawayo, Zimbabwe

Автор: Vusumuzi Maphosa

Журнал: International Journal of Information Engineering and Electronic Business @ijieeb

Статья в выпуске: 1 vol.15, 2023 года.

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The 2030 Agenda for Sustainable Development Goals recognises the role of Information and Communication Technologies (ICT) in accelerating human development and progress by bridging the digital divide and developing knowledge societies. Internet technologies affect every sphere of human and organisational life. The study was motivated by low e-health adoption in developing countries such as Zimbabwe. A cross-sectional quantitative survey investigated e-health implementation by private dental care service providers in Bulawayo. The research population comprised private dental service providers in Bulawayo. Data was collected using a five-point Likert scale questionnaire that was self-administered. Regression and factor analysis, Kaiser-Meyer-Olkin Measure of Sampling Adequacy, Bartlett’s sphericity test, and the Principal Component Analysis were used for data analysis. The study found that private dental service providers in Bulawayo were already implementing some rudimentary elements of e-health in their day-to-day practice. The findings also revealed that private dental care providers positively perceived the benefits of implementing e-health, such as improved quality of health service delivery, enhanced efficiency, and improved accessibility of services. Participants highlighted ICT costs, communication, lack of experience, and e-readiness as significant barriers to e-health implementation. Most participants were concerned that personal health information may fall into the wrong hands resulting in privacy violations and loss of personal data. The regression coefficient showed that combined variations in the independent variables explain at least 76.4% of the dependent variable (adoption). The study recommends the government enact policies that support private dental service providers in implementing e-health systems to improve service delivery. The study contributes to the literature on e-health adoption in developing countries.

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Telemedicine, health delivery, e-health, electronic health records

Короткий адрес: https://sciup.org/15018800

IDR: 15018800   |   DOI: 10.5815/ijieeb.2023.01.02

Список литературы E-health Implementation by Private Dental Service Providers in Bulawayo, Zimbabwe

  • R. Wyber, S. Vaillancourt, W. Perry, P. Mannava, T. Folaranmi and L. Celi, “Big data in global health: improving health in low-and middle-income countries,” Bulletin of the World Health Organization, vol. 93, pp. 203-208, 2015.
  • V. Maphosa, “COVID-19 and the Digital Ecosystem: Using a Mobile App to Connect a Rural Community,” Aquademia, vol. 5, no. 1, pp. ep21002, 2021. https://doi.org/10.21601/aquademia/9580
  • V. Maphosa, T. Jita and B. Dube, “Students’ perception and use of Moodle as the E-Learning system implemented at a rural University in Zimbabwe,” In Proceedings of EdMedia + Innovate Learning, The Netherlands: Association for the Advancement of Computing in Education (AACE), pp. 175-182, 2020.
  • M. Luca, L. Mustea, A. Taran, P. Stefea and S. Vatavu,” Challenges on radical health redesign to reconfigure the level of e-health adoption in EU countries,” Frontiers in public health, vol. 1047, pp. 1-16, 2021. doi:10.3389/fpubh.2021.728287
  • B. Popovic and M. Maksimovic, M, “E-health in Bosnia and Herzegovina: exploring the challenges of widespread adoption,” CMBEBIH 2017. IFMBE Proceedings. vol. 62, pp. 388–95, 2017. doi:10.1007/978-981-10-4166-2_60
  • M. Gagnon, F. Légaré, M. Labrecque, P. Frémont, P. Pluye, J. Gagnon, and K. Gravel, “Interventions for promoting information and communication technologies adoption in healthcare professionals,” Cochrane database of systematic reviews, vol. 1, pp. 1-25, 2009. doi:10.1002/14651858.CD006093.pub2.
  • D. Nzuki, and D. Mugo, “Determinants of electronic health in developing countries,” International Journal of Arts and Commerce, vol. 3, no. 3, pp. 49–60, 2014.
  • L.Busagala and G. Kawono, “Underlying challenges of e-health adoption in Tanzania. International Journal of Information and Communication Technology Research,” vol. 3, no. 1, pp. 34–41, 2013. doi:10.1.1.301.1188
  • Q. Qureshi and B. Shah, “Infrastructural barriers to e-health implementation in developing countries,” European Journal of Sustainable Development, vol. 2, no. 1, 163–170, 2013.
  • V. Vimarlund, N. Olve, I. Scandurra and S. Koch,” Organisational effects of information and communication technology (ICT) in elderly homecare: a case study,” Health Informatics Journal, vol. 14, no. 3, pp. 195-210, 2018. doi:10.1177/1081180X08092830
  • G. Iyawa, M. Herselman and A. Botha, “Digital Health Innovation Ecosystems: From Systematic Literature to Conceptual Framework,” ProcediaComputerScience, vol. 100, pp. 244-252, 2016. doi:10.1016/j.procs.2016.09.149
  • J. Rowley, “An analysis of the e‐service literature: towards a research agenda,” Internet research, vol. 16, no. 3, pp. 339-359, 2006. doi:10.1108/10662240610673736
  • V. Maphosa, “Promoting access to COVID-19 information by underserved communities through the development of a mHealth app,” Cogent Public Health, vol. 9, no. 1, pp. 1-10, 2022. doi:10.1080/27707571.2022.2095722
  • S. Furusa and A. Coleman, “Factors influencing e-health implementation by medical doctors in public hospitals in Zimbabwe, “South African Journal of Information Management, vol. 20, no. 1, pp. 1-9, 2018
  • WHO, “Global strategy on digital health 2020-2025,” World Health Organization, Geneva, 2021.
  • mohcc, “MoHCC Digitizing the Health Space,” 10 December 2020. [Online]. Available: http://www.mohcc.gov.zw/index.php?option=com_content&view=article&id=349:mohcc-digitizing-the-health-space&catid=84&Itemid=435.
  • P. Allaire, J. Augat, J. Jose and D. Merrill, “Reducing Costs and Risks for Data Migrations”. Santa Clara, CA, USA, vol. 31, pp. 1-26, 2010. https://www.hitachivantara.com/go/virtualizetoday/pdf/white-paper-reducing-costs-and-risks-for-data-migrations.pdf
  • S. Edirippulige, R. Marasinghe, V, Dissanayake, P. Abeykoon and R. Wootton, “Strategies to promote e-health and telemedicine activities in developing countries,” In telehealth in the developing world, CRC Press, pp.79-87.
  • J. Blaya, H. Fraser and B. Holt, B, “eHealth technologies show promise in developing countries,” Health Affairs, vol. 29, no. 2, pp. 244-25, 2010. doi:10.1377/hlthaff.2009.0894.
  • V. Omachonu and N. Einspruch, “Innovation in healthcare delivery systems: a conceptual framework,” The Innovation Journal: The Public Sector Innovation Journal, vol. 15, no. 1, pp. 1-20, 2010.
  • P. Varkey, A. Horne, K. Bennet, “Innovation in health care: a primer,” American Journal of Medical Quality, vol. 23, no. 5, pp. 382-388, 2008. doi:10.1177/1062860608317695
  • M. Toivonen, M and T. Tuominen, “Emergence of innovations in services,” The Service Industries Journal, vol. 29, no. 7, pp. 887-902, 2009. doi:10.1080/02642060902749492
  • C. Huston, “The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead. OJIN,” The Online Journal of Issues in Nursing, vol. 18, no. 2, pp. 1- 11, 2013. doi:10.3912/OJIN.Vol18No02Man01
  • W. Wang, L. Sun, T. Liu and T. Lai, “The use of E-health during the COVID-19 pandemic: a case study in China’s Hubei province, “Health Sociology Review, pp. 1-17, 2021. doi:10.1080/14461242.2021.1941184
  • B. Kusumasari, W. Setianto and L. Pang, “A study on digital democracy practice: Opportunities and challenges of e-Health implementation in Indonesia,” Jurnal Ilmu Sosial Dan Ilmu Politik, vol. 22, no. 1, pp 1-16, 2018. doi:10.22146/jsp.28863
  • P. Wicks, J. Stamford, M. Grootenhuis, L. Haverman and S. Ahmed, “Innovations in e-health,” Quality of Life Research, vol. 2, no.1, pp. 195-203, 2014. doi:10.1007/s11136-013-0458-x
  • O. Obe and F. Akinloye, “Integration of Emotional Assessment into E-Health Care Delivery: For Autism Spectrum Disorder: A Review,” Health Sciences Research Journal, vol. 4, no. 6, 45-56, 2017. .http://www.aascit.org/journal/hsr
  • L. Catwell and A. Sheikh, “Evaluating eHealth interventions: The need for continuous systemic evaluation,” PLoS Medicine vol. 6, no. 8, pp. 1–6, 2009
  • L. Alpay, O. Henkemans, W. Otten, T. Rovekamp and A. Dumay, “E-Health applications and services for patient empowerment: directions for best practices in The Netherlands,” Telemedicine and E-Health, vol. 16, no. 7, pp. 787-791, 2010. doi:10.1089/tmj.2009.0156
  • N. Menachemi and T. Collum, “Benefits and drawbacks of electronic health record systems,” Risk management and healthcare policy, vol. 4, pp. 47-55, 2011. doi:10.2147/RMHP.S12985
  • D. Balfour, S. Evans, J. Januska, H. Lee, S. Lewis, S. Nolan, M. Noga, C. Stemple and K. Thapar, “Health information technology results from a roundtable discussion. Journal of Managed Care Pharmacy, vol. 15, no. 1, pp. 10-17, 2009. doi:10.18553/jmcp.2009.15.s6-b.10.
  • Z. Lewis, C. Mello-Thoms, O. Gadabu, E. Gillespie and R. Crowley, “The feasibility of automating audit and feedback for ART guideline adherence in Malawi,” J Med Inform Assoc, vol. 18, no. 6, pp. 868-874, 2011. doi:10.1136/amiajnl-2011-000097
  • J. Barbera, N. Naibert, R. Komperda and T. Pentecost, “Clarity on Cronbach’s Alpha Use,” Journal of Chemical Education, vol. 98, no. 2, pp. 257-258, 2021. doi:10.1021/acs.jchemed.0c00183
  • V. Minichiello, S. Rahman, A. Dune, J. Scott and G. Dowsett, G, “E-health: potential benefits and challenges in providing and accessing sexual health services,” BMC Public Health, vol. 13, no. 790, pp. 1-7, 2014. doi: 10.1186/1471-2458-13-790
  • V. Maphosa and M. Maphosa, “Factors Influencing the Adoption of ICT for Remote Work Among Zimbabwean SMEs: A Case Study of Bulawayo Metropolitan Province,” International Journal of Advanced and Applied Sciences, vol. 9, no. 3, pp. 150-158, 2022. doi.org/10.21833/ijaas.2022.03.017
  • D. Arduini, D and A. Zanfei, “An overview of scholarly research on public e-services? A meta-analysis of the literature,” Telecommunications Policy, vol. 38, no. 5-6), pp. 476-495, 2014. doi:10.1016/j.telpol.2013.10.007
  • M. Putteeraj, N. Bhungee, J. Somanah and N. Moty, “Assessing E-Health adoption readiness using diffusion of innovation theory and the role mediated by each adopter’s category in a Mauritian context,” International Health, vol. 14, no. 3, pp. 236-249, 2022. doi:10.1093/inthealth/ihab035
  • M. Mason, “Sample size and saturation in PhD studies using qualitative interviews. In Forum Qualitative Sozialforschung/Forum,” Qualitative social research, vol. 11, no. 3, pp. 1-19, 2010.
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