An overview of patient acceptance of Health Information Technology in developing countries: a review and conceptual model

The potential to improve the quality, efficiency, outcomes, patient safety and reduce cost of healthcare by Health Information Technology (HIT) has been established by researchers. But unfortunately HIT systems are not properly utilized or are not widely available. This problem is even more glaring in developing countries. This article presents a review of some available HIT systems in order to assess the level of their presence and the technology used in developing them. Works related to acceptance of HIT systems were also reviewed so as to study the gaps in this area and propose a solution in order to fill the gaps identified. The problems discovered from this review include lack of availability of these systems especially in developing countries, low rate of HIT systems acceptance and insufficient works on patient acceptance of HIT systems. Studying the factors that affect the acceptance of HIT systems by patients and considering the factors while developing the systems will play a significant role in getting over the aforementioned limitations. As Technology Acceptance Model (TAM) is one of the most popular models for studying users\u27 perception and acceptance of Information System (IS)/Information Technology (IT), we proposed a conceptual model of HIT acceptance in developing countries based on TAM

An overview of patient acceptance of Health Information Technology in developing countries: a review and conceptual model

The potential to improve the quality, efficiency, outcomes, patient safety and reduce cost of healthcare by Health Information Technology (HIT) has been established by researchers. But unfortunately HIT systems are not properly utilized or are not widely available. This problem is even more glaring in developing countries. This article presents a review of some available HIT systems in order to assess the level of their presence and the technology used in developing them. Works related to acceptance of HIT systems were also reviewed so as to study the gaps in this area and propose a solution in order to fill the gaps identified. The problems discovered from this review include lack of availability of these systems especially in developing countries, low rate of HIT systems acceptance and insufficient works on patient acceptance of HIT systems. Studying the factors that affect the acceptance of HIT systems by patients and considering the factors while developing the systems will play a significant role in getting over the aforementioned limitations. As Technology Acceptance Model (TAM) is one of the most popular models for studying users' perception and acceptance of Information System (IS)/Information Technology (IT), we proposed a conceptual model of HIT acceptance in developing countries based on TAM

User acceptance of Health Information Technology (HIT) in developing countries: A literature review

Health Information Technology (HIT) has the potential to improve the quality, efficiency, outcomes, patient safety and reduce the cost of healthcare. But HIT systems are not widely available, and even if available are not properly utilized. This paper reviewed some available HIT systems in order to have an idea on their availability. Also works on acceptance of HIT systems were reviewed so as to understand the level of research done in the area. The problems identified from this work include lack of availability of these systems especially in developing countries, insufficient works on user acceptance of HIT systems, etc. These limitations can be overcome when researchers study the factors that will affect the user acceptance of these systems, and then consider the factors while developing the systems

Digital and Home Healthcare Survey among Nigerians: Assessing Awareness, Preferences, and Willingness to Pay for an Integrated Healthcare Ecosystem to achieve Universal Health Coverage

Introduction: The COVID-19 pandemic highlighted the need for evolving an integrated healthcare ecosystem that will connect patients to digital and home healthcare to achieve universal health coverage. The survey aims to assess perceptions and preferences about digital and home healthcare services and develop an integrated healthcare ecosystem. Methods: A survey of 254 Nigerians was conducted to assess their awareness, preferences, and willingness to pay for digital and home healthcare services using electronic questionnaires, and the data were analysed using SPSS 16.0. Results: Males constituted 70.9%, and 61.4% were aged ≤35 years. Two-third were clients, and a third were healthcare providers. Although about 71% patronized public hospitals, there was poor satisfaction (31.7%) than those attending private hospitals that were more satisfied. The male gender, private hospital utilization, and age of ≤35 years were associated with the satisfaction with OR 1.19 (95% CI 0.69-2.05), OR 1.22 (95% CI 0.73-2.04), and OR 2.41 (95% CI 1.38-4.20) respectively. Thirty minutes was the acceptable delay in receiving care by most respondents.  Only 39.4% were aware of digital health, and 52.8% were aware of home healthcare.  Male gender was associated with DH awareness, while being a healthcare provider was associated with both DH and home healthcare awareness. The respondents' median amount was willing to pay for DH and HH respondents is $1.64 -$6.56 and $3.28 –$6.56, respectively. Conclusion: In response to the survey result, we designed an integrated hospital, digital, and home healthcare project named eDokta, to leapfrog the attainment of universal health coverage in Nigeria

Digital and Home Healthcare Survey among Nigerians: Assessing Awareness, Preferences, and Willingness to Pay for an Integrated Healthcare Ecosystem to achieve Universal Health Coverage

Introduction: The COVID-19 pandemic highlighted the need for evolving an integrated healthcare ecosystem that will connect patients to digital and home healthcare to achieve universal health coverage. The survey aims to assess perceptions and preferences about digital and home healthcare services and develop an integrated healthcare ecosystem. Methods: A survey of 254 Nigerians was conducted to assess their awareness, preferences, and willingness to pay for digital and home healthcare services using electronic questionnaires, and the data were analysed using SPSS 16.0. Results: Males constituted 70.9%, and 61.4% were aged ≤35 years. Two-third were clients, and a third were healthcare providers. Although about 71% patronized public hospitals, there was poor satisfaction (31.7%) than those attending private hospitals that were more satisfied. The male gender, private hospital utilization, and age of ≤35 years were associated with the satisfaction with OR 1.19 (95% CI 0.69-2.05), OR 1.22 (95% CI 0.73-2.04), and OR 2.41 (95% CI 1.38-4.20) respectively. Thirty minutes was the acceptable delay in receiving care by most respondents.  Only 39.4% were aware of digital health, and 52.8% were aware of home healthcare.  Male gender was associated with DH awareness, while being a healthcare provider was associated with both DH and home healthcare awareness. The respondents' median amount was willing to pay for DH and HH respondents is $1.64 -$6.56 and $3.28 –$6.56, respectively. Conclusion: In response to the survey result, we designed an integrated hospital, digital, and home healthcare project named eDokta, to leapfrog the attainment of universal health coverage in Nigeria

Digital and Home Healthcare Survey among Nigerians: Assessing Awareness, Preferences, and Willingness to Pay for an Integrated Healthcare Ecosystem to achieve Universal Health Coverage

Introduction: The COVID-19 pandemic highlighted the need for evolving an integrated healthcare ecosystem that will connect patients to digital and home healthcare to achieve universal health coverage. The survey aims to assess perceptions and preferences about digital and home healthcare services and develop an integrated healthcare ecosystem. Methods: A survey of 254 Nigerians was conducted to assess their awareness, preferences, and willingness to pay for digital and home healthcare services using electronic questionnaires, and the data were analysed using SPSS 16.0. Results: Males constituted 70.9%, and 61.4% were aged ≤35 years. Two-third were clients, and a third were healthcare providers. Although about 71% patronized public hospitals, there was poor satisfaction (31.7%) than those attending private hospitals that were more satisfied. The male gender, private hospital utilization, and age of ≤35 years were associated with the satisfaction with OR 1.19 (95% CI 0.69-2.05), OR 1.22 (95% CI 0.73-2.04), and OR 2.41 (95% CI 1.38-4.20) respectively. Thirty minutes was the acceptable delay in receiving care by most respondents.  Only 39.4% were aware of digital health, and 52.8% were aware of home healthcare.  Male gender was associated with DH awareness, while being a healthcare provider was associated with both DH and home healthcare awareness. The respondents' median amount was willing to pay for DH and HH respondents is $1.64 -$6.56 and $3.28 –$6.56, respectively. Conclusion: In response to the survey result, we designed an integrated hospital, digital, and home healthcare project named eDokta, to leapfrog the attainment of universal health coverage in Nigeria

A framework of remote diabetic monitoring system for developing countries

Diabetes Mellitus or simply diabetes is a chronic metabolic disease that affects about 5% of the world population. The increasing rate of diabetes patients is a serious challenge that needs to be controlled worldwide. Management of diabetes involves monitoring blood sugar level to make sure it does not go beyond the normal range. Failure to monitor the level of glucose in diabetes patients can increase the risk of complications like hypertension, stroke, kidney disease, heart disease, skin, foot, and eye complications, etc. However, healthcare delivery cost can be reduced by using telemedicine applications that focus on monitoring patients from outside the clinics or hospitals. This paper proposes a framework of a low-cost telemedicine system based on GPRS, SMS and NFC technologies, for remote monitoring patients with diabetes. The solution presented in this paper is especially useful for developing ountries, where Internet data connection may not be available everywhere, even though GSM network can be found in almost every place. Another advantage of this system is patients with basic phone (no Internet capability) can also benefit from it, by using SMS as an alternative means of sending data to healthcare centre. Finally, we envisage the decrease in the cost of monitoring diabetes patients when this system is developed and implemented

Reliability and validity of a questionnaire to evaluate diabetic patients' intention to adopt health information technology: a pilot study

All the efforts put in developing questionnaire by a researcher are in vain if it measures what is not intended to measure. A questionnaire can only be useful if it produces meaningful and trustworthy data. The aim of this study was to develop and assess the validity and reliability of an instrument to measure the perception and attitude of diabetic patients toward acceptance of Health Information Technology (HIT). An extended Technology Acceptance Model (TAM) based questionnaire was distributed to a sample of 80 diabetic patients. The content validity was assessed by experts, while Exploratory Factor Analysis (EFA) was used to measure the construct validity. Cronbach's alpha was used to measure the internal consistency of the questionnaire. The response rate of the questionnaire was 93%. In the exploratory factor analysis, seven factors that correspond with the constructs were extracted using principal component analysis. The factors examined using varimax rotations explained 72.15%, 74.21%, 72.67%, 80.84%, 72.72%, 74.22% and 74.84% variance in the respective constructs. Construct validity was measured using convergent and discriminant validity. Most of the variables load in the range of 0.60 - 0.98, which shows a good convergent validity, and the significant loading of the variables on one factor without cross-loadings is an evidence of the discriminant validity. Similarly, the average Cronbach's alpha coefficient of the seven extracted components was 0.822 indicating a good internal consistency or reliability. This study presents the result of reliability and validity of the extended TAM based instrument for assessing the perception and attitude of diabetic patients toward acceptance of HIT. The findings of this study showed the feasibility of using the questionnaire, since it has high reliability and validity