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Acceptance and adoption determinants of telemedicine in public healthcare institutions.

Background: One of the challenges facing the usage of telemedicine technology in South Africa, particularly in the North West province (NWP), is lack of user acceptance by health care professionals which prevents piloted project to produce the desired outcomes. Objectives: The purpose of this study...

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Publicado en:Curationis Vol. 48; no. 1; pp. 1 - 10
Autores principales: Phorah, Kokisa E., Motsi, Lovemore
Formato: research tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD 2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2025
      vid: 48
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        10.4102/curationis.v48i1.2604
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        atl: Acceptance and adoption determinants of telemedicine in public healthcare institutions.
      aug:
        au:
          Phorah, Kokisa E.
          Motsi, Lovemore
        affil: School of Computing, College of Science, Engineering and Technology, University of South Africa, Florida, South Africa
      sug:
        subj:
          Telemedicine South Africa
          Public Health
          Hospitals, Public
          Health Personnel Psychosocial Factors
          Attitude of Health Personnel Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          South Africa
          Case Studies
          Cross Sectional Studies
          Quantitative Studies
          Simple Random Sample
          Models, Theoretical
          Rural Health Services
          Access to Information
          Diffusion of Innovation
          Health Services Accessibility
          Pearson's Correlation Coefficient
          Statistical Significance
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: One of the challenges facing the usage of telemedicine technology in South Africa, particularly in the North West province (NWP), is lack of user acceptance by health care professionals which prevents piloted project to produce the desired outcomes. Objectives: The purpose of this study was to investigate the influential factors for the adoption of telemedicine by health care professionals from three selected hospitals (Bophelong, Taung and Klerksdorp) in the NWP. Method: The study adopted a case study approach and gathered data through questionnaires, which were distributed to the health care professionals of the three selected hospitals. In order to ensure that the instrument was accurate, a pilot study was carried out prior to the main investigation. Both the alpha and power values were set at 0.05 for the statistical analysis. The statistical tool used for the data analysis was SPSS v. 23.0. Results: Attitude towards the use of telemedicine technology (ATUTT), perceived usefulness (PU) and acceptance of telemedicine technology (ATT) were considered to be the influential factors in the adoption of telemedicine technology. The association between perceived ease of use (PEOU) and perceived usefulness (PU) (0.150, p = 0.034), PEOU and Attitude towards the use of telemedicine technology (ATUTT) (0.211, p = 0.002), PEOU and Acceptance of telemedicine technology (ATT) (0.245, p = 0.000), PU and (ATT) (0.212, p = 0.002), ATUTT and (ATT) (0.189, p = 0.005). However, PEOU was found to have an insignificant relationship with (0.048, p = 0.093). Hypotheses 1, 3, 4, 5, and 6 are supported while H2 was not supported. Conclusion: The study aims to fill the knowledge vacuum identified, helping poor countries effectively implement telemedicine technology to modernise the health care sector. In addition, results from this study shed insight on the varied impacts of individual, technical, clinical and multidimensional social influence variables on health care providers' decisions to use telemedicine. Contribution: This study contributes to the body of knowledge by investigating the success factors for telemedicine technology adoption in South African public hospitals. These results have important implications for the public health care system in South Africa, both for the direction of future research and for the methods used to promote the use of telemedicine.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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