eHealth Readiness of Health Care Institutions in Botswana
Abstract
eHealth systems include applications of information and communication technologiesy to improve healthcare services delivery, support, and education. Many countries around the world, including Botswana, are in the process or have already adopted the use of such technology in their healthcare sectors. Often this is done without first gauging the readiness of the setting: healthcare workers meant to use the technology, or the facilities in which such technology will be used. eHealth Readiness is the ‘preparedness of healthcare workers, communities, or institutions for the anticipated change brought about by programs related to information and communications technology’. This study measured eHealth readiness of healthcare institutions in Botswana, and identified personal attributes of users that may influence their readiness to apply eHealth. A self-administered questionnaire with closed-ended questions was used to collect data from 87 healthcare workers at two hospitals in Botswana. The questionnaire contained 19 questions covering 3 domains (aptitudinal readiness, attitudinal readiness, and infrastructural readiness). The responses were rated on a 5-point Likert-type scale ranging from strongly disagree to strongly agree. The questionnaires were then coded and data analysed using Statistical Package for Social Sciences (SPSS) version 21.0. Results highlighted that participating institutions showed a different degree of eHealth infrastructural readiness. Participants in the study showed a high level of eHealth attitudinal readiness but a low level of eHealth awareness.
References
Bloom BS. Crossing the quality chasm: a new health system for the 21st cen-tury. JAMA. 2002;287(5):646-647.
Choi J.S, Lee W.B, Rhee P. Cost-benefit analysis of electronic medical record system at a tertiary care hospital. Healthc Inform Res. 2013:19(3):205-214.
Kgasi MR, Kalema BM. Assessment eHealth readiness for rural South African areas. J Ind Intell Inform. 2014;2(2):131-135.
Ruxwana N, Herselman M, Pottas D. A generic quality assurance model (GQAM) for successful eHealth implementation in rural hospitals in South-Africa. Health Information Management Journal. 2014; 43(1):26–36.
Khoja S, Scott R, Casebeer A, Mohsin M, Ishaq A, Gilani S. eHealth readiness as-sessment tools for healthcare institutions in developing countries. Telemed E Health. 2007;13:425-431
Légaré E, Vincent C, Lehoux P, Anderson D, Kairy D, Gagnon MP, et al.. Telehealth readiness assessment tools. J Telemed Tele-care. 2009;16(3):107-109.
Australian Government. The eHealth readiness of Australia’s medical specialists. Department of Health and Ageing. 30 May 2011.
Xie B. Effects of an eHealth literacy inter-vention for older adults. J Med Internet Res. 2011; 13(4):e90).
Republic of Botswana - Ministry of Com-munications Science and Technology. Na-tional Information and Communications Technology policy. 2007.
Mars M. Building the capacity to build ca-pacity in eHealth in Sub-Saharan Africa: The KwaZulu-Natal experience. Telemed E Health. 2012;18(1):32-37.
Scott RE, Mars M. The Spectrum of Needed eHealth Capacity Building – Towards a Conceptual Framework for eHealth ‘Training’. Stud Health Technol Inform. 2014;206:70-77.
Qureshi QA, Shah B, Kundi GM, Nawaz A, Miankhel AK, Chishti KA, et al.. Infrastruc-tural barriers to eHealth implementation in developing countries. Eur J Sustain Dev. 2013;2(1):163-170.
Weiner BJ, Amick H, Lee SY. Conceptuali-zation and measurement of organizational readiness for change: a review of the litera-ture in health services research and other fields. Med Care Res Rev. 2008;65:379–436.
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