Investigating the resistance to telemedicine in Ethiopia
Abstract
Background Telemedicine has great potential to improve health care in Africa as well as other developing areas, especially when medical expertise is urgently needed in emergency situations. Yet resistance from healthcare professionals could prevent telemedicine's social value from being materialized.Objective This article intends to understand why healthcare providers resist using telemedicine from a threat-control perspective.Method A survey on 107 healthcare professionals in Ethiopia was conducted.Conclusions The resistance to telemedicine is determined by perceived threat and perceived controllability, which in turn are influenced by reduced autonomy, anxiety, and costs. Government support weakens the effect of perceived threat but strengthens the effect of perceived controllability on telemedicine resistance.
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Low buy-in from government and their representing institutions was the major challenge to telemedicine use among clinicians, leading to low perceived support by medical professionals in Ethiopia.
“The literature suggests that low buy-in from government and their representing institutions was the major challenge to telemedicine use among clinicians, which lead to a low perceived support (Xue et al., 2015) by medical professionals in Ethiopia.”
From Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond (2021) · cites this paper as Xue et al., 2015
Healthcare professionals perceived telemedicine practice as a threat to their autonomy and possibly may lead to lack of control over patient management.
“Previous studies reports that healthcare professionals perceived telemedicine practice as a threat to their autonomy (Xue et al., 2015) and possibly may lead to lack of control over patient management (Bertani et al., 2012).”
From Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond (2021) · cites this paper as Xue et al., 2015
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References 66 · Cited by 59
- Authors
- Xue, Y., Liang, H., Mbarika, V., Hauser, R., Schwager, P., & Kassa Getahun, M.
- Affiliations
- East Carolina University (US)
- Southern University System (US)
- Corresponding author
- Liang, Huigang
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 84
- Issue
- 8
- Pages
- 537-547
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W1746339095
- Cited by
- 59
- References
- 66
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 3 · 2023: 2 · 2022: 9 · 2021: 8 · 2020: 4 · 2019: 15 · 2018: 3 · 2017: 1 · 2016: 3
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- telemedicine, resistance to technology adoption, healthcare workers, threat perception, perceived controllability, professional autonomy, anxiety, implementation costs, government support, Ethiopia
- MeSH terms
- Attitude of Health Personnel, Delivery of Health Care, Ethiopia, Evaluation Studies as Topic, Government, Health Personnel, Humans, Health Care Costs, Telemedicine
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