Towards reinforcing telemedicine adoption amongst clinicians in Nigeria
Abstract
Telemedicine systems have been considered as a necessary measure to alleviate the shortfall in skilled medical specialists in developing countries. However, the obvious challenge is whether clinicians are willing to use this technological innovation, which has aided medical practice globally. One factor which has received little academic attention is the provision of suitable encouragement for clinicians to adopt telemedicine, in the form of rewards, motivation or incentives. A further consideration for telemedicine usage in developing countries, especially sub-Saharan Africa and Nigeria in particular, are to the severe shortage of available practising clinicians. The researchers therefore explore the need to positively reinforce the adoption of telemedicine amongst clinicians in Nigeria, and also offer a rationale for this using the UTAUT model. Data were collected using a structured paper-based questionnaire, with 252 physicians and nurses from six government hospitals in Ondo state, Nigeria. The study applied SmartPLS 2.0 for analysis to determine the relationship between six variables. Demographic moderating variables, age, gender and profession, were included. The results indicate that performance expectancy (p<0.05), effort expectancy (p<0.05), facilitating condition (p<0.01) and reinforcement factor (p<0.001) have significant effects on clinicians' behavioural intention to use telemedicine systems, as predicted using the extended UTAUT model. Our results showed that the use of telemedicine by clinicians in the Nigerian context is perceived as a dual responsibility which requires suitable reinforcement. In addition, performance expectancy, effort expectancy, facilitating condition and reinforcement determinants are influential factors in the use of telemedicine services for remote-patient clinical diagnosis and management by the Nigerian clinicians.
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This often resulted in low motivation to use the system, and thus resistance to change.
“This often resulted in low motivation to use the system (Ajala et al., 2015; Kissi et al., 2019), and thus resistance to change (Adenuga et al., 2017).”
From Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond (2021) · cites this paper as Adenuga et al., 2017
Clinicians in Nigeria viewed the use of telemedicine system as an additional workload which does not add any added incentives to motivate them.
“In addition, clinicians in Nigeria viewed the use of telemedicine system as an additional workload which does not add any added incentives to motivate them (Adenuga et al., 2017).”
From Telemedicine use in Sub-Saharan Africa: Barriers and policy recommendations for Covid-19 and beyond (2021) · cites this paper as Adenuga et al., 2017
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- Authors
- Adenuga, K. I., Iahad, N. A., & Miskon, S.
- Affiliations
- University of Technology Malaysia (MY)
- Corresponding author
- Adenuga, Kayode I.
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 104
- Pages
- 84-96
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2616820489
- Cited by
- 120
- References
- 110
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 15 · 2023: 17 · 2022: 17 · 2021: 23 · 2020: 15 · 2019: 7 · 2018: 1 · 2017: 1
- FWCI
- 6.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Higher Education Malaysia university research grant and University Teknologi Malaysia
- 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
- telehealth adoption, clinicians, UTAUT, reinforcement, performance expectancy, effort expectancy, facilitating conditions, behavioral intention, clinician shortage, Nigeria
- MeSH terms
- Adolescent, Adult, Attitude of Health Personnel, Attitude to Computers, Confidentiality, Developing Countries, Female, Humans, Male, Models, Theoretical, Nigeria, Physicians, Surveys and Questionnaires, Telemedicine, Intention, Young Adult
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