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Cited by 51Technology Adoption and User BehaviourTelemedicine and Telehealth ImplementationICT in Developing Communities

Transfer and Adoption of Advanced Information Technology Solutions in Resource-Poor Environments: The Case of Telemedicine Systems Adoption in Ethiopia

Kifle, Mengistu, Payton, Fay Cobb, Mbarika, Victor, Meso, Peter·2010·Telemedicine and e-Health
DOI 10.1089/tmj.2009.0008
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Abstract

The study of the adoption of information technology (IT) by individuals has taken two approaches, one emphasizing rationalistic goal-oriented behavior and the other focusing on poignant forces that influence an individual's reaction to a new IT. These approaches are not necessarily mutually exclusive. Individuals' acceptance and subsequent usage of a new IT is predicated on both. Additionally, the tendency in past studies has been to examine either the rational or the poignant factors in the context of a “resource-rich” environment—one in which there is an abundance of IT, adequate infrastructure, and a high level of acculturation to technology solutions. Consequently, there is a clear need for the examination of these factors in resource-poor environments, where assumptions on technology abundance and technology culturation do not hold. We empirically test a model that explains the intention of physicians in a resource-poor environment (epitomized by rural Ethiopia) to adopt telemedicine systems. This model integrates the rational factors driving goal-oriented behavior with the poignant/emotive factors that are an innate part of each adopter's reaction to the new technology. We use the model to expose salient contextual factors that explain the acceptance behavior of individuals toward complex information and communications technology (ICT) solutions and implications of these on the management of technology transfer initiatives in a resource-poor environment. The model is parsimonious, yet explains 28% of the variance in the intention to adopt telemedicine systems and 58% in perceived ease of use. The theoretical and practical implications of this model are discussed. Namely, Sub-Saharan African, in general, and Ethiopian culture, in particular, plays an integral role in the adoption of ICT solutions. Organizational positions and roles among physicians, clinical professionals, and superiors stand to impact the adoption of telemedicine and other healthcare applications. Last, the degree to which users perceive that ICT is easy to use (i.e., ease of use) can be a function of technology experience and can influence perceived usefulness on behalf of users and healthcare organizations.

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  • Within studies applying TAM, factors influential to health care providers' acceptance of eHealth included perceived usefulness and needs, perceived ease of use, and all facilitating or inhibiting conditions.

    “Within these studies [25,29,41,42,75,77,79,81,83-85,87,88,102], the factors influential to health care providers’ acceptance of eHealth included their perceived usefulness and needs, perceived ease of use, and all of the facilitating or inhibiting conditions.”

    From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [77]

  • Perceived usefulness was influenced by perceived ease of use, eHealth and business process alignment, end user involvement, management commitment and support to change, health care provider-patient relationship, and IT experience and knowledge.

    “whereas their perceived usefulness was influenced by the perceived ease of use, eHealth and business process alignment, end user involvement, management commitment and support to change, health care provider-patient relationship, and IT experience and knowledge [25,28,33,56,77,83,86-88].”

    From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [77]

  • The variance of perceived ease of use was associated with computer self-efficacy, end user involvement, management commitment and support to change, as well as health care provider-patient relationship.

    “The variance of the perceived ease of use was associated with the computer self-efficacy, end user involvement, management commitment and support to change, as well as health care provider-patient relationship [77,88].”

    From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [77]

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Authors
Kifle, M., Payton, F. C., Mbarika, V., & Meso, P.
Affiliations
  • ICITD
  • North Carolina State University (US)
  • Southern University System (US)
  • Georgia Gwinnett College (US)
Corresponding author
Mbarika, Victor
ORCID
Venue
Telemedicine and e-Health
Publisher
SAGE Publications
Published
2010-04
Volume
16
Issue
3
Pages
327-343
ISSN
  • 1530-5627 (ISSN-L)
  • 1556-3669
DOI
10.1089/tmj.2009.0008
OpenAlex
W1986202425
Cited by
51
References
46
Citations by year
2026: 1 · 2025: 4 · 2024: 8 · 2023: 8 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 6 · 2018: 4 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 1
FWCI
3.55
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Telemedicine Journal and e-Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
Keywords
telehealth adoption, technology adoption, resource-constrained environments, rural Ethiopia, physician intention, perceived ease of use, perceived usefulness, technology transfer, ICT acceptance, cultural factors in technology adoption, health information technology
MeSH terms
Adult, Diffusion of Innovation, Ethiopia, Female, Humans, Male, Middle Aged, Pilot Projects, Poverty, Surveys and Questionnaires, Telemedicine, Technology Transfer, Young Adult

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