Fundamental transformation of the healthcare sector through informatics is achievable, from technical prospective. However, organisational issues surrounding technology implementation in healthcare setting have not yet received adequate research attentions in developing countries. The aim of this study is to develop a conceptual framework model to determine Telemedicine Readiness (TR) at an organisational level in Libyan healthcare establishments. In addition, Telemedicine Adoption and Outcome Expectations were also examined as further model outcomes. A questionnaire based survey was designed and developed to include 7 items concerning various conceptual subscales. The paper reports the responses of 161 participants targeting mainly Libyan physicians and healthcare staff who are studying for further education in the UK and who have been healthcare providers in Libya. The results show a strong correlation of TR with Human Resources (HR) capability (r = 0.535, P < 0.001) and with IT Infrastructure (r = 0.44, P < 0.001). The overall Cronbach Alpha coefficient = 0.835. The factor analysis (validity) illustrated five factors with positive loading > 0.5. Further, user acceptance, IT infrastructure and HR capability have significant influences on TR (r2 = 0.472, P < 0.001). From both reliability test and factor analysis, the framework is considered a valid model to assess TM readiness.
Healthcare providers have reasons to consider telemedicine technologies when determining the best practices for service provision. The use of such technologies in developing countries is still limited, and it is important to examine the readiness to telemedicine solutions at an organisational level in developing countries such as Libya in order to provide healthcare services. Therefore, a model was proposed and validated to assess telemedicine readiness in Libya from the healthcare providers' perspective. Healthcare providers' operational capability and telemedicine outcome expectations were also investigated. The results highlight that the level of telemedicine readiness could be influenced by various health-specific organisational factors including organisational capabilities and resources. The findings of this research are that various organisational factors have an impact on telemedicine readiness and thus on the implementation of such technology including healthcare providers' human resources, IT infrastructure, perceived ease of use, and prospective healthcare providers.
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