Adequacy of UTAUT in clinician adoption of health information systems in developing countries: The case of Cameroon

Bawack, Ransome Epie; Kamdjoug, Jean Robert Kala

doi:10.1016/j.ijmedinf.2017.10.016

Cited by 149 publications

(161 citation statements)

References 27 publications

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“…This is an important factor in the South African context as English is not the home language of many patients, especially in the Western Cape where our study was conducted (Western Cape Language Committee, ). Lastly, age is identified as yet another sociocultural factor affecting health information system adoption, as older users are reluctant to adopt these new technologies, preferring traditional methods (Bawack & Kala Kamdjoug, ).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Challenges for the adoption of ICT for diabetes self‐management in South Africa

Petersen

Brown

Pather

et al. 2019

E J Info Sys Dev Countries

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The increasing disease burden in developing countries inhibits the provision of quality care to citizens. However, the increased availability of information communication and technology (ICT) tools makes this a viable option for inclusion in primary health care. Even so, barriers are impeding the successful adoption and usage of ICT tools in health care contexts. This research focuses on one such context to identify the challenges and barriers for the adoption of ICT tools for diabetes self‐management in the Western Cape province of South Africa. The extended technology acceptance model (TAM) and four factors (educational, technological, economic, and sociocultural factors) were identified as a basis for investigation. Evidence was gathered from a sample of 131 diabetic patients using semistructured interviews. These factors, together with TAM constructs, explore how patients interact with ICT and their attitudes towards the use of ICT for diabetes self‐management. The results indicate that all four factors form barriers to ICT adoption for diabetes self‐management. These findings provide a basis to inform how future interventions at the primary health care level may be developed to overcome the identified barriers in efforts to integrate ICT tools into diabetic patients' daily self‐management routines.

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Section: Theoretical Frameworkmentioning

confidence: 99%

Challenges for the adoption of ICT for diabetes self‐management in South Africa

Petersen

Brown

Pather

et al. 2019

E J Info Sys Dev Countries

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“…The domain of ICT4D has witnessed the application of a wide range of conceptual frameworks from diverse disciplines depending on the purpose of the research. The frameworks and theories that have been adopted and applied by various ICT4D researchers include the Unified Theory of Acceptance and Use of Technology (UTAUT) (Bawack & Kamdjoug, ), Actor Network Theory (ANT) (Chaudhuri, Dasgupta, Hoysala, Kendall, & Janaka, ), Structuration Theory (Bernardi (), and Institutional Theory Effah (). While these various frameworks and theories can help us understand the social implications of ICTs in developing countries, they tend to ignore the development outcomes despite their promise of providing a developmental perspective at the individual level of study (Grunfeld, Hak, & Pin, ).…”

Section: Theoretical Perspectivementioning

confidence: 99%

Assessing mobile phone use by pregnant women in Nigeria: A capability perspective

Dasuki

Zamani

2019

E J Info Sys Dev Countries

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This paper explores the use of mobile phones to access maternal health care in sub‐Saharan Africa and whether it enhances capability and human development. Analysing focus groups and interviews on mobile phone uses by pregnant women in Nigeria based on the Technology Augmented Capability Approach, we show that the mobile phone as a technical object facilitates three broad capabilities for pregnant women, namely, (a) enhances their voice and choice to push for health care quality, (b) enhances their access to emergency services while maintaining entrepreneurial activities, and (c) enhances their health literacy and social connectedness. However, personal, social, and environmental factors influence the conversion of the use of the mobile phone into capabilities by the pregnant women.

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“…16 of 20 studies concerning the implementation of health IT for patient care used the TAM or modi ed TAM, which predicts a signi cant portion of health IT acceptance and use. Although some studies used UTAUT model as it is the recent one and integrates constructs from different models, a study conducted recently revealed that applying the UTAUT to study the adoption of HIT in developing countries is inadequate and needs to be modi ed to t the developing countries context (Bawack et al, 2018). In this study, TAM (Davis, 1989) is used as a theoretical foundation with one more construct from the UTAUT model (Venkatesh et al, 2003).…”

Section: Methodsmentioning

confidence: 99%

“…A HIS is de ned as "a comprehensive, integrated information system designed to manage the administrative, nancial and clinical aspects of a hospital. It aims to achieve the best possible support of patient care and administration by electronic data processing" (Ismail et al, 2010, p. [16][17][18][19][20][21][22][23][24]. A HIS can also be de ned as "an information system that performs the function of processing data, information and knowledge in the secondary and tertiary healthcare levels" (Lee et al, 2011(Lee et al, , p. 2129(Lee et al, -2140.…”

Section: Introductionmentioning

confidence: 99%

Modeling the Acceptance and Use of Electronic Medical Records from Patients’ Point of View: Evidence from Saudi Arabia

Bamufleh

2020

Preprint

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Abstract Background The employment of IT in healthcare reflects a need to meet the increasing demands of patients and to upgrade the quality and productivity of the provided services. However, the literature demonstrates many failures in systems and IT technology implementation in the context of healthcare. One of the reasons behind these failures is users’ resistance to accept such new technology. The ministry of health in Saudi Arabia has prioritized the embracing of new technologies that could level up the healthcare service, such as the adoption of electronic medical record (EMR) systems. On the other hand, studies that address the acceptance and use of hospital information systems and EMRs in Saudi Arabia from patients’ points of view are scarce. The aim of this study was to explore patients’ acceptance of an EMR system by testing a proposed theoretical model adapted from the technology acceptance model (TAM) and the unified theory of acceptance and use of technology (UTAUT). Methods An online questionnaire was used where questions were based on the proposed model constructs (facilitating conditions, perceived ease of use, perceived usefulness, attitude, and behavioral intention). One hundred sixteen patients responded to the questionnaire. The model was then tested using the structural equation modeling method to identify the factors that affect patients’ intention to use the online services of the EMR. Results The analysis of the research model suggested that (1) facilitating conditions that involved patients’ knowledge, skills, and the provided support by the hospital directly influenced the degree of perceived ease of use (PEOU) of the system. (2) PEOU directly affected the EMR’s perceived usefulness (PU). (3) PU directly affected patients’ attitudes (ATT) toward using the EMR. (4) A positive effect is found between ATT and the behavioral intention to use EMR. Conclusion The study results have implications for healthcare IT acceptance research and efforts in Saudi Arabia, as to date patients’ perspectives have received little attention. The research also makes a theoretical contribution as it validated the proposed model, which integrated constructs from TAM and UTAUT.

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Adequacy of UTAUT in clinician adoption of health information systems in developing countries: The case of Cameroon

Cited by 149 publications

References 27 publications

Challenges for the adoption of ICT for diabetes self‐management in South Africa

Challenges for the adoption of ICT for diabetes self‐management in South Africa

Assessing mobile phone use by pregnant women in Nigeria: A capability perspective

Modeling the Acceptance and Use of Electronic Medical Records from Patients’ Point of View: Evidence from Saudi Arabia

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