Mobile Communications, physical distance and access to follow-up healthcare service in Lagos Metropolis

Abstract

The widespread use of mobile communications has resulted in a new practice in family and social life, with significant implications for physical distance. This is because mobile communication allows users to overcome spatial issues such as distance to healthcare services, shift to person-to-person connectivity, and the blur boundaries between one point and another. The uneven distribution of healthcare facilities and distances among them has compounded the provision of follow-up care services to healthcare seekers. Therefore, this paper examined the relationship between the use of mobile telephone to access follow-up health-care services and physical distance separating out-patients from healthcare centres. The unified theory of acceptance and use of technology (UTAUT) model provided the framework for the study. Using a systematic random sampling technique, a structured questionnaire focusing on socio-demographic characteristics (gender, age, and income), mobile telephone usage for follow-up healthcare services and its effect on physical distance, was administered on 370 respondents at Lagos University Teaching Hospital (LUTH) Idi-Araba, Lagos. Pearson correlation was used to determine the relationship between the physical distance of patients from the hospital and mobile telephone calls for follow-up healthcare services, and the result revealed a strong positive relationship between them (r = 0.898, p ≤ 0.05). The result indicates that 134 patients used mobile telephone to access follow-up health-care services. It was also found that physical distance is responsible for 89.8% of mobile telephone calls for follow-up healthcare services. Continuous use of mobile telephone technology to improve the quality of follow-up health care service provision for patient satisfaction is recommended.

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“…As referral centers, patients patronize the centers from the Lagos metropolis and neighboring towns. Similarly, a survey conducted at one of the participating institutions revealed that more than half of the patients patronizing the facility come from distances longer than 10 km [ 44 ]. Similarly, the survey revealed that about 44.4% of the patients resided outside the Lagos metropolis, thus increasing mobile phone usage among patients [ 44 ].…”

“…Similarly, a survey conducted at one of the participating institutions revealed that more than half of the patients patronizing the facility come from distances longer than 10 km [ 44 ]. Similarly, the survey revealed that about 44.4% of the patients resided outside the Lagos metropolis, thus increasing mobile phone usage among patients [ 44 ]. Getting to the institutions is also stressful for the patients, as a study revealed that an average commuter in Lagos spends 2.21 h per day getting to work due to traffic congestion [ 45 ].…”