Health professional's readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana.

Ghana Health professionals Low- and middle- income countries (LMICs) Readiness Telemedicine eHealth implementation

Journal

Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 24 10 2022
revised: 03 03 2023
accepted: 08 03 2023
entrez: 22 3 2023
pubmed: 23 3 2023
medline: 23 3 2023
Statut: ppublish

Résumé

Telemedicine, which is the practice of medicine using technology to deliver health care remotely, has a low adoption rate in low- and middle-income countries (LMICs). However, the advent of coronavirus disease 2019 (COVID-19) has forced healthcare systems in these settings to begin implementing telemedicine programs. It is unknown how prepared health professionals and the healthcare system are to adopt this technology. Therefore, this study aimed to assess the readiness of health professionals and explore factors associated with telemedicine implementation in Ghana. A cross-sectional study was conducted in six health facilities between March and August 2021. Convenience sampling was used to select the six health facilities, and the participants were selected randomly for the study. Questionnaires were self-completed by participants. Data was exported into STATA 15.0 for analysis, and appropriate statistical methods were employed. All statistical tests were performed at a significance level of p < 0.05. Of the 613 health professionals involved in the study, about 579 (94.5%) were comfortable using computers, and the majority, 503 (82.1%) of them, had access to computers at the workplace. Health professionals agreed that the measures outlined by the health facilities supported their readiness to use telemedicine for healthcare services. Analysis revealed a statistically significant positive relationship between health facilities' core readiness and health professionals' readiness, with a correlation coefficient (r) of 0.5484 and a p-value<0.0001. Of the factors associated with health professionals' readiness towards telemedicine implementation, facility core readiness, engagement readiness, staff knowledge and attitude readiness showed a statistically significant relationship with health professionals' readiness. The study revealed that health professionals are ready to adopt telemedicine. There was a statistically significant relationship between health facilities' core readiness, engagement readiness, staff knowledge and attitude readiness, and health professionals' readiness. The study identified factors facilitating telemedicine adoption.

Sections du résumé

Background UNASSIGNED
Telemedicine, which is the practice of medicine using technology to deliver health care remotely, has a low adoption rate in low- and middle-income countries (LMICs). However, the advent of coronavirus disease 2019 (COVID-19) has forced healthcare systems in these settings to begin implementing telemedicine programs. It is unknown how prepared health professionals and the healthcare system are to adopt this technology. Therefore, this study aimed to assess the readiness of health professionals and explore factors associated with telemedicine implementation in Ghana.
Methods UNASSIGNED
A cross-sectional study was conducted in six health facilities between March and August 2021. Convenience sampling was used to select the six health facilities, and the participants were selected randomly for the study. Questionnaires were self-completed by participants. Data was exported into STATA 15.0 for analysis, and appropriate statistical methods were employed. All statistical tests were performed at a significance level of p < 0.05.
Results UNASSIGNED
Of the 613 health professionals involved in the study, about 579 (94.5%) were comfortable using computers, and the majority, 503 (82.1%) of them, had access to computers at the workplace. Health professionals agreed that the measures outlined by the health facilities supported their readiness to use telemedicine for healthcare services. Analysis revealed a statistically significant positive relationship between health facilities' core readiness and health professionals' readiness, with a correlation coefficient (r) of 0.5484 and a p-value<0.0001. Of the factors associated with health professionals' readiness towards telemedicine implementation, facility core readiness, engagement readiness, staff knowledge and attitude readiness showed a statistically significant relationship with health professionals' readiness.
Conclusion UNASSIGNED
The study revealed that health professionals are ready to adopt telemedicine. There was a statistically significant relationship between health facilities' core readiness, engagement readiness, staff knowledge and attitude readiness, and health professionals' readiness. The study identified factors facilitating telemedicine adoption.

Identifiants

pubmed: 36945351
doi: 10.1016/j.heliyon.2023.e14501
pii: S2405-8440(23)01708-5
pmc: PMC10022178
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e14501

Informations de copyright

© 2023 The Author(s).

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Auteurs

Nathan Kumasenu Mensah (NK)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Godwin Adzakpah (G)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Jonathan Kissi (J)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Richard Okyere Boadu (RO)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Obed Uwumbornyi Lasim (OU)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Martha Khainde Oyenike (MK)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Abigail Bart-Plange (A)

Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana.

Maxwell Ayindenaba Dalaba (MA)

Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana.

Felix Sukums (F)

Muhimbili University of Health and Allied Sciences, Box 65001, Dar es Salaam, Tanzania.

Classifications MeSH