Investigating the resistance to telemedicine in Ethiopia

Int J Med Inform. 2015 Aug;84(8):537-47. doi: 10.1016/j.ijmedinf.2015.04.005. Epub 2015 May 9.

Abstract

Background: Telemedicine has great potential to improve health care in Africa as well as other developing areas, especially when medical expertise is urgently needed in emergency situations. Yet resistance from healthcare professionals could prevent telemedicine's social value from being materialized.

Objective: This article intends to understand why healthcare providers resist using telemedicine from a threat-control perspective.

Method: A survey on 107 healthcare professionals in Ethiopia was conducted.

Conclusions: The resistance to telemedicine is determined by perceived threat and perceived controllability, which in turn are influenced by reduced autonomy, anxiety, and costs. Government support weakens the effect of perceived threat but strengthens the effect of perceived controllability on telemedicine resistance.

Keywords: Anxiety; Autonomy; Costs; Government support; Perceived controllability; Perceived threat; Telemedicine.

MeSH terms

  • Attitude of Health Personnel*
  • Delivery of Health Care*
  • Ethiopia
  • Evaluation Studies as Topic
  • Government
  • Health Care Costs*
  • Health Personnel / psychology*
  • Humans
  • Telemedicine / organization & administration
  • Telemedicine / statistics & numerical data*
  • Telemedicine / trends