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Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia

Alaboudi, Abdulellah and ATKINS, Anthony and SHARP, Bernadette and Balkhair, Ahmed and Alzahrani, Mohammed and Sunbul, Tamara (2016) Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia. Journal of Infection and Public Health, 9 (6). pp. 725-733. ISSN 18760341

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Abstract or description

Summary
Despite emerging evidence about the benefits of telemedicine, there are still many barriers and challenges to its adoption. Its adoption is often cited as a failed project because 75% of them are abandoned or ‘failed outright’ and this percentage increases to 90% in developing countries. The literature has clarified that there is neither one-size-fit-all framework nor best-practice solution for all ICT innovations or for all countries. Barriers and challenges in adopting and implementing one ICT innovation in a given country/organisation may not be similar – not for the same ICT innovation in another country/organisation nor for another ICT innovation in the same country/organisation.

To the best of our knowledge, no comprehensive scientific study has investigated these challenges and barriers in all Healthcare Facilities (HCFs) across the Kingdom of Saudi Arabia (KSA). This research, which is undertaken based on the Saudi Telemedicine Network roadmap and in collaboration with the Saudi Ministry of Health (MOH), is aimed at identifying the principle predictive challenges and barriers in the context of the KSA, and understanding the perspective of the decision makers of each HCF type, sector, and location. Three theories are used to underpin this research: the Unified Theory of Acceptance and Use of Technology (UTAUT), the Technology–Organisation–Environment (TOE) theoretical framework, and the Evaluating Telemedicine Systems Success Model (ETSSM). This study applies a three-sequential-phase approach by using three mixed methods (i.e., literature review, interviews, and questionnaires) in order to utilise the source triangulation and the data comparison analysis technique. The findings of this study show that the top three influential barriers to adopt and implement telemedicine by the HCF decision makers are: (i) the availability of adequate sustainable financial support to implement, operate, and maintain the telemedicine system, (ii) ensuring conformity of telemedicine services with core mission, vision, needs and constraints of the HCF, and (iii) the reimbursement for telemedicine services.

Abbreviations
HCFs, Healthcare Facilities; STN, Saudi Telemedicine Network; KSA, Kingdom of Saudi Arabia; TOE, Technology–Organisation–Environment; UTAUT, Unified Theory of Acceptance and Use of Technology; MOH, Saudi Ministry of Health; PHCs, Primary Healthcare Centres; OTN, Ontario Telemedicine Network; CPG, Clinical Practice Guidelines; ETSSM, the Evaluating Telemedicine Systems Success Model

Item Type: Article
Uncontrolled Keywords: JAN2017
Faculty: Previous Faculty of Computing, Engineering and Sciences > Computing
Depositing User: Library STORE team
Date Deposited: 19 Jan 2017 15:52
Last Modified: 23 Jan 2017 13:30
URI: http://eprints.staffs.ac.uk/id/eprint/2961

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