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

Background: 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 imple...

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Main Authors: Nathan Kumasenu Mensah, Godwin Adzakpah, Jonathan Kissi, Richard Okyere Boadu, Obed Uwumbornyi Lasim, Martha Khainde Oyenike, Abigail Bart-Plange, Maxwell Ayindenaba Dalaba, Felix Sukums
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023017085
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author Nathan Kumasenu Mensah
Godwin Adzakpah
Jonathan Kissi
Richard Okyere Boadu
Obed Uwumbornyi Lasim
Martha Khainde Oyenike
Abigail Bart-Plange
Maxwell Ayindenaba Dalaba
Felix Sukums
author_facet Nathan Kumasenu Mensah
Godwin Adzakpah
Jonathan Kissi
Richard Okyere Boadu
Obed Uwumbornyi Lasim
Martha Khainde Oyenike
Abigail Bart-Plange
Maxwell Ayindenaba Dalaba
Felix Sukums
author_sort Nathan Kumasenu Mensah
collection DOAJ
description Background: 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: 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: 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: 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.
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spelling doaj.art-90fd8bc289cc4681b4cf359b0b5a4b872023-04-05T08:25:59ZengElsevierHeliyon2405-84402023-03-0193e14501Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in GhanaNathan Kumasenu Mensah0Godwin Adzakpah1Jonathan Kissi2Richard Okyere Boadu3Obed Uwumbornyi Lasim4Martha Khainde Oyenike5Abigail Bart-Plange6Maxwell Ayindenaba Dalaba7Felix Sukums8Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, Ghana; Corresponding author.Department of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, GhanaDepartment of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, GhanaDepartment of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, GhanaDepartment of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, GhanaDepartment of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, GhanaDepartment of Health Information Management, School of Allied Health Science, University of Cape Coast, Cape Coast, GhanaInstitute of Health Research, University of Health and Allied Sciences, Ho, GhanaMuhimbili University of Health and Allied Sciences, Box 65001, Dar es Salaam, TanzaniaBackground: 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: 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: 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: 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.http://www.sciencedirect.com/science/article/pii/S2405844023017085TelemedicineLow- and middle- income countries (LMICs)eHealth implementationHealth professionalsReadinessGhana
spellingShingle Nathan Kumasenu Mensah
Godwin Adzakpah
Jonathan Kissi
Richard Okyere Boadu
Obed Uwumbornyi Lasim
Martha Khainde Oyenike
Abigail Bart-Plange
Maxwell Ayindenaba Dalaba
Felix Sukums
Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana
Heliyon
Telemedicine
Low- and middle- income countries (LMICs)
eHealth implementation
Health professionals
Readiness
Ghana
title Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana
title_full Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana
title_fullStr Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana
title_full_unstemmed Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana
title_short Health professional’s readiness and factors associated with telemedicine implementation and use in selected health facilities in Ghana
title_sort health professional s readiness and factors associated with telemedicine implementation and use in selected health facilities in ghana
topic Telemedicine
Low- and middle- income countries (LMICs)
eHealth implementation
Health professionals
Readiness
Ghana
url http://www.sciencedirect.com/science/article/pii/S2405844023017085
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