Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultati...

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Main Authors: Abeer Alharbi, Joharah Alzuwaed, Hind Qasem
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-021-01437-6
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author Abeer Alharbi
Joharah Alzuwaed
Hind Qasem
author_facet Abeer Alharbi
Joharah Alzuwaed
Hind Qasem
author_sort Abeer Alharbi
collection DOAJ
description Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ 2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ 2 = 8.79, p < 0.05), gender (χ 2 = 22.19, p < 0.05), region (χ 2 = 19.74, p < 0.05), and occupation (χ 2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.
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spelling doaj.art-ce774c3bc7914fed96c02af1af0aaa632022-12-21T23:34:45ZengBMCBMC Medical Informatics and Decision Making1472-69472021-03-012111910.1186/s12911-021-01437-6Evaluation of e-health (Seha) application: a cross-sectional study in Saudi ArabiaAbeer Alharbi0Joharah Alzuwaed1Hind Qasem2Health Administration Department, Business Administration School, King Saud UniversityHealth Administration Department, Business Administration School, King Saud UniversityBiostatistics Department, Inaya Medical CollegesAbstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ 2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ 2 = 8.79, p < 0.05), gender (χ 2 = 22.19, p < 0.05), region (χ 2 = 19.74, p < 0.05), and occupation (χ 2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.https://doi.org/10.1186/s12911-021-01437-6e-HealthTelemedicineAccessSatisfactionEfficiencyHealth care delivery
spellingShingle Abeer Alharbi
Joharah Alzuwaed
Hind Qasem
Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia
BMC Medical Informatics and Decision Making
e-Health
Telemedicine
Access
Satisfaction
Efficiency
Health care delivery
title Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia
title_full Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia
title_fullStr Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia
title_full_unstemmed Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia
title_short Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia
title_sort evaluation of e health seha application a cross sectional study in saudi arabia
topic e-Health
Telemedicine
Access
Satisfaction
Efficiency
Health care delivery
url https://doi.org/10.1186/s12911-021-01437-6
work_keys_str_mv AT abeeralharbi evaluationofehealthsehaapplicationacrosssectionalstudyinsaudiarabia
AT joharahalzuwaed evaluationofehealthsehaapplicationacrosssectionalstudyinsaudiarabia
AT hindqasem evaluationofehealthsehaapplicationacrosssectionalstudyinsaudiarabia