Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia
Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia
复制标题
DOI：
10.1016/j.jiph.2016.09.001
复制
发表时间：
2016-11-01
影响因子：
6.7
通讯作者：
Sunbul, Tamara
中科院分区：
文献类型：
--
作者：
Alaboudi, Abdulellah;Atkins, Anthony;Sunbul, Tamara
尽管有新的证据表明远程医疗的好处，但在采用远程医疗方面仍然存在许多障碍和挑战。它的采用通常被认为是一个失败的项目，因为其中75%被放弃或“彻底失败”，而在发展中国家，这一比例增加到90%。文献表明，对于所有信息和通信技术创新或所有国家，既没有一个“一刀切”的框架，也没有最佳做法解决办法。在一个国家/组织中采用和实施一项ICT创新的障碍和挑战可能与另一个国家/组织的相同ICT创新或同一国家/组织的另一项ICT创新不同。据我们所知，没有全面的科学研究调查了沙特阿拉伯王国（KSA）所有医疗机构（HCF）的这些挑战和障碍。这项研究是根据沙特远程医疗网络路线图并与沙特卫生部（MOH）合作进行的，旨在确定KSA背景下的主要预测挑战和障碍，并了解每个HCF类型，部门和位置的决策者的观点。三个理论是用来支持这项研究：接受和使用技术的统一理论（UTAUT），技术组织环境（TOE）的理论框架，和评估远程医疗系统的成功模式（ETSSM）。本研究采用三个顺序阶段的方法，使用三种混合方法（即，文献回顾、访谈和问卷调查），以便利用源三角测量和数据比较分析技术。这项研究的结果表明，通过和实施远程医疗的HCF决策者的前三大影响力的障碍是：（一）实施，运营和维护远程医疗系统，（二）确保远程医疗服务符合核心使命，愿景和HCF的需求和限制，（三）报销远程医疗服务的充足的可持续的财政支持的可用性。(C)2016年沙特国王本阿卜杜勒阿齐兹健康科学大学。All rights reserved.
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. (C) 2016 King Saud Bin Abdulaziz University for Health Sciences. All rights reserved.