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UTAUT for HSS: initial framework to study health IT adoption in the developing countries.

Anis Fuad1,2, Chien-Yeh Hsu3,4

  • 1Department of Biostatistics, Epidemiology and Population Health , Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

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Summary

The Unified Theory of Acceptance and Use of Technology (UTAUT) needs modification for health system strengthening (HSS) in developing nations. This study proposes UTAUT for HSS, integrating technology adoption with health system variables.

Keywords:
UTAUTdeveloping countrieshealth system strengthening

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Area of Science:

  • Health Informatics
  • Information Systems
  • Technology Adoption

Background:

  • The Unified Theory of Acceptance and Use of Technology (UTAUT) is widely used for IT adoption but may be insufficient for health system strengthening (HSS) in developing countries.
  • Context-specific dimensions are needed to enhance UTAUT's predictive power within HSS contexts.

Purpose of the Study:

  • To propose an extended technology acceptance model, UTAUT for HSS, tailored for health IT adoption studies in developing countries.
  • To provide a reference framework for contextualizing health system variables within technology adoption research.

Main Methods:

  • The study integrates the multi-level framework of UTAUT with the World Health Organization's health system building blocks.
  • Modifications were applied to the higher-level contextual factors, middle-level factors, and individual-level contextual factors of the UTAUT framework.

Main Results:

  • A modified multi-level framework, UTAUT for HSS, is proposed for technology acceptance and use in health system strengthening settings.
  • The framework aims to address the complexities of health systems and improve health IT adoption in low-resource environments.

Conclusions:

  • The proposed UTAUT for HSS framework offers a contextualized approach to understanding health IT adoption in developing countries.
  • Further methodological considerations and expert discussions are invited to refine the framework for comprehensive insights into health IT adoption in low-resource settings.