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Development of an eHealth Readiness Assessment Framework for Botswana and Other Developing Countries: Interview Study
Kabelo Leonard Mauco1,2, Richard Ernest Scott1,3,4, Maurice Mars1
1Department of TeleHealth, University of KwaZulu-Natal, Durban, South Africa.
JMIR Medical Informatics
|August 24, 2019
Summary
Developing an electronic health (eHealth) readiness assessment (eHRA) framework for developing countries requires local input. Key informant interviews revealed unique themes not found in existing literature, emphasizing the need for context-specific tools.
Area of Science:
- Health Informatics
- Digital Health
- Health Systems Strengthening
Background:
- Existing electronic health (eHealth) readiness assessment (eHRA) frameworks lack consistency and suitability for developing countries.
- There is a need for context-specific eHRA tools to guide information and communication technology adoption in healthcare.
Purpose of the Study:
- To gather key informant opinions on essential aspects for developing a suitable eHRA framework for developing countries.
- To identify local issues relevant to eHealth readiness in Botswana.
Main Methods:
- Conducted semi-structured interviews with 18 purposively selected key informants in Botswana.
- Utilized thematic analysis with NVivo 11 software for data analysis, employing an iterative approach.
- Achieved author consensus on emerging themes and subthemes.
Main Results:
- Identified four major eHealth readiness themes: governance, stakeholder issues, resources, and access, with 33 subthemes.
- Found that identified themes and their order differed significantly from existing literature.
- Highlighted the necessity of exploratory research to identify locally relevant topics before developing an eHRA framework.
Conclusions:
- The study provides crucial insights for developing an evidence-based eHealth readiness assessment framework tailored for developing countries like Botswana.
- Seven key sectors in Botswana were identified as crucial for successful eHealth project implementation and potential assessment targets.
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