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Validation of an e-health readiness assessment framework for developing countries.

Kabelo Leonard Mauco1,2, Richard E Scott3,4,5, Maurice Mars3,6

  • 1Department of TeleHealth, University of KwaZulu-Natal, Durban, South Africa. kabelo.mauco@bothouniversity.ac.bw.

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Summary

A new e-health readiness assessment framework (eHRAF) was developed and validated for developing countries. This tool aids in policy planning to improve e-health implementation success rates.

Keywords:
BotswanaDeveloping countriesE-HealthE-health readiness assessmentFrameworksModelsValidation

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Area of Science:

  • Health Informatics
  • Information and Communication Technology in Healthcare
  • Global Health Policy

Background:

  • E-health adoption is increasing globally, aiming to enhance healthcare quality.
  • High failure rates in e-health implementations are often attributed to a lack of readiness.
  • Existing e-health readiness assessment frameworks are not adequately suited for developing countries.

Purpose of the Study:

  • To validate a newly developed e-health readiness assessment framework (eHRAF) specifically designed for developing countries.
  • To refine the eHRAF based on expert feedback before empirical testing.
  • To support e-health policy planning and implementation in resource-limited settings.

Main Methods:

  • A validation process using published options was employed.
  • Fifteen global e-health experts were engaged through saturation and purposive sampling.
  • Thematic analysis of open-ended questions was conducted using NVivo 11 software.

Main Results:

  • The proposed eHRAF received overall support for its content and format from experts.
  • Modifications to framework terms were suggested in response to some open-ended questions.
  • One international expert offered alternative perspectives.

Conclusions:

  • The validated eHRAF offers evidence-based guidance for e-health policy development in developing countries.
  • The framework identifies key areas for preparing e-health readiness assessments.
  • It aims to reduce e-health project failure rates in developing nations.