[AISWorld] [AJIS] New Article: Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh

[Ajis Editor]

Hi,

The *Australasian Journal of In*formation Systems has just published its
latest article.

* Telemedicine Healthcare Service Adoption Barriers in Rural Bangladesh *
*Zobair, K. M., Sanzogni, L., & Sandhu, K.*

*https://doi.org/10.3127/ajis.v24i0.2165
<https://doi.org/10.3127/ajis.v24i0.2165>  *
*Abstract*
This article investigates potential barriers to telemedicine adoption in
centres hosted by rural public hospitals in Bangladesh. Little is known of
the barriers related to telemedicine adoption in this context. Analysis of
data collected from rural telemedicine patients identified seven broad
categories of barriers: lack of organisational effectiveness, information
and communication technology infrastructure, quality of care, allocation of
resources, health staff motivation, patient satisfaction and
trustworthiness. Their significance is explored. This research is based on
the quantitative analysis of a data set of 500 telemedicine patients, from
rural areas in Bangladesh. A conceptual model showing the interaction of
pre-determined classes of barriers was established and hypotheses set up
and tested using partial least squares structural equation modelling.
Exemplary barriers to telemedicine adoption were identified and confirmed
(p<.01) namely, lack of organisational effectiveness, health staff
motivation, patient satisfaction, and trustworthiness collectively
explaining 62% of the variance in barriers to adoption and providing for
the first-time empirical support of their existence. These barriers offer
considerable resistance to the adoption and maintenance of current
telemedicine projects in rural Bangladesh. Further, lack of information and
communication technology infrastructure, allocation of resources and
quality of care are indirect barriers affecting successful deployment of
telemedicine in rural settings. These findings illuminate adoption
impediments faced by existing telemedicine projects and institutionalise
favourable policy guidelines to improve Bangladesh’s and similar emerging
economies’ healthcare industries. Policy interventions and recommendations
are provided, including current research limitations leading to
opportunities for future research.

*Keywords*: adoption, barriers, ICT, PLS-SEM, rural and remote areas,
telemedicine

-=-=-=-

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Editor-in-Chief, Australasian Journal of Information Systems
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