Pacific Asia Conference on Information Systems ( PACIS ) 2014 UNDERSTANDING HEALTHCARE PROFESSIONALS ’ RESISTANCE OF TELEMEDICINE : AN EMPIRICAL STUDY IN ETHIOPIA

Telemedicine has great potential to improve health care in Sub-Saharan Africa. Yet resistance from healthcare professionals could prevent telemedicine’s social value from being materialized. This article intends to understand why users resist the use of telemedicine by investigating antecedents of resistance. A research was developed to propose that user resistance is determined by perceived threat and perceived controllability, which in turn are influenced by reduced autonomy, anxiety, and costs. In addition, we examine how government support can be mobilized to alleviate the inhibiting factors that lead to resistance. A survey on 107 healthcare professionals in Ethiopia provides support to most of the hypotheses.

[1]  Chitu Okoli,et al.  Critical success factors for telemedicine in Ethiopia , 2004 .

[2]  S. Folkman,et al.  Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. , 1986, Journal of personality and social psychology.

[3]  Robert W. Zmud,et al.  An attributional explanation of individual resistance to the introduction of information technologies in the workplace , 1996, Behav. Inf. Technol..

[4]  Suzanne Rivard,et al.  A Multilevel Model of Resistance to Information Technology Implementation , 2005, MIS Q..

[5]  Wynne W. Chin,et al.  A Partial Least Squares Latent Variable Modeling Approach for Measuring Interaction Effects: Results from a Monte Carlo Simulation Study and an Electronic - Mail Emotion/Adoption Study , 2003, Inf. Syst. Res..

[6]  Anol Bhattacherjee,et al.  Physicians' resistance toward healthcare information technology: a theoretical model and empirical test , 2007, Eur. J. Inf. Syst..

[7]  KimHee-Woong,et al.  Investigating user resistance to information systems implementation , 2009 .

[8]  Scott McCoy,et al.  Telemedicine diffusion in a developing Country:The case of India (march 2004) , 2005, IEEE Transactions on Information Technology in Biomedicine.

[9]  Yajiong Xue,et al.  Understanding the Influence of Team Climate on IT Use , 2010, J. Assoc. Inf. Syst..

[10]  Richard Wootton,et al.  Telemedicine support for the developing world , 2008, Journal of telemedicine and telecare.

[11]  Jason Bennett Thatcher,et al.  An Empirical Examination of Individual Traits as Antecedents to Computer Anxiety and Computer Self-Efficacy , 2002, MIS Q..

[12]  Detmar W. Straub,et al.  Structural Equation Modeling and Regression: Guidelines for Research Practice , 2000, Commun. Assoc. Inf. Syst..

[13]  Christopher Bailey,et al.  A toolkit for e-health partnerships in low-income nations. , 2010, Health affairs.

[14]  Scott B. MacKenzie,et al.  Common method biases in behavioral research: a critical review of the literature and recommended remedies. , 2003, The Journal of applied psychology.

[15]  Qing Hu,et al.  Assimilation of Enterprise Systems: The Effect of Institutional Pressures and the Mediating Role of Top Management , 2007, MIS Q..

[16]  Susan A. Brown,et al.  Who's Afraid of the Virtual World? Anxiety and Computer-Mediated Communication , 2004, J. Assoc. Inf. Syst..

[17]  Magid Igbaria,et al.  A Path Analytic Study of Individual Characteristics, Computer Anxiety and Attitudes toward Microcomputers , 1989 .

[18]  Atreyi Kankanhalli,et al.  Investigating user resistance to information systems implementation: a status quo bias perspective , 2009 .

[19]  P. M. Podsakoff,et al.  Self-Reports in Organizational Research: Problems and Prospects , 1986 .

[20]  D M Mirvis,et al.  Physicians' autonomy--the relation between public and professional expectations. , 1993, The New England journal of medicine.

[21]  Peter Meso,et al.  An Overview of Potential Factors for Effective Telemedicine Transfer to Sub-Saharan Africa , 2009, IEEE Transactions on Information Technology in Biomedicine.

[22]  Zhiping Walter,et al.  Physician acceptance of information technologies: Role of perceived threat to professional autonomy , 2008, Decis. Support Syst..

[23]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[24]  Clare Nullis-Kapp,et al.  Health worker shortage could derail development goals. , 2005, Bulletin of the World Health Organization.

[25]  Sanjit Bagchi,et al.  Telemedicine in Rural India , 2006, PLoS medicine.

[26]  Paul Jen-Hwa Hu,et al.  Investigating healthcare professionals' decisions to accept telemedicine technology: an empirical test of competing theories , 2002, Inf. Manag..

[27]  S K Piedrit.  RETHINKING RESISTANCE AND RECOGNIZING AMBIVALENCE: A MULTIDIMENSIONAL VIEW OF ATTITUDES TOWARD AN ORGANIZATIONAL CHANGE , 2000 .

[28]  Paul Jen-Hwa Hu,et al.  Examining a Model of Information Technology Acceptance by Individual Professionals: An Exploratory Study , 2002, J. Manag. Inf. Syst..

[29]  M. Lynne Markus,et al.  Technochange management: using IT to drive organizational change , 2004, J. Inf. Technol..

[30]  Yajiong Xue,et al.  Avoidance of Information Technology Threats: A Theoretical Perspective , 2009, MIS Q..

[31]  Nigel Edwards,et al.  Unhappy doctors: what are the causes and what can be done? , 2002, BMJ : British Medical Journal.

[32]  J. Nunnally.  Psychometric Theory (2nd ed), New York: McGraw-Hill. , 1978 .

[33]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[34]  Melissa M. Honour,et al.  Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. , 2004, Health affairs.

[35]  A. Bandura.  Social cognitive theory: an agentic perspective. , 1999, Annual review of psychology.

[36]  J. Hair.  Multivariate data analysis , 1972 .

[37]  B. Major,et al.  Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion. , 1998, Journal of personality and social psychology.

[38]  Peter G. W. Keen,et al.  Information systems and organizational change , 1990, CACM.

[39]  James H. Dulebohn,et al.  PERFORMANCE FEEDBACK EFFECTS IN TRAINING: THE ROLE OF PERCEIVED CONTROLLABILITY , 1994 .

[40]  Anurag Sharma.  Professional as Agent: Knowledge Asymmetry in Agency Exchange , 1997 .

[41]  Olivia R. Liu Sheng,et al.  Examining the Technology Acceptance Model Using Physician Acceptance of Telemedicine Technology , 1999, J. Manag. Inf. Syst..

[42]  Jean E. Wallace.  Organizational and Professional Commitment in Professional and Nonprofessional Organizations , 1995 .

[43]  I. Ajzen.  The theory of planned behavior , 1991 .

[44]  Anne Beaudry,et al.  Identifying IT User Mindsets: Acceptance, Resistance and Ambivalence , 2014, 2014 47th Hawaii International Conference on System Sciences.

[45]  William Samuelson,et al.  Status quo bias in decision making , 1988 .

[46]  Viswanath Venkatesh,et al.  Adaptation to Information Technology: A Holistic Nomological Network from Implementation to Job Outcomes , 2015, Manag. Sci..

[47]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[48]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[49]  M. Lynne Markus,et al.  Power, politics, and MIS implementation , 1987, CACM.

[50]  Yajiong Xue,et al.  Understanding Security Behaviors in Personal Computer Usage: A Threat Avoidance Perspective , 2010, J. Assoc. Inf. Syst..

[51]  Gary Hackbarth,et al.  Computer playfulness and anxiety: positive and negative mediators of the system experience effect on perceived ease of use , 2003, Inf. Manag..

[52]  Anne Beaudry,et al.  Understanding User Responses to Information Technology: A Coping Model of User Adaption , 2005, MIS Q..

[53]  Pratim Datta,et al.  Telemedicine in sub-Saharan Africa: The case of teleophthalmology and eye care in Ethiopia , 2006, J. Assoc. Inf. Sci. Technol..

[54]  S. Piderit.  Rethinking Resistance and Recognizing Ambivalence: A Multidimensional View of Attitudes Toward an Organizational Change , 2000 .

[55]  Paul Jen-Hwa Hu,et al.  Information Technology Acceptance by Individual Professionals: A Model Comparison Approach , 2001, Decis. Sci..