A Holistic Framework for Assisting Decision Makers of Healthcare Facilities to Assess Telemedicine Applications in Saudi Arabia

This paper outlines some of the challenges that currently face healthcare systems in Kingdom of Saudi Arabia (KSA). Increasing and continuing demand for healthcare services is aggravated by a critical shortage of health human resources (HHR) and healthcare facilities (HCFs) especially in rural areas. In 2013, 17.8% of the population lived in rural and remote areas with a huge disparity in HCFs distribution, and 76% of physicians and 44.7% of nurses are non-Saudis. Current studies have shown the potential of telemedicine to alleviate these challenges. The use of telemedicine has been adopted and the telemedicine roadmap has been developed by the Ministry of Health (MOH) in KSA in collaboration with Canada Health Infoway (Infoway). This roadmap has identified many barriers and challenges likely to face the implementation of telemedicine in KSA. This paper describes a holistic framework to address these challenges and to assess telemedicine applications in order to assist decision makers of HCFs in KSA. The proposed framework is developed in collaboration with the National eHealth Strategy and Change Management Office in the Ministry of Health (MOH) and Prince Mohammad Medical City (PMMC) in KSA.

[1]  Emre Sezgin,et al.  A Literature Review on Attitudes of Health Professionals towards Health Information Systems: From e-Health to m-Health , 2014 .

[2]  J H Thrall,et al.  Making global telemedicine practical and affordable: demonstrations from the Middle East. , 1994, AJR. American journal of roentgenology.

[3]  Joel K. Leidecker,et al.  Identifying and using critical success factors , 1984 .

[4]  B. Rapp,et al.  Information technology strategy and alignment issues in health care organizations , 2013, Health care management review.

[5]  A. While,et al.  Health care and nursing in Saudi Arabia. , 2008, International nursing review.

[6]  Carroll W. Frenzel,et al.  Management of Information Technology , 1991 .

[7]  N. Chanpheaktra,et al.  Case report: an example of international telemedicine success , 2009, Journal of telemedicine and telecare.

[8]  U. Reinhardt,et al.  Does the aging of the population really drive the demand for health care? , 2003, Health affairs.

[9]  Viswanath Venkatesh,et al.  Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology , 2012, MIS Q..

[10]  M. Fleischer,et al.  processes of technological innovation , 1990 .

[11]  Aziz Sheikh,et al.  Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review , 2013, Int. J. Medical Informatics.

[12]  Adnan A. Albar,et al.  The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia , 2012, Journal of family & community medicine.

[13]  Alison Bowes,et al.  Effectiveness of telemedicine: A systematic review of reviews , 2010, Int. J. Medical Informatics.

[14]  Laurent Bonnardot,et al.  Nucleating the development of telemedicine to support healthcare workers in resource-limited settings: a new approach , 2013, Journal of telemedicine and telecare.

[15]  Terkel Christiansen,et al.  Demographic Changes and Aggregate Healthcare Expenditure in Europe , 2007 .

[16]  Seewon Ryu Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2) , 2012, Healthcare Informatics Research.

[17]  Nir Menachemi,et al.  Factors Affecting the Adoption of Telemedicine—A Multiple Adopter Perspective , 2004, Journal of Medical Systems.

[18]  Sahar H. El-Khafif,et al.  Successes and challenges in the implementation and application of telemedicine in the eastern province of Saudi Arabia. , 2012, Perspectives in health information management.

[19]  M. Yahia Saudi Arabia , 2016, Nature.

[20]  C. Dolea,et al.  Early implementation of WHO recommendations for the retention of health workers in remote and rural areas. , 2013, Bulletin of the World Health Organization.

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

[22]  Stuart M. Speedie,et al.  Factors influencing health information technology adoption in Thailand's community health centers: Applying the UTAUT model , 2009, Int. J. Medical Informatics.

[23]  Mark L. Mitchell,et al.  Research Design Explained , 1987 .

[24]  J. Craig,et al.  Introduction to the Practice of Telemedicine , 2005, Journal of telemedicine and telecare.

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

[26]  Keri E. Pearlson,et al.  Managing and Using Information Systems: A Strategic Approach , 2019 .

[27]  G. Mountain,et al.  Factors affecting front line staff acceptance of telehealth technologies: a mixed-method systematic review. , 2014, Journal of advanced nursing.

[28]  Kevin J. Leonard,et al.  Critical Success Factors Relating to Healthcare's Adoption of New Technology: A Guide to Increasing the Likelihood of Successful Implementation , 2004 .

[29]  B Stanberry,et al.  Telemedicine: barriers and opportunities in the 21st century , 2000, Journal of internal medicine.