IDEAS home Printed from https://ideas.repec.org/a/eee/telpol/v43y2019i6p576-594.html
   My bibliography  Save this article

eHealth in Egypt: The demand-side perspective of implementing electronic health records

Author

Listed:
  • Badran, Mona Farid

Abstract

The present study sheds light on the expected factors that would impact the adoption of the Electronic Health Records (EHR) service in Egypt from the demand-side perspective, i.e. the healthcare consumer's standpoint. This empirical study is motivated by the use of EHR in many countries as a method of promoting healthcare services. Another incentive for the present study is to look at EHR as a top layer in the Next Generation of Information Infrastructure (NII). EHR is considered an efficiency-enhancing and cost-effective technology. Moreover, the issue of developing the healthcare sector in Egypt has the attention of government policymakers, who have a comprehensive healthcare and social insurance law that will be discussed in the Egyptian Parliament, in the near future. The study highlights the socio-technical approach used in analyzing the EHR as an eHealth application in Egypt. The underlying theoretical framework of this study implicates the Unified Theory of Acceptance and Use of Technology in the Consumer Context (UTAUT2) model. It also applies an integrated framework of multifaceted perceptions used to explain the expected adoption or behavior of the Egyptian consumer vis-à-vis EHR. The study relies on primary data collected after surveying 559 respondents. Results reveal that determinants of EHR include demographics such as place and gender, but more importantly constructs such as price value, effort expectancy and facilitating conditions are key factors that play a part in the decision made by the Egyptian consumer to adopt EHR technology. Finally, additional insight and recommendations are offered to the policymakers.

Suggested Citation

  • Badran, Mona Farid, 2019. "eHealth in Egypt: The demand-side perspective of implementing electronic health records," Telecommunications Policy, Elsevier, vol. 43(6), pages 576-594.
    • Handle: RePEc:eee:telpol:v:43:y:2019:i:6:p:576-594
    DOI: 10.1016/j.telpol.2019.01.003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S030859611830212X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.telpol.2019.01.003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Shin, Dong-Hee, 2012. "What makes consumers use VoIP over mobile phones? Free riding or consumerization of new service," Telecommunications Policy, Elsevier, vol. 36(4), pages 311-323.
    2. Kim, Suwon & Kim, Seongcheol, 2018. "User preference for an IoT healthcare application for lifestyle disease management," Telecommunications Policy, Elsevier, vol. 42(4), pages 304-314.
    3. Dong‐Hee Shin, 2008. "Next generation of information infrastructure: A comparative case study of Korea versus the United States of America," Journal of the American Society for Information Science and Technology, Association for Information Science & Technology, vol. 59(11), pages 1785-1800, September.
    4. Maarten L. Buis, 2010. "Stata tip 87: Interpretation of interactions in nonlinear models," Stata Journal, StataCorp LP, vol. 10(2), pages 305-308, June.
    5. Sudtasan, Tatcha & Mitomo, Hitoshi, 2018. "The Internet of Things as an accelerator of advancement of broadband networks: A case of Thailand," Telecommunications Policy, Elsevier, vol. 42(4), pages 293-303.
    6. Richard Williams, 2011. "Using the Margins Command to Estimate and Interpret Adjusted Predictions and Marginal Effects," CHI11 Stata Conference 9, Stata Users Group.
    7. Shin, Dong-Hee, 2010. "MVNO services: Policy implications for promoting MVNO diffusion," Telecommunications Policy, Elsevier, vol. 34(10), pages 616-632, November.
    8. World Bank, 2015. "A Roadmap to Achieve Social Justice in Health Care in Egypt," World Bank Publications - Reports 21891, The World Bank Group.
    9. Sung S. Kim & Naresh K. Malhotra & Sridhar Narasimhan, 2005. "Research Note—Two Competing Perspectives on Automatic Use: A Theoretical and Empirical Comparison," Information Systems Research, INFORMS, vol. 16(4), pages 418-432, December.
    10. Shin, Dong-Hee, 2015. "Effect of the customer experience on satisfaction with smartphones: Assessing smart satisfaction index with partial least squares," Telecommunications Policy, Elsevier, vol. 39(8), pages 627-641.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nattakit Yuduang & Ardvin Kester S. Ong & Yogi Tri Prasetyo & Thanatorn Chuenyindee & Poonyawat Kusonwattana & Waranya Limpasart & Thaninrat Sittiwatethanasiri & Ma. Janice J. Gumasing & Josephine D. , 2022. "Factors Influencing the Perceived Effectiveness of COVID-19 Risk Assessment Mobile Application “MorChana” in Thailand: UTAUT2 Approach," IJERPH, MDPI, vol. 19(9), pages 1-19, May.
    2. Chen-Wei Yu & Cheng-Min Chao & Che-Fu Chang & Rueg-Juen Chen & Po-Chung Chen & Yi-Xuan Liu, 2021. "Exploring Behavioral Intention to Use a Mobile Health Education Website: An Extension of the UTAUT 2 Model," SAGE Open, , vol. 11(4), pages 21582440211, October.
    3. Ardvin Kester S. Ong & Yogi Tri Prasetyo & Nattakit Yuduang & Reny Nadlifatin & Satria Fadil Persada & Kirstien Paola E. Robas & Thanatorn Chuenyindee & Thapanat Buaphiban, 2022. "Utilization of Random Forest Classifier and Artificial Neural Network for Predicting Factors Influencing the Perceived Usability of COVID-19 Contact Tracing “MorChana” in Thailand," IJERPH, MDPI, vol. 19(13), pages 1-28, June.
    4. Ashraf Elsafty & Islam M. Elbouseery & Ashraf Shaarawy, 2020. "Factors Affecting the Behavioral Intention to Use Standalone Electronic Personal Health Record Applications by Adults in Egypt," Business and Management Studies, Redfame publishing, vol. 6(4), pages 14-35, December.
    5. Ashraf Elsafty & Abdulaziz Boghdady, 2022. "The Cognitive Determinants Influencing Consumer Purchase-Intention Towards Subscription Video on Demand (SVoD): Case of Egypt," International Journal of Marketing Studies, Canadian Center of Science and Education, vol. 14(1), pages 1-95, December.
    6. Abdul Waheed Siyal & Chen Hongzhuan & Chen Gang, 2021. "From Consumer Satisfaction to Recommendation of Mobile App–Based Services: An Overview of Mobile Taxi Booking Apps," SAGE Open, , vol. 11(1), pages 21582440211, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Badran, Mona Farid, 2017. "Electronic Health Records Prospects in Egypt: A Demand-Side Perspective," 28th European Regional ITS Conference, Passau 2017 169447, International Telecommunications Society (ITS).
    2. Yoonsun Oh & Jungsuk Oh, 2017. "A critical incident approach to consumer response in the smartphone market: product, service and contents," Information Systems and e-Business Management, Springer, vol. 15(3), pages 577-597, August.
    3. Craig Gundersen & David R. Just & Fei Men, 2017. "Mothers' Within-Marriage Economic Prospects and Later Food Security: Does Marital Outcome Matter?," Journal of Consumer Affairs, Wiley Blackwell, vol. 51(3), pages 682-702, November.
    4. Sam Tavassoli & Viroj Jienwatcharamongkhol & Pia Arenius, 2023. "Colocation of Entrepreneurs and New Firm Survival: Role of New Firm Founder’s Experiential Relatedness to Local Entrepreneurs," Entrepreneurship Theory and Practice, , vol. 47(4), pages 1421-1459, July.
    5. Gordon Kemp & João Santos Silva, 2016. "Partial effects in fixed-effects models," United Kingdom Stata Users' Group Meetings 2016 06, Stata Users Group.
    6. Heather Brown & Marjon van der Pol, 2014. "The Role Of Time Preferences In The Intergenerational Transfer Of Smoking," Health Economics, John Wiley & Sons, Ltd., vol. 23(12), pages 1493-1501, December.
    7. McFarland, Michael J. & Geller, Amanda & McFarland, Cheryl, 2019. "Police contact and health among urban adolescents: The role of perceived injustice," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    8. Su-Chen(Cecilia) Lin & Mei-Chen Chuang & Chen-Yuan Huang & Chia-En Liu, 2023. "Nursing Staff’s Behavior Intention to Use Mobile Technology: An Exploratory Study Employing the UTAUT 2 Model," SAGE Open, , vol. 13(4), pages 21582440231, November.
    9. Vyrastekova, Jana & Funaki, Yukihiko, 2018. "Cooperation in a sequential dilemma game: How much transparency is good for cooperation?," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 77(C), pages 88-95.
    10. Kum Fai Yuen & Do Thi Khanh Huyen & Xueqin Wang & Guanqiu Qi, 2020. "Factors Influencing the Adoption of Shared Autonomous Vehicles," IJERPH, MDPI, vol. 17(13), pages 1-17, July.
    11. Axel Dreher & Merle Kreibaum, 2016. "Weapons of choice," Journal of Peace Research, Peace Research Institute Oslo, vol. 53(4), pages 539-553, July.
    12. Axel Dreher & Sarah Langlotz & Silvia Marchesi, 2017. "Information Transmission And Ownership Consolidation In Aid Programs," Economic Inquiry, Western Economic Association International, vol. 55(4), pages 1671-1688, October.
    13. Colciago, Andrea & Etro, Federico, 2013. "Cloud computing, structural change and job creation in SMEs," Libros de la CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 37064.
    14. Kelly, Elaine & Rasul, Imran, 2014. "Policing cannabis and drug related hospital admissions: Evidence from administrative records," Journal of Public Economics, Elsevier, vol. 112(C), pages 89-114.
    15. Chunbei Wang & Magnus Lofstrom, 2020. "September 11 and the Rise of Necessity Self-Employment Among Mexican Immigrants," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 46(1), pages 5-33, January.
    16. Doidge, Craig & Karolyi, G. Andrew & Stulz, René M., 2013. "The U.S. left behind? Financial globalization and the rise of IPOs outside the U.S," Journal of Financial Economics, Elsevier, vol. 110(3), pages 546-573.
    17. Ong C. & Witte K. de, 2013. "The influence of ethnic segregation and school mobility in primary education on high school dropout : evidence from regression discontinuity at a contextual tipping point," MERIT Working Papers 2013-064, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    18. Erik Scherpf & Benjamin Cerf, 2019. "Local Labor Demand and Program Participation Dynamics: Evidence from New York SNAP Administrative Records," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(2), pages 394-425, March.
    19. Mario Bossler & Philipp Grunau, 2020. "Asymmetric information in external versus internal promotions," Empirical Economics, Springer, vol. 59(6), pages 2977-2998, December.
    20. Bustillo, René, 2013. "Net neutrality: debate and policies," Libros de la CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 37067.

    More about this item

    Keywords

    Electronic health records; Healthcare sector; eHealth; UTAUT2; Egypt; Logistic regression; Next generation of infrastructure; eHealth policy;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I - Health, Education, and Welfare
    • L96 - Industrial Organization - - Industry Studies: Transportation and Utilities - - - Telecommunications

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:telpol:v:43:y:2019:i:6:p:576-594. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/30471/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.