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Healthcare Workers’ Perspectives of mHealth Adoption Factors in the Developing World: Scoping Review

Author

Listed:
  • Michael Addotey-Delove

    (Department of TeleHealth, School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa)

  • Richard E. Scott

    (Department of TeleHealth, School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa
    Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada)

  • Maurice Mars

    (Department of TeleHealth, School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa
    College of Nursing and Health Sciences, Flinders University, Adelaide, SA 5042, Australia)

Abstract

Background: mHealth applications provide health practitioners with platforms that enable disease management, facilitate drug adherence, facilitate drug adherence, speed up diagnosis, monitor outbreaks, take and transfer medical images, and provide advice. Many developing economies are investing more in mobile telecommunication infrastructure than in road transport and electric power generation. Despite this, mHealth has not seen widespread adoption by healthcare workers in the developing world. This study reports a scoping review of factors that impact the adoption of mHealth by healthcare workers in the developing world, and based on these findings, a framework is developed for enhancing mHealth adoption by healthcare workers in the developing world. Methods: A structured literature search was performed using PubMed and Scopus, supplemented by hand searching. The searches were restricted to articles in English during the period January 2009 to December 2019 and relevant to the developing world that addressed: mobile phone use by healthcare workers and identified factors impacting the adoption of mHealth implementations. All authors reviewed selected papers, with final inclusion by consensus. Data abstraction was performed by all authors. The results were used to develop the conceptual framework using inductive iterative content analysis. Results and Discussion: Of 919 articles, 181 met the inclusion criteria and, following a review of full papers, 85 reported factors that impact (promote or impede) healthcare worker adoption of mHealth applications. These factors were categorised into 18 themes and, after continued iterative review and discussion were reduced to 7 primary categories (engagement/funding, infrastructure, training/technical support, healthcare workers’ mobile—cost/ownership, system utility, motivation/staffing, patients’ mobile—cost/ownership), with 17 sub-categories. These were used to design the proposed framework. Conclusions: Successful adoption of mHealth by healthcare workers in the developing world will depend on addressing the factors identified in the proposed framework. They must be assessed in each specific setting prior to mHealth implementation. Application of the proposed framework will help shape future policy and practice of mHealth implementation in the developing world and increase adoption by health workers.

Suggested Citation

  • Michael Addotey-Delove & Richard E. Scott & Maurice Mars, 2023. "Healthcare Workers’ Perspectives of mHealth Adoption Factors in the Developing World: Scoping Review," IJERPH, MDPI, vol. 20(2), pages 1-27, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1244-:d:1030865
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    References listed on IDEAS

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